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Promotion of Self-Care in Clinical Practice: Implications for Clinical Supervision in Nursing

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Abstract—Self-care is a human function that should be carried out by the individuals themselves, in order to preserve their life, health and self-esteem. During the past ten years, some approaches used by physicians and nurses to support self-care were identified to complement professional practices and structures, such as clinical supervision or leadership. This quantitative study was developed in a hospital in the North of Portugal. The start question was: “How to organize the system of clinical supervision in order to promote self-care and to contribute to the quality of care?” Participants were 110 patients hospitalized in a ward of the above-mentioned hospital. Two instruments were used to collect data. The first was a questionnaire focused on self-care and was filled out by rehabilitation nurses. The second instrument evaluated self-care as recorded in nurses’ electronic records filled during the caring process. Data analysis pointed out that self-care notes in patient anamnesis were limited to hygiene, while the degree of dependence was often ignored. There appears to be some confusion in the records regarding concepts and evaluation of the degree of dependence in self-care. Suggestions are made to promote self-care inside the system of clinical supervision, in order to provide appropriate healthcare to patients.

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Clinical supervision Self-care Quality of care

Citation

International Journal of Information and Education Technology, Vol. 5, No. 1, January 2015

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