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Oikarinen AK, Kähkönen O, Kaakinen P, Kääriäinen M, Virtanen M, Paalimäki-Paakki K, Hylkilä K, Männikkö N, Kerimaa H, Kivelä K, Jansson M, Kajula O, Männistö M, Lahtinen M, Vanhanen M, Rajala M. Nurses' experiences of competence in lifestyle counselling with adult patients in healthcare settings: A qualitative systematic literature review. J Clin Nurs 2024; 33:1684-1708. [PMID: 38332566 DOI: 10.1111/jocn.17050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Revised: 01/17/2024] [Accepted: 01/23/2024] [Indexed: 02/10/2024]
Abstract
AIMS AND OBJECTIVES To identify and synthesise nurses' experiences of competence in lifestyle counselling with adult patients in healthcare settings. BACKGROUND Modifiable lifestyle risk behaviours contribute to an increased prevalence of chronic diseases worldwide. Lifestyle counselling is part of nurses' role which enables them to make a significant contribution to patients' long-term health in various healthcare contexts, but requires particular competence. DESIGN Qualitative systematic literature review and meta-aggregation. METHOD The review was guided by Joanna Briggs Institute's methodology for conducting synthesis of qualitative studies. PRISMA-checklist guided the review process. Relevant original studies were search from databases (CINAHL, PubMed, Scopus, Medic and Psych Articles, Ebscho Open Dissertations and Web of Science). After researcher consensus was reached and quality of the studies evaluated, 20 studies were subjected to meta-aggregation. RESULTS From 20 studies meeting the inclusion criteria, 75 findings were extracted and categorised into 13 groups based on their meaning, resulting in the identification of 5 synthesised findings for competence description: Supporting healthy lifestyle adherence, creating interactive and patient-centred counselling situations, acquiring competence through clinical experience and continuous self-improvement, collaborating with other professionals and patients, planning lifestyle counselling and managing work across various stages of the patient's disease care path. CONCLUSION The review provides an evidence base that can be used to support nurses' competence in lifestyle counselling when working with adult patients in healthcare settings. Lifestyle counselling competence is a complex and rather abstract phenomenon. The review identified, analysed and synthesised the evidence derived from nurses' experience which shows that lifestyle counselling competence is a multidimensional entity which relates to many other competencies within nurses' work. IMPLICATIONS FOR THE PROFESSION Recognising the competencies of nurses in lifestyle counselling for adult patients can stimulate nurses' motivation. The acquisition of these competencies can have a positive impact on patients' lives and their health. PATIENT OR PUBLIC CONTRIBUTION No Patient or Public Contribution. IMPACT The research may enhance nurses' competence in lifestyle counselling, leading to improved health outcomes, better adherence to recommendations and overall well-being. It may also drive the development of interventions, improving healthcare delivery in lifestyle counselling. REPORTING METHOD The review was undertaken and reported using the PRISMA guidelines. PROTOCOL REGISTRATION Blinded for the review.
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Affiliation(s)
- Anne Kaarina Oikarinen
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
| | - Outi Kähkönen
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| | - Pirjo Kaakinen
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
| | - Maria Kääriäinen
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
| | - Mari Virtanen
- Helsinki Metropolia University of Applied Sciences, Helsinki, Finland
| | | | - Krista Hylkilä
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
- Research Unit of Health Science and Technology, Faculty of Medicine, Oulu University, Oulu, Finland
| | - Niko Männikkö
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
| | - Heli Kerimaa
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
| | - Kirsi Kivelä
- Wellbeing Services Country of North Ostrobothnia, Oulu, Finland
| | - Miia Jansson
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
- RMIT University, Melbourne, Australia
| | - Outi Kajula
- Oulu University of Applied Sciences, Oulu, Finland
| | - Merja Männistö
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
- Master School at Diaconia University of Applied Sciences, Helsinki, Finland
| | - Minna Lahtinen
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
| | - Minna Vanhanen
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
- Oulu University of Applied Sciences, Oulu, Finland
| | - Mira Rajala
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
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Liu X, Ghisi GLM, Meng S, Grace SL, Shi W, Zhang L, Gallagher R, Oh P, Aultman C, Sandison N, Ding B, Zhang Y. Establishing a process to translate and adapt health education materials for natives and immigrants: The case of Mandarin adaptations of cardiac rehabilitation education. Heart Lung 2021; 50:794-817. [PMID: 34233218 DOI: 10.1016/j.hrtlng.2021.06.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 06/02/2021] [Accepted: 06/05/2021] [Indexed: 11/18/2022]
Abstract
BACKGROUND Cardiac rehabilitation (CR) is a proven model of secondary prevention in which patient education is a core component. OBJECTIVES to translate and culturally-adapt CR patient education for Mandarin-speaking patients living in China as well as immigrants, and offer recommendation for best practices in adaptation for both. METHODS these steps were undertaken in China and Canada: (1) preparation; (2) translation and adaptation; (3) review by healthcare providers based on PEMAT-P; (4) think-aloud review by patients; and (5) finalization. RESULTS Two independent Mandarin translations were undertaken using best practices: one domestic (China) and one international (immigrants). Input by 23 experts instigated revisions. Experts rated the language and content as culturally-appropriate, and perceived the materials would benefit their patients. A revised version was then administered to 36 patients, based on which a few edits were made to optimize understandability. CONCLUSIONS some important differences emerged between translations adapted for native versus immigrant settings.
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Affiliation(s)
- Xia Liu
- Shanghai Jiao Tong University School of Nursing, Shanghai, China
| | - Gabriela L M Ghisi
- Cardiovascular Prevention and Rehabilitation Program, KITE-Toronto Rehabilitation Institute, University Health Network, 347 Rumsey Road, Toronto, Ontario M4G 2R6, Canada.
| | - Shu Meng
- Xinhua Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Sherry L Grace
- Cardiovascular Prevention and Rehabilitation Program, KITE-Toronto Rehabilitation Institute, University Health Network, 347 Rumsey Road, Toronto, Ontario M4G 2R6, Canada; Faculty of Health, York University, Toronto, Canada
| | - Wendan Shi
- Charles Perkins Centre, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Ling Zhang
- Charles Perkins Centre, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Robyn Gallagher
- Charles Perkins Centre, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Paul Oh
- Cardiovascular Prevention and Rehabilitation Program, KITE-Toronto Rehabilitation Institute, University Health Network, 347 Rumsey Road, Toronto, Ontario M4G 2R6, Canada
| | - Crystal Aultman
- Cardiovascular Prevention and Rehabilitation Program, KITE-Toronto Rehabilitation Institute, University Health Network, 347 Rumsey Road, Toronto, Ontario M4G 2R6, Canada
| | - Nicole Sandison
- Cardiovascular Prevention and Rehabilitation Program, KITE-Toronto Rehabilitation Institute, University Health Network, 347 Rumsey Road, Toronto, Ontario M4G 2R6, Canada
| | - Biao Ding
- Shanghai Sixth People's Hospital, Shanghai, China
| | - Yaqing Zhang
- Shanghai Jiao Tong University School of Nursing, Shanghai, China
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