Four perspectives on self-management support by nurses for people with chronic conditions: A Q-methodological study

Hooft, Susanne M. van; Dwarswaard, Jolanda; Jedeloo, Susan; Bal, Roland; Staa, AnneLoes van

doi:10.1016/j.ijnurstu.2014.07.004

Cited by 64 publications

(61 citation statements)

References 40 publications

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“…Emerging research has shown that healthcare professionals can have very different understandings of self-management support (Mudge, Kayes, & McPherson, 2016;van Hooft, Dwarswaard, Jedeloo, Bal, & van Staa, 2015;Young et al, 2015). This supports our view and that of others that it is imperative to train whole teams, preferably using methods to facilitate interprofessional discussion and exchange (Reeves, Perrier, Goldman, Freeth, & Zwarenstein, 2013).…”

Section: How Is Self-management Support Actually Integrated In Practice?supporting

confidence: 81%

Building Bridges between healthcare professionals, patients and families: A coproduced and integrated approach to self-management support in stroke

Jones

Pöstges

Brimicombe

2016

NRE

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Abstract. BACKGROUND:Programmes providing self-management support for patients and families are gaining attention and have shown promising outcomes with regards to reducing long-term unmet needs post stroke. However, notions of what good selfmanagement support looks like can differ depending on professional opinion, individual preferences, skills and experiences of patients and their families as well as on how care and rehabilitation is organised in a particular healthcare setting. This resonates with the perspective of patient-centred care, according to which the meaning of good care is not universal, but rather jointly shaped between healthcare professionals and patients in everyday interactions. While self-management support is continuously co-produced in care and rehabilitation practices, most self-management programmes are typically provided as an 'add-on' to existing statutory care. OBJECTIVE: This paper aims to deepen the understanding of how self-management support can be made an integral part of everyday care and rehabilitation using Bridges methodology. METHODS:The authors provide a self-reflective account on 'Bridges' an integrated approach to self-management support, which is used by healthcare professionals within acute and community stroke rehabilitation across the UK, and in some parts of New Zealand and Australia. RESULTS: Bridges is based on self-efficacy principles, but has a central aim of professionals sharing decision-making and expertise with patients and families in every healthcare interaction. Methodologically, the co-production of a Bridges support package with local healthcare professionals and patients is critical. The authors present the values articulated by the support package and how it engages professionals, patients and Bridges training facilitators in a continuous process of adjusting and re-adjusting situated self-management support practices. CONCLUSIONS: Our reflections reveal the need to consider development and implementation of self-management support as one and the same on-going process, if we are to facilitate successful engagement and interest from healthcare professionals as well as their patients and families.

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Section: How Is Self-management Support Actually Integrated In Practice?supporting

confidence: 81%

Building Bridges between healthcare professionals, patients and families: A coproduced and integrated approach to self-management support in stroke

Jones

Pöstges

Brimicombe

2016

NRE

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“…This could be due to the small sample size and requires further investigation. Health care professionals should also be aware that they too have specific attitudes and preferences regarding self-management support [26,34]. Part of the challenge is therefore to be flexible in their approach towards patients with differing self-management support needs.…”

Section: Discussionmentioning

confidence: 99%

“…Part of the challenge is therefore to be flexible in their approach towards patients with differing self-management support needs. For example, a more directive, medical focused support style, typified by the 'Clinician' perspective described by van Hooft et al [26], may be more appropriate to use with patients in profile A. Similarly, a 'Coaching', holistic approach may be more appropriate with patients in profile B. Telemedicine [35] and home-testing of blood pressure and creatinine [36] may be most appreciated by patients in profile D+.…”

Section: Discussionmentioning

confidence: 99%

“…"Q-methodology is a research technique, and associated set of theoretical and methodological concepts, originated and developed by William Stephenson, which focuses on the subjective or first-person viewpoints of its participants" [21]. This mixed-methods design has previously been used successfully among kidney transplant patients to identify attitudes towards medication adherence [22,23] and among chronically ill patients and professionals to identify attitudes towards selfmanagement [24][25][26]. A Q-methodological study starts with the development of a set of statements on a topic (the Q-set) which is then sorted in order of agreement per participant (the Q-sort).…”

Section: Q-methodologymentioning

confidence: 99%

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Kidney transplant patients’ attitudes towards self-management support: A Q-methodological study

Grijpma

Tielen

Staa

et al. 2016

Patient Education and Counseling

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“…This fits well with the aim of searching for unknown opportunities or barriers related to logistics chains. Several applications of Q-methodology can be found in the literature, for example in Van Exel, De Graaf (2005), Ellis et al (2007), Akhtar-Danesh et al (2008), Kroesen, Bröer (2009), Cuppen et al (2010, Giannoulis et al (2010), Tielen et al (2011), Van Hooft et al (2015, Sleenhoff, Osseweijer (2016), all related to research issues where a variety of stakeholder perceptions exist.…”

Section: Identifying Stakeholder Perspectivesmentioning

confidence: 99%

Identifying Dominant Stakeholder Perspectives on Urban Freight Policies: A Q-Analysis on Urban Consolidation Centres in the Netherlands

Duin

Slabbekoorn²,

Tavasszy

et al. 2018

Transport

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Cities’ sustainability strategies seem to aim at the reduction of the negative impacts of urban freight transport. In the past decades, many public and private initiatives have struggled to gain broad stakeholder support and thus remain viable. Researchers and practitioners have only recently recognised stakeholder acceptance of urban freight solutions as a challenge. A first step in achieving convergence is to understand stakeholder needs, preferences and viewpoints. This paper proposes and applies an approach to identify the main stakeholder perspectives in the domain of urban freight transport. We use Q-methodology, which originates from social sciences and psychology, to record subjective positions and identify the dominant ones. We explain the approach, operationalise the method for the domain of urban freight transport and apply it to stakeholder groups in the Netherlands. We find four dominant perspectives, reflecting how stakeholders normally take positions in the urban freight dialogue. Important findings concern disparities between industry associations and some of their membership, divergent views about the expected role of public administration, and the observation that the behaviour of shippers and Logistics Service Providers (LSP) appears to be inconsistent with their beliefs. All these factors together can act as a barrier to the implementation of urban freight consolidation concepts. The Q-methodology is valuable for eliciting perspectives in urban freight and is a promising tool to facilitate stakeholder dialogue and, eventually, convergence.

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Four perspectives on self-management support by nurses for people with chronic conditions: A Q-methodological study

Cited by 64 publications

References 40 publications

Building Bridges between healthcare professionals, patients and families: A coproduced and integrated approach to self-management support in stroke

Building Bridges between healthcare professionals, patients and families: A coproduced and integrated approach to self-management support in stroke

Kidney transplant patients’ attitudes towards self-management support: A Q-methodological study

Identifying Dominant Stakeholder Perspectives on Urban Freight Policies: A Q-Analysis on Urban Consolidation Centres in the Netherlands

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