The role of nurse-patient mutuality on self-care behaviours in patients with chronic illness
© 2024 John Wiley & Sons Ltd..
AIM: To examine the role of nurse-patient mutuality on three self-care behaviours in chronic illness patients.
DESIGN: A cross-sectional multi-centre study was conducted.
METHODS: Mutuality was measured with the Nurse-Patient Mutuality in Chronic Illness scale which has the dimensions of developing and going beyond, being a point of reference and deciding and sharing care, and self-care was measured with the Self-care of Chronic Illness Inventory (SC-CII). Multivariable linear regression analyses were used to assess the contribution of three dimensions of mutuality on self-care maintenance, monitoring and management behaviours controlling for patient gender, age, education, number of medications, and presence of a family caregiver.
RESULTS: The sample included 465 inpatients and outpatients with at least one chronic illness. The three dimensions of mutuality had different roles in their influence on the three dimensions of self-care. Developing and going beyond was significantly associated with self-care maintenance and self-care monitoring behaviours. Point of reference was significantly associated with self-care maintenance behaviour. Deciding and sharing care was significantly associated with self-care monitoring and self-care management behaviours.
CONCLUSION: The mutuality between nurse and patient may be a novel area of research to support and improve patient self-care behaviours with implications for clinical practice and education.
IMPLICATION FOR PROFESSION AND PATIENT CARE: Mutuality between nurse and patient increases patient engagement, symptom recognition, decision-making process and patient-centred approach favouring the development of self-care behaviours.
IMPACT: Mutuality between nurse and patient is a new concept and its association with the patient outcomes could bring relevance to the nursing profession. Self-care behaviours are important in the management of chronic diseases, but are difficult to perform. Mutuality between nurse and patient influences the three different behaviours of self-care in chronic illness, for this reason it is important to increase the level of mutuality in this dyad.
REPORTING METHOD: STROBE checklist for cross-sectional studies was followed in this study.
PATIENT OR PUBLIC CONTRIBUTION: Patients were involved in the sample of the study.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2024 |
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Erschienen: |
2024 |
Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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Enthalten in: |
Journal of clinical nursing - (2024) vom: 29. Apr. |
Sprache: |
Englisch |
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Beteiligte Personen: |
Cilluffo, Silvia [VerfasserIn] |
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Links: |
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Themen: |
Journal Article |
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Anmerkungen: |
Date Revised 30.04.2024 published: Print-Electronic Citation Status Publisher |
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doi: |
10.1111/jocn.17181 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM371745292 |
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520 | |a © 2024 John Wiley & Sons Ltd. | ||
520 | |a AIM: To examine the role of nurse-patient mutuality on three self-care behaviours in chronic illness patients | ||
520 | |a DESIGN: A cross-sectional multi-centre study was conducted | ||
520 | |a METHODS: Mutuality was measured with the Nurse-Patient Mutuality in Chronic Illness scale which has the dimensions of developing and going beyond, being a point of reference and deciding and sharing care, and self-care was measured with the Self-care of Chronic Illness Inventory (SC-CII). Multivariable linear regression analyses were used to assess the contribution of three dimensions of mutuality on self-care maintenance, monitoring and management behaviours controlling for patient gender, age, education, number of medications, and presence of a family caregiver | ||
520 | |a RESULTS: The sample included 465 inpatients and outpatients with at least one chronic illness. The three dimensions of mutuality had different roles in their influence on the three dimensions of self-care. Developing and going beyond was significantly associated with self-care maintenance and self-care monitoring behaviours. Point of reference was significantly associated with self-care maintenance behaviour. Deciding and sharing care was significantly associated with self-care monitoring and self-care management behaviours | ||
520 | |a CONCLUSION: The mutuality between nurse and patient may be a novel area of research to support and improve patient self-care behaviours with implications for clinical practice and education | ||
520 | |a IMPLICATION FOR PROFESSION AND PATIENT CARE: Mutuality between nurse and patient increases patient engagement, symptom recognition, decision-making process and patient-centred approach favouring the development of self-care behaviours | ||
520 | |a IMPACT: Mutuality between nurse and patient is a new concept and its association with the patient outcomes could bring relevance to the nursing profession. Self-care behaviours are important in the management of chronic diseases, but are difficult to perform. Mutuality between nurse and patient influences the three different behaviours of self-care in chronic illness, for this reason it is important to increase the level of mutuality in this dyad | ||
520 | |a REPORTING METHOD: STROBE checklist for cross-sectional studies was followed in this study | ||
520 | |a PATIENT OR PUBLIC CONTRIBUTION: Patients were involved in the sample of the study | ||
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700 | 1 | |a Vellone, Ercole |e verfasserin |4 aut | |
700 | 1 | |a Pucciarelli, Gianluca |e verfasserin |4 aut | |
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700 | 1 | |a Lusignani, Maura |e verfasserin |4 aut | |
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