Duprez Veerle, Beeckman Dimitri, Verhaeghe Sofie, Van Hecke Ann
University Centre for Nursing and Midwifery, Department of Public Health, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent, Belgium.
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.
Patient Educ Couns. 2018 Feb;101(2):276-284. doi: 10.1016/j.pec.2017.08.011. Epub 2017 Aug 24.
To explore nurses' self-perceived behavior of supporting patients' self-management, and its association with person-related and socio-structural factors.
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.
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.
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.
It is essential to better prepare and support nurses - and by extend all healthcare professionals - for the challenges of supporting patients' self-management.
探讨护士对支持患者自我管理行为的自我认知，及其与个人相关因素和社会结构因素的关联。
对来自9家综合医院、3家社区医疗组织和6家私立社区诊所的护士样本进行相关性研究。其50%以上患者患有慢性病的护士有资格参与。在两个时间点收集数据。自我管理支持行为通过SEPSS - 36工具进行测量。个人相关因素和社会结构相关因素源自行为理论，并通过经过验证的问卷进行测量。
护士（N = 477）在自我管理支持行为方面总体得分较低。护士主要缺乏协作目标设定、共同决策和组织随访方面的能力。预测护士支持患者自我管理行为的因素包括自我效能感、优先级、感知到的上级支持和自我管理支持方面的培训。该模型解释了护士行为中51.7%的变异。
迄今为止，护士在支持患者自我管理方面尚未充分发挥其作用。自我管理支持是从狭义的医学角度进行的，主要包括向患者提供信息，这是患者参与的最低水平。
必须更好地为护士——以及推广至所有医疗保健专业人员——应对支持患者自我管理的挑战做好准备并提供支持。
