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

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Journal of clinical nursing - (2024) vom: 29. Apr.

Sprache:

Englisch

Beteiligte Personen:

Cilluffo, Silvia [VerfasserIn]
Bassola, Barbara [VerfasserIn]
Lyons, Karen S [VerfasserIn]
Lee, Christopher S [VerfasserIn]
Vellone, Ercole [VerfasserIn]
Pucciarelli, Gianluca [VerfasserIn]
Clari, Marco [VerfasserIn]
Dimonte, Valerio [VerfasserIn]
Lusignani, Maura [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Mutuality
Nurse–patient relationship
Patient outcome assessment
Regression analysis
Self‐care

Anmerkungen:

Date Revised 30.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1111/jocn.17181

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371745292