Are person-related and socio-structural factors associated with nurses' self-management support behavior? A correlational study.
Identifieur interne : 000A58 ( Main/Corpus ); précédent : 000A57; suivant : 000A59Are person-related and socio-structural factors associated with nurses' self-management support behavior? A correlational study.
Auteurs : Veerle Duprez ; Dimitri Beeckman ; Sofie Verhaeghe ; Ann Van HeckeSource :
- Patient education and counseling [ 1873-5134 ] ; 2018.
English descriptors
- KwdEn :
- Adult (MeSH), Attitude of Health Personnel (MeSH), Belgium (MeSH), Chronic Disease (nursing), Community Health Services (organization & administration), Female (MeSH), Humans (MeSH), Male (MeSH), Nurse-Patient Relations (MeSH), Nurses (psychology), Patients (psychology), Self Care (MeSH), Self Efficacy (MeSH), Self-Management (MeSH).
- MESH :
- geographic : Belgium.
- nursing : Chronic Disease.
- organization & administration : Community Health Services.
- psychology : Nurses, Patients.
- Adult, Attitude of Health Personnel, Female, Humans, Male, Nurse-Patient Relations, Self Care, Self Efficacy, Self-Management.
Abstract
OBJECTIVE
To explore nurses' self-perceived behavior of supporting patients' self-management, and its association with person-related and socio-structural factors.
METHODS
Correlational study in a sample of nurses from nine general hospitals, three community healthcare organizations, and six private community practices. Nurses with >50% of their patients living with a chronic condition were eligible to participate. Data were collected at two time-points. Self-management support behavior was measured by the SEPSS-36 instrument. The person-related and socio-structural associated factors were derived from behavioral theories and measured by validated questionnaires.
RESULTS
Nurses (N=477) scored overall low on self-management support behavior. Nurses lacked mainly competencies in collaborative goalsetting, shared decision making and organizing follow-up. Factors predicting nurses' behavior in supporting patients' self-management were self-efficacy, priority, perceived supervisor support and training in self-management support. This model explained 51.7% of the variance in nurses' behavior.
CONCLUSION
To date, nurses do not optimally fulfil their role in supporting patients' self-management. Self-management support is practiced from a narrow medical point of view and primarily consists of informing patients, which is the lowest level of patient participation.
PRACTICE IMPLICATIONS
It is essential to better prepare and support nurses - and by extend all healthcare professionals - for the challenges of supporting patients' self-management.
DOI: 10.1016/j.pec.2017.08.011
PubMed: 28865951
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pubmed:28865951Le document en format XML
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Electronic address: Veerle.Duprez@ugent.be.</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, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent, Belgium; School of Health Sciences, Faculty of Health & Medical Sciences, Duke of Kent Building, University of Surrey Guildford Surrey, GU2 7XH, United Kingdom.</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, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent, Belgium; VIVES University College, Department Health Care, Roeselare, 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, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent, Belgium; Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:28865951</idno><idno type="pmid">28865951</idno><idno type="doi">10.1016/j.pec.2017.08.011</idno><idno type="wicri:Area/Main/Corpus">000A58</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000A58</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Are person-related and socio-structural factors associated with nurses' self-management support behavior? A correlational study.</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, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent, Belgium. Electronic address: Veerle.Duprez@ugent.be.</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, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent, Belgium; School of Health Sciences, Faculty of Health & Medical Sciences, Duke of Kent Building, University of Surrey Guildford Surrey, GU2 7XH, United Kingdom.</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, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent, Belgium; VIVES University College, Department Health Care, Roeselare, 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, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent, Belgium; Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Patient education and counseling</title><idno type="eISSN">1873-5134</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Attitude of Health Personnel (MeSH)</term><term>Belgium (MeSH)</term><term>Chronic Disease (nursing)</term><term>Community Health Services (organization & administration)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Nurse-Patient Relations (MeSH)</term><term>Nurses (psychology)</term><term>Patients (psychology)</term><term>Self Care (MeSH)</term><term>Self Efficacy (MeSH)</term><term>Self-Management (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Belgium</term></keywords><keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Chronic Disease</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Community Health Services</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Nurses</term><term>Patients</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Attitude of Health Personnel</term><term>Female</term><term>Humans</term><term>Male</term><term>Nurse-Patient Relations</term><term>Self Care</term><term>Self Efficacy</term><term>Self-Management</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To explore nurses' self-perceived behavior of supporting patients' self-management, and its association with person-related and socio-structural factors.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Correlational study in a sample of nurses from nine general hospitals, three community healthcare organizations, and six private community practices. Nurses with >50% of their patients living with a chronic condition were eligible to participate. Data were collected at two time-points. Self-management support behavior was measured by the SEPSS-36 instrument. The person-related and socio-structural associated factors were derived from behavioral theories and measured by validated questionnaires.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Nurses (N=477) scored overall low on self-management support behavior. Nurses lacked mainly competencies in collaborative goalsetting, shared decision making and organizing follow-up. Factors predicting nurses' behavior in supporting patients' self-management were self-efficacy, priority, perceived supervisor support and training in self-management support. This model explained 51.7% of the variance in nurses' behavior.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>To date, nurses do not optimally fulfil their role in supporting patients' self-management. Self-management support is practiced from a narrow medical point of view and primarily consists of informing patients, which is the lowest level of patient participation.</p></div><div type="abstract" xml:lang="en"><p><b>PRACTICE IMPLICATIONS</b></p><p>It is essential to better prepare and support nurses - and by extend all healthcare professionals - for the challenges of supporting patients' self-management.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28865951</PMID><DateCompleted><Year>2019</Year><Month>01</Month><Day>24</Day></DateCompleted><DateRevised><Year>2019</Year><Month>01</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-5134</ISSN><JournalIssue CitedMedium="Internet"><Volume>101</Volume><Issue>2</Issue><PubDate><Year>2018</Year><Month>02</Month></PubDate></JournalIssue><Title>Patient education and counseling</Title><ISOAbbreviation>Patient Educ Couns</ISOAbbreviation></Journal><ArticleTitle>Are person-related and socio-structural factors associated with nurses' self-management support behavior? A correlational study.</ArticleTitle><Pagination><MedlinePgn>276-284</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0738-3991(17)30485-8</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.pec.2017.08.011</ELocationID><Abstract><AbstractText Label="OBJECTIVE">To explore nurses' self-perceived behavior of supporting patients' self-management, and its association with person-related and socio-structural factors.</AbstractText><AbstractText Label="METHODS">Correlational study in a sample of nurses from nine general hospitals, three community healthcare organizations, and six private community practices. Nurses with >50% of their patients living with a chronic condition were eligible to participate. Data were collected at two time-points. Self-management support behavior was measured by the SEPSS-36 instrument. The person-related and socio-structural associated factors were derived from behavioral theories and measured by validated questionnaires.</AbstractText><AbstractText Label="RESULTS">Nurses (N=477) scored overall low on self-management support behavior. Nurses lacked mainly competencies in collaborative goalsetting, shared decision making and organizing follow-up. Factors predicting nurses' behavior in supporting patients' self-management were self-efficacy, priority, perceived supervisor support and training in self-management support. This model explained 51.7% of the variance in nurses' behavior.</AbstractText><AbstractText Label="CONCLUSION">To date, nurses do not optimally fulfil their role in supporting patients' self-management. Self-management support is practiced from a narrow medical point of view and primarily consists of informing patients, which is the lowest level of patient participation.</AbstractText><AbstractText Label="PRACTICE IMPLICATIONS">It is essential to better prepare and support nurses - and by extend all healthcare professionals - for the challenges of supporting patients' self-management.</AbstractText><CopyrightInformation>Copyright © 2017 Elsevier B.V. All rights reserved.</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, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent, Belgium. Electronic address: Veerle.Duprez@ugent.be.</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, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent, Belgium; School of Health Sciences, Faculty of Health & Medical Sciences, Duke of Kent Building, University of Surrey Guildford Surrey, GU2 7XH, United Kingdom.</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, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent, Belgium; VIVES University College, Department Health Care, Roeselare, 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, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent, Belgium; Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>08</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Patient Educ Couns</MedlineTA><NlmUniqueID>8406280</NlmUniqueID><ISSNLinking>0738-3991</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001530" MajorTopicYN="N" Type="Geographic">Belgium</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName><QualifierName UI="Q000451" MajorTopicYN="Y">nursing</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003153" MajorTopicYN="N">Community Health Services</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009723" MajorTopicYN="Y">Nurse-Patient Relations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009726" MajorTopicYN="N">Nurses</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010361" MajorTopicYN="N">Patients</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012648" MajorTopicYN="Y">Self Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020377" MajorTopicYN="Y">Self Efficacy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073278" MajorTopicYN="Y">Self-Management</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Chronic care</Keyword><Keyword MajorTopicYN="Y">Competencies</Keyword><Keyword MajorTopicYN="Y">Education</Keyword><Keyword MajorTopicYN="Y">Nurses</Keyword><Keyword MajorTopicYN="Y">SEPSS36</Keyword><Keyword MajorTopicYN="Y">Self-efficacy</Keyword><Keyword MajorTopicYN="Y">Self-management support</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>03</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>08</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>08</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>9</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>1</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>9</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28865951</ArticleId><ArticleId IdType="pii">S0738-3991(17)30485-8</ArticleId><ArticleId IdType="doi">10.1016/j.pec.2017.08.011</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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