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探索患者参与基于电话的自我管理支持干预的经历:主动式健康支持(PaHS)
Author(s) -
Winther Susanne,
Fredens Mia,
Skov Benthien Kirstine,
Konstantin Nissen Nina,
Palmhøj Nielsen Camilla,
Grønkjær Mette
Publication year - 2020
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14590
Subject(s) - intervention (counseling) , feeling , nursing , qualitative research , self management , psychology , telephone interview , health care , medicine , social psychology , social science , machine learning , sociology , computer science , economics , economic growth
Aim Proactive Health Support is a telephone‐based self‐management intervention that is carried out in Denmark by Registered Nurses who provide self‐management support to people at risk of hospital admission. We aimed to explore participants’ experiences of Proactive Health Support and to identify what the participants find important and meaningful during the intervention process. Design Qualitative design involving semi‐structured interview. Methods Using a phenomenological–hermeneutical framework, we conducted semi‐structured interviews with 62 participants in their own homes (32 women, 30 men; aged 20–81 years) in spring and fall 2018. Results The participants felt confident that they could discuss every matter with the nurses. Participants benefitted from accessibility to the nurses’ professional and medical competences and they felt relief that the nurses contacted them via the telephone due to their multiple health conditions. The participants felt that the nurses were available and helped them to navigate the healthcare system. Conclusion The participants valued the intervention because they benefitted from the nurses’ holistic approach. They described the nurses’ knowledge and professionalism in relation to their symptoms, treatments, and medicine as important and meaningful. Accordingly, the intervention seemed to promote feelings of independence and self‐management among the participants. Impact From a nursing perspective, the study highlights that it is possible to establish a close relationship and behavioural change among participants through regular telephone contact.