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Co-Producing Evidence-Based Care: Nurses' and Patients' Lived Experiences in Long-Term Condition Management.

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Co-producing evidence-based care for long-term conditions requires nurses and patients to integrate knowledge and navigate relational, emotional, and organizational factors. This collaborative approach moves beyond guidelines to personalized, empathetic care.

Keywords:
co‐productionevidence‐based practiceinterpretative phenomenological approachknowledge implementationlong‐term conditionsnursing practiceperson‐centred care

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Area of Science:

  • Nursing Research
  • Qualitative Health Research
  • Evidence-Based Practice

Background:

  • Long-term condition management requires effective evidence-based care.
  • Current models may not fully capture the complexities of patient-provider collaboration.
  • Understanding the lived experiences of nurses and patients is crucial for improving care co-production.

Purpose of the Study:

  • To explore nurses' and patients' experiences co-producing evidence-based care for long-term conditions.
  • To understand how this co-production process is perceived within relational, emotional, and organizational contexts.

Main Methods:

  • Qualitative study employing the Interpretative Phenomenological Approach.
  • Semistructured interviews with 20 participants (11 nurses, 9 patients with long-term conditions).
  • Data collected from primary and secondary care settings in the Midlands, England, and analyzed using an iterative, inductive framework.

Main Results:

  • Five key themes emerged: integrating diverse knowledge, relational foundations, organizational challenges, shifting power dynamics, and emotional/ethical complexities.
  • Co-production was described as a relational, negotiated process built on trust, vulnerability, and shared decision-making.

Conclusions:

  • Co-producing evidence-based care for long-term conditions is a relational, emotional, and contextual practice, not just guideline implementation.
  • Findings advocate for reframing evidence-based practice as co-creative, emphasizing relational ethics and contextual awareness.
  • Relational competence and organizational flexibility are vital for enabling co-produced care, necessitating educational and policy reforms.