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Nurses' perceptions of success in self-management support: An exploratory qualitative study
Veerle Duprez1, Dimitri Beeckman1,2,3, Ann Van Hecke1,4
1Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.
Research in Nursing & Health
|March 12, 2020
Summary
Nurses
Area of Science:
- Nursing
- Chronic Illness Management
- Patient Self-Management
Background:
- Nurses are crucial in supporting chronic disease self-management.
- Understanding nurses' definitions of success and disillusionment is unclear.
Purpose of the Study:
- To explore the origins, meanings, and processes of nurses' success in supporting patient self-management of chronic illness.
Main Methods:
- Qualitative exploratory study.
- Semi-structured interviews with 16 purposively sampled nurses.
- Iterative data collection and analysis (Nov 2017-Sep 2018).
Main Results:
- Success linked to "maintaining and promoting health"; conflict arises from "sub-optimal" patient health.
- Nurses' success perception influenced by "keeping on track," "considering own role," and "protecting self."
- Directive vs. attuning approaches impacted nurses' experience of success.
Conclusions:
- Nurses often expect patient compliance, leading to feelings of inadequacy.
- Adopting a broader view of successful patient behavior can enhance nurses' sense of accomplishment in chronic care.
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