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Nursing clinical practice changes to improve self-management in chronic obstructive pulmonary disease
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Orientador(es)
Resumo(s)
Aim: To propose nursing clinical practice changes to improve the development of patient self-management.
Background: Chronic obstructive pulmonary disease is one of the main causes of chronic morbidity, loss of
quality of life and high mortality rates.
Introduction: Control of the disease’s progression, the preservation of autonomy in self-care and
maintenance of quality of life are extremely challenging for patients to execute in their daily living.
However, there is still little evidence to support nursing clinical practice changes to improve the
development of self-management.
Methods: A participatory action research study was performed in a medicine inpatient department and the
outpatient unit of a Portuguese hospital. The sample comprised 52 nurses and 99 patients. For data
collection, we used interviews, participant observation and content analysis.
Results: The main elements of nursing clinical practice that were identified as a focus for improvement
measures were the healthcare model, the organization of healthcare and the documentation of a support
decision-making process.
The specific guidelines, the provision of material to support decision-making and the optimization of
information sharing between professionals positively influenced the change process.
This change improved the development of self-management skills related to the awareness of the need for
‘change’, hope, involvement, knowledge and abilities.
Discussion: The implemented changes have improved health-related behaviours and clinical outcomes.
Conclusion: To support self-management development skills, an effective nursing clinical practice change is
needed. This study has demonstrated the relevance of a portfolio of techniques and tools to help patients
adopt healthy behaviours.
Descrição
Palavras-chave
Chronic Obstructive Clinical Nursing Research
Contexto Educativo
Citação
International Nursing Review 65(4)
Editora
Wiley