What factors influence nurses’ behavior in supporting patient self-management? An explorative questionnaire study

Hooft, Susanne M. van; Dwarswaard, Jolanda; Bal, Roland; Strating, Mathilde; Staa, AnneLoes van

doi:10.1016/j.ijnurstu.2016.08.017

Cited by 37 publications

(52 citation statements)

References 41 publications

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“…A low response rate is not unique in recent questionnaire studies among healthcare personnel . Supposing that the 1‐year prevalence among the 16 474 nonresponders was half or twice the 1‐year prevalence found among the respondents would give a possible range (irrespective of profession) of 14% ( n = 3884/28 762) to 30% ( n = 8559/28 762).…”

Section: Discussionmentioning

confidence: 99%

Wet work exposure and hand eczema among healthcare workers: a cross-sectional study

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Wet work exposure and hand eczema among healthcare workers: a cross-sectional study

et al. 2017

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“…The results of this study underline the need to strengthen the quality of self-management support, including behaviour change, given by nurses and improve evidence-based practice. Providing vocational theoretical and skills training on self-management support, including nurses' understanding of self-management and explicit and consistent use of effective BCTs in routine practice, might boost the efficacy of self-management support in primary care (Jansink et al, 2010;Noordman et al, 2014;van Eijk-Hustings, Daemen, Schaper, & Vrijhoef, 2011;van Hooft, Dwarswaard, Bal, Strating, & van Staa, 2016). To further enhance the adoption of selfmanagement in primary care, efforts must be devoted to the sustainability and integration of the gained knowledge and skills into routine practice while maintaining compliance with other clinical demands (Heinrich, Candel, Schaper, & de Vries, 2010;Jansink et al, 2013;Noordman et al, 2013;van Eijk-Hustings et al, 2011).…”

Section: Continuedmentioning

confidence: 99%

Self‐management support in routine primary care by nurses

Westland

Schröder

Wit

et al. 2017

British J Health Psychol

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Objectives. To examine how and to what extent self-management support, including behaviour change support, is provided by primary care nurses in routine consultations with chronically ill patients.Design. Observational study design.Methods. Routine consultations of primary care nurses in the Netherlands with chronically ill patients were audio-taped and analysed. The analysis identified health topics addressed according to health care standards, self-management topics addressed using a validated set of topics, and behaviour change techniques (BCTs) using the Behaviour Change Techniques Taxonomy v1.Results. Seventy-eight routine consultations of 17 primary care nurses with chronically ill patients were included in the analysis. Nurses addressed both health topics and selfmanagement topics in brief, fragmented, and often inconsistent manners. Dietary intake and physical activity were the most frequently addressed topics. Nurses applied 21 BCTs to target behaviour change, but the use of these techniques was mainly inconsistent and implicit. The most consistently used BCTs were review behaviour goal(s) (56.4%) and feedback on behaviour (51.3%).Conclusions. Nurses addressed both health topics and self-management topics in their routine consultations. The duration, frequency, and number of addressed topics differed throughout the consultations. Nurses tended to prioritize the monitoring and optimization of patients' medical treatment and provided limited self-management support. Nurses seldom deepened their focus on behaviour change and infrequently used effective techniques to support this change. Adoption of self-management in primary care, including behaviour change, might be enhanced if nurses consistently and explicitly use effective BCTs in their consultations.

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“…Supporting self-management can be seen as an appropriate task for nurses, as empowering people and enabling them to deal with the symptoms, treatment and consequences of their disease or disability, are core competencies for nurses (Alleyne, Hancock, & Hughes, 2011;Royal College of Nursing, 2003). In addition, nurses consider self-management support as an important and attractive part of their job and are confident of their capabilities to support self-management (van Hooft, Dwarswaard, Bal, Strating, & van Staa, 2016;de Veer & Francke, 2013).…”

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confidence: 99%

Community nurses' self‐management support in older adults: A qualitative study on views, dilemmas and strategies

Bolscher-Niehuis

Uitdehaag

Francké

2019

Health Soc Care Community

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Providing self‐management support is an appropriate task for community nurses. However, the support of self‐management sometimes triggers tensions in practice. The aim of this study was to explore community nurses' views of self‐management, the dilemmas community nurses face when providing support of self‐management by older adults and the strategies they use to solve these challenges. A qualitative study was performed to collect data. Twenty‐one community nurses from the eastern part of the Netherlands were recruited through purposive sampling. The interviews were audiotaped, transcribed verbatim and a thematic analysis was carried out. The results show that community nurses find it difficult to give a clear, definitive description of the concept of self‐management. They relate self‐management to ‘taking control of your own life’, ‘making your own choices and decisions’ and ‘being self‐reliant’. Situations in which older adults exhibit considerable or little self‐direction or self‐reliance can lead to conflicts in self‐management support, namely: 1) ‘striving for optimal health and well‐being versus respecting older adults' choices’ and 2) ‘stimulating self‐reliance and self‐direction versus accepting a dependent attitude’. Different strategies are applied to resolve these scenarios. In the first case, strategies of ‘adapting’, ‘persuading’ and ‘taking control’ are used, and for the second case ‘empowering’, challenging’ and ‘tolerating’ are used. Creating a clear and shared understanding of ‘self‐management’ and facilitating community nurses to reflect on their dilemmas and strategies might help them in supporting self‐management by older adults.

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What factors influence nurses’ behavior in supporting patient self-management? An explorative questionnaire study

Cited by 37 publications

References 41 publications

Wet work exposure and hand eczema among healthcare workers: a cross-sectional study

Wet work exposure and hand eczema among healthcare workers: a cross-sectional study

Self‐management support in routine primary care by nurses

Community nurses' self‐management support in older adults: A qualitative study on views, dilemmas and strategies

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