Community nurses' self‐management support in older adults: A qualitative study on views, dilemmas and strategies

2019 ◽  
Vol 28 (1) ◽  
pp. 195-203
Author(s):  
Marian J. T. Bolscher‐Niehuis ◽  
Madeleen J. Uitdehaag ◽  
Anneke L. Francke
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Self Management ◽  
Management Support

scholarly journals The impact of COVID-19 on chronic care according to providers: a qualitative study among primary care practices in Belgium

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Katrien Danhieux ◽  
Veerle Buffel ◽  
Anthony Pairon ◽  
Asma Benkheil ◽  
Roy Remmen ◽  
...  
Keyword(s):  
Primary Care ◽  
High Risk ◽  
Qualitative Study ◽  
Chronic Care ◽  
Self Management ◽  
Management Support ◽  
High Risk Patients ◽  
Risk Patients ◽  
Care Practices ◽  
Primary Care Practices

Abstract Background The COVID-19 pandemic affects the processes of routine care for chronic patients. A better understanding helps to increase resilience of the health system and prepare adequately for next waves of the pandemic. Methods A qualitative study was conducted in 16 primary care practices: 6 solo working, 4 monodisciplinary and 7 multidisciplinary. Twenty-one people (doctors, nurses, dieticians) were interviewed, using semi-structured video interviews. A thematic analysis was done using the domains of the Chronic Care Model (CCM). Results Three themes emerged: changes in health care organization, risk stratification and self-management support. All participating practices reported drastic changes in organization with a collective shift towards COVID-19 care, and reduction of chronic care activities, less consultations, and staff responsible for self-management support put on hold. A transition to digital support did not occur. Few practitioners had a systematic approach to identify and contact high-risk patients for early follow-up. A practice with a pre-established structured team collaboration managed to continue most chronic care elements. Generally, practitioners expected no effects of the temporary disruption for patients, although they expressed concern about patients already poorly regulated. Conclusion Our findings show a disruption of the delivery of chronic care in the Belgium prim care context. In such contexts, the establishment of the CCM can facilitate continuity of care in crisis times. Short term actions should be directed to facilitate identifying high-risk patients and to develop a practice organization plan to organize chronic care and use digital channels for support, especially to vulnerable patients, during next waves of the epidemic.

scholarly journals A qualitative study examining health literacy and chronic illness self-management in Hispanic and non-Hispanic older adults

2017 ◽  
Vol Volume 10 ◽  
pp. 167-177 ◽  
Author(s):  
Robin Jacobs ◽  
Raymond L Ownby ◽  
Amarilis Acevedo ◽  
Drenna Waldrop-Valverde
Keyword(s):  
Older Adults ◽  
Chronic Illness ◽  
Health Literacy ◽  
Qualitative Study ◽  
Self Management

scholarly journals Personalizing Sensor-Controlled Digital Gaming to Self-Management Needs of Older Adults with Heart Failure: A Qualitative Study

2020 ◽  
Vol 9 (4) ◽  
pp. 304-310
Author(s):  
Kavita Radhakrishnan ◽  
Thomas Baranowski ◽  
Matthew O'Hair ◽  
Catherine A. Fournier ◽  
Cathy B. Spranger ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Qualitative Study ◽  
Self Management ◽  
Digital Gaming

Self-Management Support Needs of Patients with Chronic Diseases in a South African Township: A Qualitative Study

2017 ◽  
Vol 34 (1) ◽  
pp. 21-31 ◽  
Author(s):  
Loveness Dube ◽  
Kirstie Rendall-Mkosi ◽  
Stephan Van den Broucke ◽  
Anne-Marie Bergh ◽  
Nokuthula G. Mafutha
Keyword(s):  
Qualitative Study ◽  
South African ◽  
Chronic Diseases ◽  
Self Management ◽  
Support Needs ◽  
Management Support ◽  
South African Township

scholarly journals Self-management in older adults: how to delineate self-management ability, self-management behavior, and self-management support?

2020 ◽  
Author(s):  
Klaske Wynia ◽  
Karin Veldman ◽  
Sophie Spoorenberg ◽  
Maarten Lahr ◽  
Menno Reijneveld
Keyword(s):  
Older Adults ◽  
Integrated Care ◽  
Elderly Care ◽  
Self Management ◽  
Complex Care ◽  
Management Support ◽  
Care Needs ◽  
Risk Profiles ◽  
Management Ability ◽  
Complex Care Needs

Abstract Background: Self-management is a key element in person-centered and integrated care. It involves several related concepts, such as self-management ability, behavior, and support. These concepts are poorly delineated. The aim of this study was to examine hypothesized associations between self-management ability, behavior, and support in older adults (taking their frailty and complexity of care needs into account) and to examine underlying aspects of these concepts, if these hypotheses lacksupport.Methods: Cross-sectional data from the Embrace study, a stratified randomized controlled trial, evaluating person-centered and integrated care in Dutch community-living older adults, were used. Participants (n=537) were aged 75 and older, assigned to health-related risk profiles based on self-reported frailty and complexity of care needs. Ability was assessed with the Self-Management Ability Scale, behavior with the Partner in Health Scale for Older Adults, and support with the Patient Assessment of Integrated Elderly Care.Results: Ability and behavior were positively associated for participants with the risk profiles “Robust” and “Complex care needs” (betas are 0.38 and 0.46). Coping (an aspect of behavior) turned out to be a key element for participants with risk profiles “Robust” and “Complex care needs” (betas ranging from 0.13 to 0.45). Support was associated with aspects of behavior, varying per risk profile.Conclusion: We found no associations for self-management on the conceptual level, but the aspect coping did appear to play a major role. Improving coping strategies of older adults may be a promising way of enhancing self-management ability, and of reducing the need for self-management support.

Self-management support: A qualitative study of ethical dilemmas experienced by nurses

2015 ◽  
Vol 98 (9) ◽  
pp. 1131-1136 ◽  
Author(s):  
Jolanda Dwarswaard ◽  
Hester van de Bovenkamp
Keyword(s):  
Qualitative Study ◽  
Ethical Dilemmas ◽  
Self Management ◽  
Management Support

scholarly journals Self-management support activities in primary care: A qualitative study to compare provision across common health problems

2020 ◽  
Vol 103 (12) ◽  
pp. 2532-2539
Author(s):  
Emma Harris ◽  
Caroline Barker ◽  
Kim Burton ◽  
Mike Lucock ◽  
Felicity Astin
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Health Problems ◽  
Self Management ◽  
Management Support
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