Self-care promotion competences among general practitioners and primary care nurses and their affecting factors
Jessica Longhini
Keywords: self-care; general practice; nursing; interpofessional care; primary care; home care; patient education
Background:
The world health organization has emphasized the importance to promote self-care, including education on lifestyles, chronic conditions, and new emerging issues such as digital literacy and planetary health. Patient education has not been studied in terms of self-care promotion embedding these different aspects, that might be well addressed in general practice and home care.
Research questions:
the aims of this project will be: a) validating an interprofessional instrument for measuring self-care promotion competencies of general practitioners and primary care nurses; b) measuring these competencies in a European sampling of general practitioners and primary care nurses; c) identifying factors that could promote or hindering acting these competencies.
Method:
the project will be conducted in multiple phases: a) conducting a literature review and semi-structured interviews to identify self-care promotion competencies and their influencing factors; b) building an instrument based on the findings of the first phase; c) conducting a validation study with a transnational Delphy study according to COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) guideline; d) performing a cross-sectional study using the developed instrument including the competencies assessment part and influencing factors identified in literature and with the interviews; in this phase, influencing factors will be studied with a structured equational model. Participants will be general practitioners and nurses working in general practice and home care. The analysis will be conducted with the Software R-project and M-Plus.
Results:
The results might inform a curriculum for a future innovative educational program targeted to general practitioners, primary care nurses, managers, educators, and stakeholders. Ameliorating self-care promotion competencies towards new emerging issues will help to improve health outcomes, health-seeking behaviors, and health service use. The results might inform future projects on the association with the patient’s self-care abilities and their need for education from primary care providers.
Conclusions:
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Points for discussion:
Do you have other similar projects in your country?
Did you ever study or take part to a project to assess these competencies in primary care?
Do you have training programs on this topic in your country?
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