uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Communication and self-management education at nurse-led COPD clinics in primary health care
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , Center for Clinical Research Dalarna.
Show others and affiliations
2009 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 77, no 2, 209-217 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2009. Vol. 77, no 2, 209-217 p.
Keyword [en]
Consultation Map, Motivational dialogue, Nurse specialized in chronic obstructive pulmonary disease, Smoking cessation, Videotaped consultations
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-148222DOI: 10.1016/j.pec.2009.03.033ISI: 000272024700011PubMedID: 19414234OAI: oai:DiVA.org:uu-148222DiVA: diva2:401592
Available from: 2011-03-03 Created: 2011-03-03 Last updated: 2011-03-03Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed
By organisation
Center for Clinical Research Dalarna
In the same journal
Patient Education and Counseling
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 174 hits
ReferencesLink to record
Permanent link

Direct link