‘It's coming at things from a very different standpoint’: evaluating the ‘Supporting Self-Care in General Practice Programme’ in NHS East of England

Abstract

This evaluation demonstrates that training around clinician change can be effective in shifting service delivery when sat within a cultural framework that genuinely situates patients at the centre of consultations and practice activity.

Important, misunderstood, and challenging: a qualitative study of nurses’ and allied health professionals’ perceptions of implementing self-management for patients with COPD

“… 31 Although these perceptions have been described across other chronic disease groups, to our knowledge only one small survey study has been conducted with nurses working with COPD patients. 7 – 9 , 14 , 16 , 28 – 30 , 32 – 36 This study highlights a wide variety of definitions of self-management, as well as a number of limitations to self-management delivery. 36 No in-depth qualitative studies have specifically explored nurses’ and AHPs’ understanding of self-management for COPD or their perceptions of the challenges to providing such care.…”

“…The chronic care model highlights that self-management implementation requires investment in professional development, yet there is a lack of specialist training and education available specifically for COPD. 9 , 11 , 30 This absence leaves self-management support very dependent upon nurses’ and AHPs’ existing perceptions and knowledge. 31 Although these perceptions have been described across other chronic disease groups, to our knowledge only one small survey study has been conducted with nurses working with COPD patients.…”

Development of a training program to support health care professionals to deliver the SPACE for COPD self-management program

“…One element of this is a proposal to promote empowerment of patients to manage chronic health conditions through evidence-based approaches, including self-management educational courses. With ∼15 million patients in the UK living with long-term conditions accounting for ∼50% of GP appointments and 70% of inpatient bed days,6 it is clearly of importance to increase patients’ confidence in managing their conditions through self-management. This has the potential both for financial savings and to improve patients’ quality of care and outcomes.…”

“…It has been shown in previous studies that patients want self-management programs to be delivered by health care professionals who are knowledgeable about COPD and physical activity, as well as familiar with the patients and their capabilities 15. There is increasing recognition of the importance of training health care professionals in delivering self-management training to maximize the effectiveness6 but barriers remain in both the approach of the health care professionals’ (and their understanding of) self-management and the organization of health practices themselves 19…”

Perspectives of healthcare professionals and patients on the application of mindfulness in individuals with chronic obstructive pulmonary disease

“…Although the lack of specialist training in the delivery of any self-management intervention in COPD has been noted, the views of health care professionals (HCPs) or patients towards mindfulness have not been reported [10].…”