Healthcare professional students’ perceptions of supporting patient self-management: A mixed method study

Author:

Gudgeon Michael1ORCID,Wilkinson Amanda1ORCID,Hale Leigh1

Affiliation:

1. Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand

Abstract

Objectives Individuals self-manage chronic illnesses daily with episodic support provided by healthcare professionals. Learning about supporting self-management should be part of healthcare professional student programme curricular and training. However, little is known about the perceptions and attitudes students hold about supporting patient self-management and whether support for self-management is implemented on clinical placement. Methods A mixed method approach explored students’ perceptions and attitudes to supporting patient self-management via e-survey and semi-structured interviews. Results Survey data (n = 96; 11 programmes) were analysed descriptively and interviews thematically (n = 10; F = 9; aged 19–34 years; 8 programmes). Survey data suggested participants had a positive attitude towards, and were confident in providing support for self-management, but did not implement it frequently in clinical environments. One main theme “ Self-management support is puzzling” identified the uncertainty around what students thought their role was or how to enact support within the patient interaction. A smaller theme “Self-management support is valuable” showed participants were open to learning more about how to support patient self-management. Discussion We suggest more explicit and frequent learning opportunities need to be provided for healthcare professional students to learn how to support patient self-management, with particular emphasis on involving family and incorporating self-management tools within the patient encounter.

Publisher

SAGE Publications

Subject

Health Policy,General Medicine

Reference53 articles.

1. Patient Self-management of Chronic Disease in Primary Care

2. De Silva D. Helping people help themselves: A review of the evidence considering whether it is worthwhile to support self-management, https://www.health.org.uk/sites/default/files/HelpingPeopleHelpThemselves.pdf (2011, accessed March 2019).

3. Improving Chronic Illness Care: Translating Evidence Into Action

4. World Health Organisation. Global status report on noncommunicable diseases, https://apps.who.int/iris/bitstream/handle/10665/148114/9789241564854_eng.pdf?sequence=1 (2014, accessed May 2019).

5. Shared decision making and support for self-management: a rationale for change

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