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Implementing Supported Self-Management in Community-Based Stroke Care: A Secondary Analysis of Nurses’ Perspectives

Kidd, Lisa; Booth, Joanne; Lawrence, Maggie; Rowat, Anne

Authors

Lisa Kidd

Joanne Booth

Maggie Lawrence

Anne Rowat



Abstract

The provision of supported self‐management (SSM) is recommended in contemporary guidelines to address the longer‐term needs and outcomes of stroke survivors and their families, yet its implementation across stroke pathways has been inconsistent. This paper presents a secondary analysis of qualitative data, which aims to identify and offer insight into the challenges of implementing SSM from the perspectives of community stroke nurses (n = 14). The findings revealed that the implementation of SSM in stroke is influenced by factors operating at multiple levels of the healthcare system. Contextual challenges arise because of different understandings and interpretations of what SSM is, what it comprises and professionals’ perceptions of their roles in its implementation in practice. A professionally controlled, one‐size‐fits‐all model of SSM continues to be reinforced within organizations, offering few opportunities for nurses to deliver contextually tailored and person‐centred SSM. In conclusion, there are many professional concerns and organizational tensions that need to be addressed across multiple layers of the healthcare system to achieve the consistent implementation of contextually tailored and person‐centred SSM following a stroke. Attempts to address these challenges will help to narrow the gap between policy and practice of implementing SSM, ensuring that stroke survivors and families benefit from SSM in the longerterm.

Journal Article Type Article
Acceptance Date Mar 30, 2020
Online Publication Date Apr 1, 2020
Publication Date Apr 1, 2020
Deposit Date Apr 1, 2020
Publicly Available Date Nov 27, 2020
Journal Journal of Clinical Medicine
Electronic ISSN 2077-0383
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 9
Issue 4
Article Number 985
DOI https://doi.org/10.3390/jcm9040985
Keywords supported self‐management; implementation; stroke; nurses; person‐centred; qualitative research
Public URL http://researchrepository.napier.ac.uk/Output/2650124

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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/

Copyright Statement
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.





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