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. 2021 Feb 24;18(5):2223.
doi: 10.3390/ijerph18052223.

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

Carina Hellqvist  1   2
Affiliations

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

Carina Hellqvist. Int J Environ Res Public Health. .

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.

Keywords: Parkinson’s disease; long-term condition; nursing support; self-care; self-management.

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Conflict of interest statement

The author declares no conflict of interest.

Figures

Figure 1
Figure 1
The over-all results of the inductive qualitative thematic analysis. Three interrelated themes describing the building blocks and process towards self-management of PD for persons affected and their care partners as described by participants of the Swedish National Parkinson School.
Figure 2
Figure 2
Model of self-management support for persons with long-term conditions in the clinical nursing encounter.
Figure 3
Figure 3
Nursing interventions connected to the themes.
See this image and copyright information in PMC

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