Community nurses' self‐management support in older adults
A qualitative study on views, dilemmas and strategies
Bibliographic Data
| ID | 12288661 |
|---|---|
| Authors | Marian J T van het Bolscher‐Niehuis (0000-0002-7466-119X, Research Group Nursing Saxion University of Applied Sciences Enschede the Netherlands, corresponding author), Madeleen Uitdehaag (0000-0003-0135-1964, Saxion), Madeleen J Uitdehaag (Research Group Nursing Saxion University of Applied Sciences Enschede the Netherlands), A L Francke (0000-0001-7953-0693, Netherlands Institute for Health Services Research) |
| Year | 2019 |
| Volume | 28 |
| Issue | 1 |
| Pages | 195-203 |
| Publication date | 2019-09-13 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health & Social Care in the Community (JOURNAL) |
| Journal identifiers | ISSN: 0966-0410 • E-ISSN: 1365-2524 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/hsc.12853 |
| PMID | 31518040 |
| OpenAlex | W2973061965 |
| Language | EN |
| Citations received | 1 |
| References cited | 24 |
Providing self-management support is an appropriate task for community nurses. However, the support of self-management sometimes triggers tensions in practice. The aim of this study was to explore community nurses' views of self-management, the dilemmas community nurses face when providing support of self-management by older adults and the strategies they use to solve these challenges. A qualitative study was performed to collect data. Twenty-one community nurses from the eastern part of the Netherlands were recruited through purposive sampling. The interviews were audiotaped, transcribed verbatim and a thematic analysis was carried out. The results show that community nurses find it difficult to give a clear, definitive description of the concept of self-management. They relate self-management to 'taking control of your own life', 'making your own choices and decisions' and 'being self-reliant'. Situations in which older adults exhibit considerable or little self-direction or self-reliance can lead to conflicts in self-management support, namely: 1) 'striving for optimal health and well-being versus respecting older adults' choices' and 2) 'stimulating self-reliance and self-direction versus accepting a dependent attitude'. Different strategies are applied to resolve these scenarios. In the first case, strategies of 'adapting', 'persuading' and 'taking control' are used, and for the second case 'empowering', challenging' and 'tolerating' are used. Creating a clear and shared understanding of 'self-management' and facilitating community nurses to reflect on their dilemmas and strategies might help them in supporting self-management by older adults
Control (management · Face (sociological concept · Feeling · Management · Nonprobability sampling · Qualitative research · Self · Self-management · Sociology · Task (project management · Thematic analysis · Chronic Disease Management Strategies · Computer Science · Diabetes Management and Education · Family and Patient Care in Intensive Care Units · Medicine · Nursing · Psychology · Social Psychology
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How Many Interviews Are Enough
| Unique citing works | 1 |
|---|---|
| Citations per year | 0.2 |
| Citation span | 2021 - 2021 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |