Veerle Duprez1, Dimitri Beeckman2, Sofie Verhaeghe3, Ann Van Hecke4. 1. 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. 2. 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. 3. 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. 4. 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.
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.
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.