Processes of self-management in chronic illness.

Schulman-Green D, Jaser S, Martin F, Alonzo A, Grey M, McCorkle R, Redeker NS, Reynolds N, Whittemore R
J Nurs Scholarsh. 2012 44 (2): 136-44

PMID: 22551013 · PMCID: PMC3366425 · DOI:10.1111/j.1547-5069.2012.01444.x

PURPOSE - Self-management is a dynamic process in which individuals actively manage a chronic illness. Self-management models are limited in their specification of the processes of self-management. The purpose of this article is to delineate processes of self-management in order to help direct interventions and improve health outcomes for individuals with a chronic illness.

DESIGN - Qualitative metasynthesis techniques were used to analyze 101 studies published between January 2000 and April 2011 that described processes of self-management in chronic illness.

METHODS - Self-management processes were extracted from each article and were coded. Similar codes were clustered into categories. The analysis continued until a final categorization was reached.

FINDINGS - Three categories of self-management processes were identified: focusing on illness needs; activating resources; and living with a chronic illness. Tasks and skills were delineated for each category.

CONCLUSIONS - This metasynthesis expands on current descriptions of self-management processes by specifying a more complete spectrum of self-management processes.

CLINICAL RELEVANCE - Healthcare providers can best facilitate self-management by coordinating self-management activities, by recognizing that different self-management processes vary in importance to patients over time, and by having ongoing communication with patients and providers to create appropriate self-management plans.

© 2012 Sigma Theta Tau International.

MeSH Terms (4)

Chronic Disease Humans Qualitative Research Self Care

Connections (1)

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