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Accepted for/Published in: JMIR Nursing

Date Submitted: Sep 18, 2019
Date Accepted: Aug 10, 2020

The final, peer-reviewed published version of this preprint can be found here:

Using the Self-Management Assessment Scale for Screening Support Needs in Type 2 Diabetes: Qualitative Study

Öberg U, Orre CJ, Hörnsten , Jutterström L, Isaksson U

Using the Self-Management Assessment Scale for Screening Support Needs in Type 2 Diabetes: Qualitative Study

JMIR Nursing 2020;3(1):e16318

DOI: 10.2196/16318

PMID: 34345780

PMCID: 8279441

Using the Self‐Management Assessment Scale (SMASc) for screening self‐management support needs in type 2 diabetes — experiences from nurse‐led digital self‐management support in Swedish primary health care: A Qualitative Study

  • Ulrika Öberg; 
  • Carl Johan Orre; 
  • Åsa Hörnsten; 
  • Lena Jutterström; 
  • Ulf Isaksson

ABSTRACT

Background:

Most countries worldwide face a common challenge by moving towards a population structure with more elderly people, living with chronic conditions, such as type 2 diabetes. This creates a considerable burden on healthcare services. The use of digital tools in healthcare challenges established views on traditional nursing, based on face-to-face meetings. Self-management is considered a key component of chronic care and can be defined as the management of the day-to-day impact of a condition, something that often is a lifelong task. The use of a screening instrument, such as the SMASc, offers a potential to guide primary healthcare nurses into person-centred self-management support which in turn can help people strengthen their empowerment and self-management capabilities. However, research on self-management screening instruments is sparse, and no research on nurses' experiences using a digitalised scale for measuring patient’s needs for self-management support in primary healthcare settings has been found.

Objective:

To describe diabetes specialist nurses’ experiences of a pilot implementation of the SMASc instrument as a basis for person-centred digital self-management support.

Methods:

This is a qualitative study based on observations and interviews analysed using qualitative content analysis.

Results:

Findings revealed that from diabetes specialist nurses´ perspectives, the SMASc instrument offered insights that contributed to strengthened self-management support for persons with type 2 diabetes by a new way of thinking and acting on patient´s term. Furthermore, the SMASc was seen as a screening instrument with good potential; embraces more than medical issues; it contributed to strengthen person-centred self-management support, and finally, the instrument was considered to contribute both parts to develop through collaboration.

Conclusions:

Person-centred care is advocated as a model for good clinical practice; however, this is not always complied. A screening instrument, such as the SMASc, may support both nurses and patients with type 2 diabetes to a more personalized care. Using a screening instrument in the patient meeting, may also contribute to a role change in the DSNs work and practice. Clinical Trial: ClinicalTrials.gov (NCT03165084)


 Citation

Please cite as:

Öberg U, Orre CJ, Hörnsten , Jutterström L, Isaksson U

Using the Self-Management Assessment Scale for Screening Support Needs in Type 2 Diabetes: Qualitative Study

JMIR Nursing 2020;3(1):e16318

DOI: 10.2196/16318

PMID: 34345780

PMCID: 8279441

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