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Using the Self-Management Assessment Scale for Screening Support Needs in Type 2 Diabetes: Qualitative Study
Department of Nursing, Umeå University, Umeå, Sweden.ORCID iD: 0000-0002-2803-8006
Malmö University, Faculty of Technology and Society (TS), Department of Computer Science and Media Technology (DVMT).ORCID iD: 0000-0003-2070-6337
Department of Nursing, Umeå University, Umeå, Sweden.ORCID iD: 0000-0003-1543-6512
Department of Nursing, Umeå University, Umeå, Sweden.ORCID iD: 0000-0002-1564-8825
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2020 (English)In: JMIR Nursing, E-ISSN 2562-7600, Vol. 3, no 1, p. e16318-e16318Article in journal (Refereed) Published
Abstract [en]

Background:Globally, most countries face a common challenge by moving toward a population-based structure with an increasing number of older people living with chronic conditions such as type 2 diabetes. This creates a considerable burden on health care services. The use of digital tools to tackle health care 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 management of the day-to-day impact of a condition, something that is often a lifelong task. The use of a screening instrument, such as the Self-Management Assessment Scale (SMASc), offers the potential to guide primary health care nurses into person-centered 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 digitalized scale for measuring patients’ needs for self-management support in primary health care settings has been found.

Objective:This paper describes diabetes specialist nurses’ (DSNs) experiences of a pilot implementation of the SMASc instrument as the basis for person-centered digital self-management support.

Methods:This qualitative study is based on observations and interviews analyzed using qualitative content analysis.

Results:From the perspectives of DSNs, the SMASc instrument offers insights that contribute to strengthened self-management support for people with type 2 diabetes by providing a new way of thinking and acting on the patient’s term. Furthermore, the SMASc was seen as a screening instrument with good potential that embraces more than medical issues; it contributed to strengthening person-centered self-management support, and the instrument was considered to lead both parts, that is, DSNs and patients, to develop together through collaboration.

Conclusions:Person-centered care is advocated as a model for good clinical practice; however, this is not always complied with. Screening instruments, such as the SMASc, may empower both nurses and patients with type 2 diabetes with more personalized care. Using a screening instrument in a patient meeting may also contribute to a role change in the work and practice of DSNs.

Place, publisher, year, edition, pages
JMIR Publications, 2020. Vol. 3, no 1, p. e16318-e16318
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Nursing
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URN: urn:nbn:se:mau:diva-64528DOI: 10.2196/16318PubMedID: 34345780Scopus ID: 2-s2.0-85147025458OAI: oai:DiVA.org:mau-64528DiVA, id: diva2:1820072
Available from: 2023-12-15 Created: 2023-12-15 Last updated: 2024-02-05Bibliographically approved

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Orre, Carl Johan

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