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Related Experiment Videos

Self-management support in routine primary care by nurses.

Heleen Westland1, Carin D Schröder2,3, Jessica de Wit2,3

  • 1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands.

British Journal of Health Psychology
|September 28, 2017
PubMed
Summary

Primary care nurses provide fragmented self-management support to chronically ill patients, often prioritizing medical treatment over behavior change. Enhancing support requires consistent and explicit use of effective behavior change techniques (BCTs).

Keywords:
behaviour change supportbehaviour change techniqueschronic patientsnursesprimary careself-management support

Related Experiment Videos

Area of Science:

  • Nursing
  • Primary Care
  • Chronic Disease Management

Background:

  • Primary care nurses are crucial for self-management support in chronic conditions.
  • Effective support involves patient activation and behavior change.
  • Limited understanding exists on the extent of self-management support provided in routine primary care.

Purpose of the Study:

  • To investigate the provision of self-management support by primary care nurses.
  • To determine the extent and methods of behavior change support during routine consultations.
  • To analyze the application of behavior change techniques (BCTs) in primary care nursing.

Main Methods:

  • Observational study design.
  • Audio-recording and analysis of routine consultations between primary care nurses and chronically ill patients in the Netherlands.
  • Identification of health topics, self-management topics, and behavior change techniques (BCTs) using the Behavior Change Techniques Taxonomy v1.

Main Results:

  • Seventy-eight consultations with 17 nurses were analyzed.
  • Nurses addressed health and self-management topics briefly and inconsistently; dietary intake and physical activity were most frequent.
  • Twenty-one BCTs were applied inconsistently and implicitly, with 'review behavior goal(s)' and 'feedback on behavior' being most consistent.

Conclusions:

  • Primary care nurses provide fragmented and limited self-management and behavior change support.
  • Nurses prioritize medical treatment optimization over focused behavior change interventions.
  • Consistent and explicit use of effective BCTs by nurses could enhance self-management adoption in primary care.