| Engaging general practice nurses in chronic disease self-management support in Australia: insights from a controlled trial in chronic obstructive pulmonary disease. | |
| | |
MedLine Citation:
|
PMID: 22394666 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
The growing burden of chronic disease will increase the role of primary care in supporting self-management and health behaviour change. This role could be undertaken to some extent by the increased practice nurse workforce that has occurred over recent years. Mixed methods were used to investigate the potential for general practice nurses to adopt this role during a 12-month randomised controlled study of telephone-delivered health mentoring in Tasmanian practices. Nurses (general practice and community health) were trained as health mentors to assist chronic obstructive pulmonary disease patients to identify and achieve personal health related goals through action plans. Of 21% of invited practices that responded, 19 were allocated to health mentoring; however, general practice nurses were unable to train as health mentors in 14 (74%), principally due to lack of financial compensation and/or workload pressure. For five general practice nurses trained as health mentors, their roles had previously included some chronic disease management, but training enhanced their understanding and skills of self-management approaches and increased the focus on patient partnership, prioritising patients' choices and achievability. Difficulties that led to early withdrawal of health mentors were competing demands, insufficient time availability, phone calls having lower priority than face-to-face interactions and changing employment. Skills gained were rated as valuable, applicable to all clinical practice and transferable to other health care settings. Although these results suggest that training can enhance general practice nurses' skills to deliver self-management support in chronic disease, there are significant system barriers that need to be addressed through funding models and organisational change. |
| | |
Authors:
|
Julia A E Walters; Helen Courtney-Pratt; Helen Cameron-Tucker; Mark Nelson; Andrew Robinson; Jenn Scott; Paul Turner; E Haydn Walters; Richard Wood-Baker |
Related Documents
:
|
9354986 - Disability and oppression: some implications for nurses and nursing. 9384086 - The consequences of a generic approach to teaching nursing in a multicultural world. 9670116 - Do i dare? using role-play as a teaching strategy. 12503456 - Learning styles and teaching strategies: enhancing the patient education experience. 16160326 - Nursing outcome documentation in nursing notes of cardiac-surgery patients. 15943676 - The distribution and development of handedness for manual gestures in captive chimpanze... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Australian journal of primary health Volume: 18 ISSN: 1448-7527 ISO Abbreviation: Aust J Prim Health Publication Date: 2012 |
Date Detail:
|
Created Date: 2012-03-07 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101123037 Medline TA: Aust J Prim Health Country: Australia |
Other Details:
|
Languages: eng Pagination: 74-9 Citation Subset: IM |
Affiliation:
|
Menzies Research Institute, University of Tasmania, Private Bag 23, Hobart, Tas. 7000, Australia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: What influences Australian women to not drink alcohol during pregnancy?
Next Document: Supporting chronic disease self-management: translating policies and principles into clinical practi...