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Communication and self-management education at nurse-led COPD clinics in primary health care
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2009 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 77, no 2, 209-17 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: The aim of the study was to explore the structure, content in communication and self-management education in patients' first consultations at nurse-led chronic obstructive pulmonary disease (COPD) clinics in primary healthcare. METHOD: Thirty consultations performed by seven registered nurses were videotaped; structure and content in the consultation was analyzed using Pendleton's Consultation Map. Nurses' self-management education was assessed from the content of the conversation: whether important and relevant information and self-management education was given, and how investigations were performed. RESULTS: Each consultation lasted for a mean time of 37.53 min. Communication about reasons for consultations concerned mainly medical and physical problems and to a certain extent patients' perceptions. Teaching about self-management and smoking cessation was of an informative nature. Two consultations ended with shared understanding, and none of the patients received an individual treatment-plan. CONCLUSION: Nurses rarely planned the consultations on an individual basis and rarely used motivational dialogue in self-management education and in smoking cessation. PRACTICE IMPLICATIONS: The findings could be used to help nurses to reflect on how to improve the structure of the visit, self-management education, smoking cessation and patient communication.

Place, publisher, year, edition, pages
2009. Vol. 77, no 2, 209-17 p.
National Category
Nursing
Identifiers
URN: urn:nbn:se:shh:diva-29DOI: 10.1016/j.pec.2009.03.033PubMedID: 19414234OAI: oai:DiVA.org:shh-29DiVA: diva2:302105
Available from: 2010-03-04 Created: 2010-02-22 Last updated: 2014-12-01Bibliographically approved

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Fossum, Bjöörn
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