Nurses' interaction styles when supporting patients in self-management: A profile approach.
Identifieur interne : 000122 ( Main/Corpus ); précédent : 000121; suivant : 000123Nurses' interaction styles when supporting patients in self-management: A profile approach.
Auteurs : Veerle Duprez ; Jolene Van Der Kaap-Deeder ; Dimitri Beeckman ; Sofie Verhaeghe ; Maarten Vansteenkiste ; Ann Van HeckeSource :
- International journal of nursing studies [ 1873-491X ] ; 2020.
Abstract
BACKGROUND
The rising attention to participation and self-regulation in chronic care requires nurses to move towards an approach in which patients' perspectives and choices are central, and in which patients' competency is fostered. According to Self-Determination Theory, nurses can differ in the way they interact with patients living with a chronic illness. That is, they can interact in an autonomy-supportive, controlling, structuring or chaotic way. However, in practice, nurses often use these styles side by side depending on personal and situational demands.
OBJECTIVE
Rooted in Self-Determination Theory, this study sought to identify distinct profiles among nurses involving the co-occurrence of autonomy support, structure, control and chaos (aim 1), and to examine whether such profiles are meaningfully driven by nurse-related indicators (aim 2).
DESIGN
A cross-sectional design with latent profile analysis.
METHODS
Data were collected using validated self-report questionnaires among nurses counselling chronically ill patients (N = 389). Latent profile analysis was performed to shed light on how nurses use different styles side by side; and subsequent MANCOVA testing was used to examine differences between the profiles in terms of nurse-related indicators.
RESULTS
Four profiles could be identified, each characterised by a unique combination of differing degrees of autonomy support, structure, control and chaos. The profiles included a motivating profile (20.31%) characterised by the dominant presence of autonomy support and structure; a demotivating chaotic profile (17.74%) characterised by the dominant presence of chaos; an active profile (24.17%) where all styles were highly present; and an undifferentiated profile (37.79%) characterised by an average presence of all styles. These four profiles were meaningfully related to a set of nurse-related indicators. Multivariate analysis (Pillai's Trace test = .38, F(15, 756) = 7.28; p < .001; η
CONCLUSION
Profiling has supported our understanding of the natural co-occurrence of more motivating and demotivating styles among nurses when counselling patients in self-managing their life with chronic illness. The pattern of retained profiles indicates that, for some nurses, it will be important to move away from controlling or chaotic interactions. Future intervention development should augment nurses' competence levels and high-quality motivation, with attention to reduce the pressure in nurses to act in a result-based manner. Profiling can also be valuable to better assign nurses to an employment in chronic care, and to support their personal professional growth.
DOI: 10.1016/j.ijnurstu.2020.103604
PubMed: 32702566
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Electronic address: veerle.duprez@ugent.be.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Kaap Deeder, Jolene" sort="Van Der Kaap Deeder, Jolene" uniqKey="Van Der Kaap Deeder J" first="Jolene" last="Van Der Kaap-Deeder">Jolene Van Der Kaap-Deeder</name><affiliation><nlm:affiliation>Developmental Psychology, Department of developmental, personality and social psychology; Ghent University, Henri Dunantlaan 2, 9000 Ghent, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Beeckman, Dimitri" sort="Beeckman, Dimitri" uniqKey="Beeckman D" first="Dimitri" last="Beeckman">Dimitri Beeckman</name><affiliation><nlm:affiliation>University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland; School of Health Sciences, Örebro University, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Verhaeghe, Sofie" sort="Verhaeghe, Sofie" uniqKey="Verhaeghe S" first="Sofie" last="Verhaeghe">Sofie Verhaeghe</name><affiliation><nlm:affiliation>University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; VIVES University College, Department Health Care, Roeselare, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Vansteenkiste, Maarten" sort="Vansteenkiste, Maarten" uniqKey="Vansteenkiste M" first="Maarten" last="Vansteenkiste">Maarten Vansteenkiste</name><affiliation><nlm:affiliation>Developmental Psychology, Department of developmental, personality and social psychology; Ghent University, Henri Dunantlaan 2, 9000 Ghent, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Van Hecke, Ann" sort="Van Hecke, Ann" uniqKey="Van Hecke A" first="Ann" last="Van Hecke">Ann Van Hecke</name><affiliation><nlm:affiliation>University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; Ghent University Hospital, Ghent, Belgium.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32702566</idno><idno type="pmid">32702566</idno><idno type="doi">10.1016/j.ijnurstu.2020.103604</idno><idno type="wicri:Area/Main/Corpus">000122</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000122</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Nurses' interaction styles when supporting patients in self-management: A profile approach.</title><author><name sortKey="Duprez, Veerle" sort="Duprez, Veerle" uniqKey="Duprez V" first="Veerle" last="Duprez">Veerle Duprez</name><affiliation><nlm:affiliation>University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium. Electronic address: veerle.duprez@ugent.be.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Kaap Deeder, Jolene" sort="Van Der Kaap Deeder, Jolene" uniqKey="Van Der Kaap Deeder J" first="Jolene" last="Van Der Kaap-Deeder">Jolene Van Der Kaap-Deeder</name><affiliation><nlm:affiliation>Developmental Psychology, Department of developmental, personality and social psychology; Ghent University, Henri Dunantlaan 2, 9000 Ghent, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Beeckman, Dimitri" sort="Beeckman, Dimitri" uniqKey="Beeckman D" first="Dimitri" last="Beeckman">Dimitri Beeckman</name><affiliation><nlm:affiliation>University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland; School of Health Sciences, Örebro University, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Verhaeghe, Sofie" sort="Verhaeghe, Sofie" uniqKey="Verhaeghe S" first="Sofie" last="Verhaeghe">Sofie Verhaeghe</name><affiliation><nlm:affiliation>University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; VIVES University College, Department Health Care, Roeselare, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Vansteenkiste, Maarten" sort="Vansteenkiste, Maarten" uniqKey="Vansteenkiste M" first="Maarten" last="Vansteenkiste">Maarten Vansteenkiste</name><affiliation><nlm:affiliation>Developmental Psychology, Department of developmental, personality and social psychology; Ghent University, Henri Dunantlaan 2, 9000 Ghent, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Van Hecke, Ann" sort="Van Hecke, Ann" uniqKey="Van Hecke A" first="Ann" last="Van Hecke">Ann Van Hecke</name><affiliation><nlm:affiliation>University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; Ghent University Hospital, Ghent, Belgium.</nlm:affiliation></affiliation></author></analytic><series><title level="j">International journal of nursing studies</title><idno type="eISSN">1873-491X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The rising attention to participation and self-regulation in chronic care requires nurses to move towards an approach in which patients' perspectives and choices are central, and in which patients' competency is fostered. According to Self-Determination Theory, nurses can differ in the way they interact with patients living with a chronic illness. That is, they can interact in an autonomy-supportive, controlling, structuring or chaotic way. However, in practice, nurses often use these styles side by side depending on personal and situational demands.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Rooted in Self-Determination Theory, this study sought to identify distinct profiles among nurses involving the co-occurrence of autonomy support, structure, control and chaos (aim 1), and to examine whether such profiles are meaningfully driven by nurse-related indicators (aim 2).</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A cross-sectional design with latent profile analysis.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Data were collected using validated self-report questionnaires among nurses counselling chronically ill patients (N = 389). Latent profile analysis was performed to shed light on how nurses use different styles side by side; and subsequent MANCOVA testing was used to examine differences between the profiles in terms of nurse-related indicators.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Four profiles could be identified, each characterised by a unique combination of differing degrees of autonomy support, structure, control and chaos. The profiles included a motivating profile (20.31%) characterised by the dominant presence of autonomy support and structure; a demotivating chaotic profile (17.74%) characterised by the dominant presence of chaos; an active profile (24.17%) where all styles were highly present; and an undifferentiated profile (37.79%) characterised by an average presence of all styles. These four profiles were meaningfully related to a set of nurse-related indicators. Multivariate analysis (Pillai's Trace test = .38, F(15, 756) = 7.28; p < .001; η</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Profiling has supported our understanding of the natural co-occurrence of more motivating and demotivating styles among nurses when counselling patients in self-managing their life with chronic illness. The pattern of retained profiles indicates that, for some nurses, it will be important to move away from controlling or chaotic interactions. Future intervention development should augment nurses' competence levels and high-quality motivation, with attention to reduce the pressure in nurses to act in a result-based manner. Profiling can also be valuable to better assign nurses to an employment in chronic care, and to support their personal professional growth.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">32702566</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>12</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-491X</ISSN><JournalIssue CitedMedium="Internet"><Volume>110</Volume><PubDate><Year>2020</Year><Month>Oct</Month></PubDate></JournalIssue><Title>International journal of nursing studies</Title><ISOAbbreviation>Int J Nurs Stud</ISOAbbreviation></Journal><ArticleTitle>Nurses' interaction styles when supporting patients in self-management: A profile approach.</ArticleTitle><Pagination><MedlinePgn>103604</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0020-7489(20)30089-4</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijnurstu.2020.103604</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The rising attention to participation and self-regulation in chronic care requires nurses to move towards an approach in which patients' perspectives and choices are central, and in which patients' competency is fostered. According to Self-Determination Theory, nurses can differ in the way they interact with patients living with a chronic illness. That is, they can interact in an autonomy-supportive, controlling, structuring or chaotic way. However, in practice, nurses often use these styles side by side depending on personal and situational demands.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Rooted in Self-Determination Theory, this study sought to identify distinct profiles among nurses involving the co-occurrence of autonomy support, structure, control and chaos (aim 1), and to examine whether such profiles are meaningfully driven by nurse-related indicators (aim 2).</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">A cross-sectional design with latent profile analysis.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Data were collected using validated self-report questionnaires among nurses counselling chronically ill patients (N = 389). Latent profile analysis was performed to shed light on how nurses use different styles side by side; and subsequent MANCOVA testing was used to examine differences between the profiles in terms of nurse-related indicators.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Four profiles could be identified, each characterised by a unique combination of differing degrees of autonomy support, structure, control and chaos. The profiles included a motivating profile (20.31%) characterised by the dominant presence of autonomy support and structure; a demotivating chaotic profile (17.74%) characterised by the dominant presence of chaos; an active profile (24.17%) where all styles were highly present; and an undifferentiated profile (37.79%) characterised by an average presence of all styles. These four profiles were meaningfully related to a set of nurse-related indicators. Multivariate analysis (Pillai's Trace test = .38, F(15, 756) = 7.28; p < .001; η<sup>2</sup> = .13) indicated that job competency, job autonomy and high-quality motivation were most elevated in the motivating profile.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Profiling has supported our understanding of the natural co-occurrence of more motivating and demotivating styles among nurses when counselling patients in self-managing their life with chronic illness. The pattern of retained profiles indicates that, for some nurses, it will be important to move away from controlling or chaotic interactions. Future intervention development should augment nurses' competence levels and high-quality motivation, with attention to reduce the pressure in nurses to act in a result-based manner. Profiling can also be valuable to better assign nurses to an employment in chronic care, and to support their personal professional growth.</AbstractText><CopyrightInformation>Copyright © 2020. Published by Elsevier Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Duprez</LastName><ForeName>Veerle</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium. Electronic address: veerle.duprez@ugent.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van der Kaap-Deeder</LastName><ForeName>Jolene</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Developmental Psychology, Department of developmental, personality and social psychology; Ghent University, Henri Dunantlaan 2, 9000 Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beeckman</LastName><ForeName>Dimitri</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland; School of Health Sciences, Örebro University, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Verhaeghe</LastName><ForeName>Sofie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; VIVES University College, Department Health Care, Roeselare, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vansteenkiste</LastName><ForeName>Maarten</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Developmental Psychology, Department of developmental, personality and social psychology; Ghent University, Henri Dunantlaan 2, 9000 Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Hecke</LastName><ForeName>Ann</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium; Ghent University Hospital, Ghent, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int J Nurs Stud</MedlineTA><NlmUniqueID>0400675</NlmUniqueID><ISSNLinking>0020-7489</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>N</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Counselling</Keyword><Keyword MajorTopicYN="N">Latent profile analysis</Keyword><Keyword MajorTopicYN="N">Nursing</Keyword><Keyword MajorTopicYN="N">Patient participation</Keyword><Keyword MajorTopicYN="N">Patient-centred care</Keyword><Keyword MajorTopicYN="N">Self-Determination Theory</Keyword><Keyword MajorTopicYN="N">Self-management</Keyword></KeywordList><CoiStatement>Declaration of Competing Interest None.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>10</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>03</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>04</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32702566</ArticleId><ArticleId IdType="pii">S0020-7489(20)30089-4</ArticleId><ArticleId IdType="doi">10.1016/j.ijnurstu.2020.103604</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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