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Nursing clinical practice changes to improve self‐management in chronic obstructive pulmonary disease

Padilha, J.M. ; Sousa, P.A.F. ; Pereira, F.M.S.

International nursing review, 2018-03, Vol.65 (1), p.122-130 [Periódico revisado por pares]

England: Wiley Subscription Services, Inc

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Título:
Nursing clinical practice changes to improve self‐management in chronic obstructive pulmonary disease
Autor: Padilha, J.M. ; Sousa, P.A.F. ; Pereira, F.M.S.
Assuntos: Adult ; Aged ; Aged, 80 and over ; Autonomy ; Behavioural changes ; Change agents ; Chronic Obstructive ; Chronic obstructive pulmonary disease ; Clinical decision making ; Clinical nursing ; Clinical Nursing Research ; Clinical outcomes ; Clinical practice ; Content analysis ; Decision making ; Disease management ; Female ; Health behavior ; Health care policy ; Health professional-Patient communication ; Hospitalization ; Humans ; Information sharing ; Male ; Middle Aged ; Morbidity ; Mortality ; Nurse Clinicians ; Nursing ; Nursing care ; Nursing Care - standards ; Nursing Diagnosis ; Optimization ; Outcome and Process Assessment ; Participatory Action Research ; Patient Education ; Patient Education as Topic - standards ; Practice Guidelines as Topic - standards ; Preservation ; Pulmonary Disease ; Pulmonary Disease, Chronic Obstructive - nursing ; Quality of life ; Self Care - standards ; Self-Management - methods ; Self‐Management
É parte de: International nursing review, 2018-03, Vol.65 (1), p.122-130
Notas: This research received no specific grant from any funding agency in the public, comercial or not‐for‐profit sectors.
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No conflict of interest has been declared by the authors.
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Descrição: 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. Implications for nursing and/or health policy The involvement and participation of nurses and patients in the conceptualization, implementation and evaluation of policy change are fundamental issues to improve the quality of nursing care and clinical outcomes.
Editor: England: Wiley Subscription Services, Inc
Idioma: Inglês

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Nursing clinical practice changes to improve self‐management in chronic obstructive pulmonary disease

Padilha, J.M. ; Sousa, P.A.F. ; Pereira, F.M.S.

England: Wiley Subscription Services, Inc

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