This thesis contributed to the understanding of the role of nurses in self-management support.
Nurses are expected to support patients with chronic conditions in their self-management, based on nursing theories and the professional profiles, but also based on expectations of policy makers. Supporting patients’ self-management, according to the broad view on self-management, is however not necessarily current practice, neither in clinical nursing practice nor in Dutch Bachelor of Nursing education. Most nurses seem to focus on the Advise phase, on medical outcomes and on ‘getting the work done’.
Reflection on nurses’ tasks is needed, since many studies in this thesis show that the Arrange phase received least attention in education, and was assigned the lowest scores in the questionnaires. Yet, the tasks in this phase represent an important aspect of self-management support and of the nursing profession. Equal partnership, which is an essential aspect of self-management support, seems to be difficult for nurses in everyday practice. Nurse education could facilitate students in empowering them and teaching them the value of patient’s expertise.

Additional Metadata
Keywords Nursing, nurse education, self-management, self-management support, self-care
Promotor R.A. Bal (Roland) , A.L. van Staa (AnneLoes) , J. Dwarswaard (Jolanda)
Publisher Erasmus University Rotterdam
Sponsor The work in this thesis was financially supported by the Netherlands Organization for Health Research and Development (ZonMW)(Grant number 520001004).
ISBN 978-94-6361-005-6
Persistent URL hdl.handle.net/1765/102421
Note All studies in this thesis were part of the NUrsing Research into Self-management and Empowerment (NURSE-CC) research program of Rotterdam University of Applied Sciences (Research Centre Innovations in Care),
Citation
van Hooft, S.M. (2017, October 25). Between Expectations and Reality : self-management support in nursing practice and nurse education. Erasmus University Rotterdam. Retrieved from http://hdl.handle.net/1765/102421