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Promoting Self-Care in Nursing Encounters with Persons Affected by Long-Term Conditions—A Proposed Model to Guide Clinical Care

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  • Carina Hellqvist

    (Department of Neurology, University Hospital Linköping, 58185 Linköping, Sweden
    Department of Health, Medicine and Caring Sciences, Linköping University, 58183 Linköping, Sweden)

Abstract

Background: Nursing interventions for persons affected by long-term conditions should focus on providing support to enhance the ability to manage disease in everyday life. Many clinical nurses feel they have inadequate training or experience to provide self-management support in a beneficial and structured way. This study explores the process towards independent self-care and management of disease in persons affected by Parkinson’s disease and the support required from healthcare to achieve this. It presents a nursing model to guide nurses in providing self-management support in the clinical care encounter. Methods: The results from three previously published articles investigating a self-management support program for persons with Parkinson’s disease were combined to form a new data set, and analyzed using qualitative thematic analysis. Results: Three separate, but interrelated, themes were identified, which described the process towards self-management of disease as expressed by the participants of the self-management program. Themes describe the factors important for developing and improving self-management abilities and actions. The results were applied to Orem’s Self-care deficit theory to suggest a model of self-management support in the clinical nursing encounter. Conclusion: This study investigated factors important for self-management and highlighted the unique contribution and focus of nursing support to promote independent self-care.

Suggested Citation

  • Carina Hellqvist, 2021. "Promoting Self-Care in Nursing Encounters with Persons Affected by Long-Term Conditions—A Proposed Model to Guide Clinical Care," IJERPH, MDPI, vol. 18(5), pages 1-15, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2223-:d:504915
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    References listed on IDEAS

    as
    1. Carina Hellqvist & Carina Berterö & Peter Hagell & Nil Dizdar & Märta Sund‐Levander, 2020. "Effects of self‐management education for persons with Parkinson's disease and their care partners: A qualitative observational study in clinical care," Nursing & Health Sciences, John Wiley & Sons, vol. 22(3), pages 741-748, September.
    2. Lisa Whitehead & Elisabeth Jacob & Amanda Towell & Ma'en Abu‐qamar & Amanda Cole‐Heath, 2018. "The role of the family in supporting the self‐management of chronic conditions: A qualitative systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 22-30, January.
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