Dr Nicola Jane Roberts N.Roberts@napier.ac.uk
Professor
Background: Self-management improves outcomes in asthma and COPD and is strongly recommended in national and international guidelines; however implementation of the guidelines such as use of written action plans in practice is often poor.
Setting: A questionnaire survey was undertaken to identify the healthcare professional barriers to im-plementation of self-management for asthma and COPD in West London.
Question: Why is self-management education not being undertaken in respiratory conditions?
Methods: A questionnaire was designed to elicit healthcare professionals’ views about barriers to implementation of self-management in asthma and COPD.
Results: Response rates were 33% (58/175). Results showed strong support for guideline recommenda-tions, however implementation was patchy. Seventy six percent of respondents discussed asthma self-management with patients; however only 47.8% of patients received a written action plan. For COPD patients, 55.1% discussed self-management, with 41% receiving a written action plan. In COPD, there was greater GP involvement and less delegation of self-management. Barriers to implementation in-cluded patient factors (compliance, literacy and patient understanding), time constraints and in-sufficient resources. Those who believed they had witnessed improved health outcomes with self-management (53%, 31/58) were more likely to give written action plans (78%, 24/31, ‘nearly always/ sometimes’ gave written action plans), Nearly a third of healthcare professionals reported lacking confidence in constructing written action plans (33% 19/58; GPs 43%, nurses 43%).
Conclusion: Despite overwhelming evidence self-management support is still not being implemented into routine clinical practice, identified barriers included time constraints, lack of training, lack of belief in patients ability to self-manage and lack of confidence completing self-management plans.
Practice implications: These issues need to be addressed if self-management support is to be delivered in a meaningful and effective way.
Roberts, N. J., Younis, I., Kidd, L., & Partridge, M. R. (2013). Barriers to the implementation of self management support in long term lung conditions. London Journal of Primary Care, 5(1), 35-47. https://doi.org/10.1080/17571472.2013.11493370
Journal Article Type | Article |
---|---|
Acceptance Date | Feb 8, 2013 |
Online Publication Date | Oct 7, 2015 |
Publication Date | Apr 7, 2013 |
Deposit Date | Aug 30, 2022 |
Journal | London Journal of Primary Care |
Print ISSN | 1757-1472 |
Electronic ISSN | 1757-1480 |
Publisher | Taylor & Francis |
Peer Reviewed | Peer Reviewed |
Volume | 5 |
Issue | 1 |
Pages | 35-47 |
DOI | https://doi.org/10.1080/17571472.2013.11493370 |
Keywords | asthma, COPD, consultation, self-management |
Public URL | http://researchrepository.napier.ac.uk/Output/2899573 |
The “what, why, and how?” of story completion in health services research: a scoping review
(2024)
Journal Article
What do pulmonary rehabilitation participants want their educational sessions to comprise of? Exploring a participant-centered approach to designing pulmonary rehabilitation education
(2024)
Presentation / Conference Contribution
Are nurses proactive about minimising their exposure to second hand tobacco smoke (SHS)
(2024)
Presentation / Conference Contribution
Does health literacy in respiratory patients impact on their rating of important topics for education in pulmonary rehabilitation?
(2024)
Presentation / Conference Contribution
About Edinburgh Napier Research Repository
Administrator e-mail: repository@napier.ac.uk
This application uses the following open-source libraries:
Apache License Version 2.0 (http://www.apache.org/licenses/)
Apache License Version 2.0 (http://www.apache.org/licenses/)
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search