Nurses’ perceptions of self-management and self-management support of older patients during hospitalization

•Nurses have a limited understanding of self-management and do not fully understand what is expected from them with regards to patients’ self-management during hospitalization.•Nurses name their own behavior as the most important limiting factor for inpatients’ self-management.•Nurses are lacking in...

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Bibliographic Details
Published in:Geriatric nursing (New York) 2021-01, Vol.42 (1), p.159-166
Main Authors: Otter, Caroline E.M., Smit, Jakobus, Hagedoorn, Ellen I., Keers, Joost C., de Man-van Ginkel, Janneke M., Schoonhoven, Lisette
Format: Article
Language:English
Subjects:
Behavior
Beliefs
Hospital
Inpatient
Nurses
Nursing
Perception
Self-management
Self-management support
Thematic analysis
Theory of planned behavior
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Summary:•Nurses have a limited understanding of self-management and do not fully understand what is expected from them with regards to patients’ self-management during hospitalization.•Nurses name their own behavior as the most important limiting factor for inpatients’ self-management.•Nurses are lacking interventions and tools to support inpatients self-management. Four focus group interviews were held with nurses, recruited from eight wards of two general hospitals, to explore nurses’ perceptions of self-management and self-management support of older patients during hospitalization. A thematic analyze of the interview transcripts was conducted. Regarding nurses understanding of self-management two perceptions emerged namely ‘being self-reliant’ and ‘being in control’. In terms of their understanding self-management support three perceptions emerged: encouraging patients to perform activities of daily living (ADL); stimulating patient participation; and increasing patients’ awareness. We also found seven themes relating to nurses’ beliefs regarding older patients’ self-management and self-management support during hospitalization. Results indicate that nurses have a limited understanding of self-management and do not fully understand what is expected from them with regards to inpatients’ self-management. It is feasible to argue that addressing nurses’ beliefs can influence nurses intention and behavior regarding supporting older inpatients’ self-management.
ISSN:0197-4572
1528-3984
DOI:10.1016/j.gerinurse.2020.06.013