Zelfmanagementondersteuning in de verpleegkundige zorg: competentiemeting, praktijkvoering en dynamieken

Summary

Self-management support in nursing care: measurement, practice and dynamics
Veerle Duprez

AIM: To contribute to the understanding of how self-management support manifests itself and can be enhanced among nurses.
METHODS: First, three instruments were developed and validated psychometrically within different samples (total n = 2,024). Second, current practice was analysed in cross-sectional studies with self-reports among 961 nurses employed in chronic care and 256 final-year nursing students. Antecedents of nurses’ behaviour were explored by multivariate theory-based hypotheses testing and path analysis. Third, a qualitative study using grounded theory principles and interviews was conducted with 16 purposively sampled nurses. Fourth, effectiveness of 25 systematically selected interventions was explored in a literature study.
FINDINGS and CONCLUSION: Three psychometric sound tools were developed, and provide guidance for clinical practice, nursing education and management. The findings underline the complexity of self-management support and the need to support nurses to develop a holistic perspective and patient-centred approach. Self-management support does not proceed according to a predetermined plan and requires a lot of flexibility from nurses as it constantly requires attuning to the individual patient situation. Nurses need to go beyond education and adopt a reflective stance towards patient’s achievements. It is essential to establish a care relationship where patients are seen as equal partners in care.

Keywords: Chronic care, counselling, nurse education, nursing, self-management, patient participation, psychometrics, validation studies