Processes of self-management in chronic illness

Schulman-Green D, Jaser S, Jaser, Sarah, Martin, Faith ORCID: https://orcid.org/0000-0002-0141-1210, Alonzo, Angelo, Grey, Margaret, McCorckle, Ruth, Redeker, Nancy S. and Whittemore, Robin 2012. Processes of self-management in chronic illness. Journal of Nursing Scholarship 44 (2) , pp. 136-144. 10.1111/j.1547-5069.2012.01444.x

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Abstract

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.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Psychology
Publisher:	Wiley
ISSN:	1547-5069
Date of Acceptance:	14 March 2012
Last Modified:	15 Mar 2023 15:45
URI:	https://orca.cardiff.ac.uk/id/eprint/157247

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