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
Links to Exploration step
pubmed:28865951Le document en format XML
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<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>
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<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>
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<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>
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<keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Chronic Disease</term>
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<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Community Health Services</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Nurses</term>
<term>Patients</term>
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<term>Attitude of Health Personnel</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Nurse-Patient Relations</term>
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<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>
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<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>
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