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
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)
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