Communication and self-management education at nurse-led COPD clinics in primary health care

• 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.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Nyckelord

Consultation Map

Motivational dialogue

Nurse specialized in chronic obstructive pulmonary disease

Smoking cessation

Videotaped consultations

bronchodilating agent

adult

aged

anamnesis

article

breathing mechanics

chronic obstructive lung disease

clinical article

clinical examination

consultation

content analysis

controlled study

conversation

coughing

disease exacerbation

female

health care facility

human

individualization

interpersonal communication

male

medical information

motivation

nurse patient relationship

nurse practitioner

nursing care

patient attitude

patient care

patient counseling

patient education

physical activity

primary health care

priority journal

psychosocial care

self care

treatment planning

videorecording

Communication

Humans

Middle Aged

Patient Education as Topic

Pulmonary Disease

Chronic Obstructive

Sweden

Treatment Outcome

MEDICINE

Nursing

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)