Osterlund Efraimsson E, Klang B, Larsson K, Ehrenberg A, Fossum B. Communication and self-management education at nurse-led COPD clinics in primary health care.
PATIENT EDUCATION AND COUNSELING 2009;
77:209-217. [PMID:
19414234 DOI:
10.1016/j.pec.2009.03.033]
[Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2008] [Revised: 03/02/2009] [Accepted: 03/28/2009] [Indexed: 05/27/2023]
Abstract
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.
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