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Defining Self-Management for Solid Organ Transplantation Recipients: A Mixed Method Study.

Katie Brunner¹, Lydia Weisschuh¹, Stefan Jobst¹

¹Institute of Nursing Science, University Medical Centre, Albert-Ludwigs University Freiburg, Breisacher Straße 153, 79110 Freiburg, Germany.

Nursing Reports (Pavia, Italy)

|April 23, 2024

Summary

Developing a comprehensive definition of self-management for solid organ transplant patients is crucial. This study identified unique attributes and limitations in current definitions to improve patient care and outcomes.

Keywords:

Solid Organ Transplantation conceptual definition content analysis scoping review self-management

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Area of Science:

Transplantation Nursing
Patient Self-Management
Health Psychology

Background:

Solid Organ Transplantation (SOTx) patients require extensive lifestyle and self-care adaptations.
Current definitions of self-management (SM) may narrowly focus on medication adherence, potentially overlooking crucial aspects for SOTx recipients.
Effective nursing communication relies on a robust understanding of patient self-management.

Purpose of the Study:

To collate and critically analyze existing definitions of self-management for Solid Organ Transplantation patients.
To identify attributes of self-management unique to the SOTx population.
To develop a comprehensive working definition of self-management for SOTx patients.

Main Methods:

Mixed-method review incorporating secondary data analysis, bibliographic analysis, and expert panel consultation.
Critical interpretation of evolving definition content, concepts, and contexts of application.
Identification of eight definitions and 63 cited definition sources.

Main Results:

Existing definitions of self-management were found to have limitations for the SOTx population.
Population-specific attributes identified include optimizing transplant outcomes, healthy behaviors, control, structure, discipline, patient motivation, self-efficacy, and cognitive function.
Inadequately defined aspects included setting, temporal dimension, concept interaction, interventions, and measurable outcomes.

Conclusions:

A more comprehensive definition of self-management is needed for Solid Organ Transplantation patients.
Incorporating SOTx-specific attributes is essential for improving patient care and outcomes.
Further research should explore the relevance of these unique attributes in defining self-management for this population.