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Development and pilot evaluation of a training intervention to enhance nurses’ competencies for self-management support

(2019)
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Abstract
Background. Patients living with a chronic illness need to be empowered to take the lead in managing their condition. Nurses lack confidence and skills to adequately support patients towards self-managing their illness. The aim of this study was two-fold: (1) to systematically develop a training intervention to enhance nurses’ competencies for self-management support (SMS), and (2) to test the feasibility, acceptability and usefulness of the training. Methods & results. The training intervention was developed according to the Utrechts’ model for development of complex nursing interventions (Van Meijel et al., 2004). In phase one, the building blocks for the design were gathered through a systematic literature review on effective components to train competencies for SMS; a current practice analysis among hospital (N=323) and home care (N=154) nurses, as well as among final-year nursing students (N=256); and a need assessment by a grounded theory study. In phase two, the training intervention was designed using the 5A’s-model (Glasgow et al., 2003), the Self-Determination Theory (Deci & Ryan, 2000) and the Presence Approach (Baart & Grypdonk, 2008). Five experts were involved in the process. Phase three consisted of a pilot evaluation on the feasibility, appropriateness, and meaningfulness among the participants (focus group) and the trainers. Discussion. This method of development led to a theory- and use-feedback driven training intervention, which is meaningful to nursing practice. The broader theoretical frameworks and the time to practice autonomy-supportive communication were most appreciated by participants. In a next step the effectiveness of the intervention on nurses’ competencies will be evaluated. Conclusion. We developed a multi-faceted training, which takes into account participants’ learning needs to provide self-management support. A first enrolment of the training has been successfully welcomed by an interdisciplinary group of students bachelor after bachelor primary care.

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Chicago
Wuyts, Dorien, Veerle Duprez, Ilse Vandepoel, Veerle Lemaire, and Ann Van Hecke. 2019. “Development and Pilot Evaluation of a Training Intervention to Enhance Nurses’ Competencies for Self-management Support.” In .
APA
Wuyts, D., Duprez, V., Vandepoel, I., Lemaire, V., & Van Hecke, A. (2019). Development and pilot evaluation of a training intervention to enhance nurses’ competencies for self-management support. Presented at the CARE4 International Scientific Nursing and Midwifery Congress, Third Edition.
Vancouver
1.
Wuyts D, Duprez V, Vandepoel I, Lemaire V, Van Hecke A. Development and pilot evaluation of a training intervention to enhance nurses’ competencies for self-management support. 2019.
MLA
Wuyts, Dorien et al. “Development and Pilot Evaluation of a Training Intervention to Enhance Nurses’ Competencies for Self-management Support.” 2019. Print.
@inproceedings{8599741,
  abstract     = {Background. Patients living with a chronic illness need to be empowered to take the lead in managing their condition. Nurses lack confidence and skills to adequately support patients towards self-managing their illness. The aim of this study was two-fold: (1) to systematically develop a training intervention to enhance nurses{\textquoteright} competencies for self-management support (SMS), and (2) to test the feasibility, acceptability and usefulness of the training.
Methods \& results. The training intervention was developed according to the Utrechts{\textquoteright} model for development of complex nursing interventions (Van Meijel et al., 2004). In phase one, the building blocks for the design were gathered through a systematic literature review on effective components to train competencies for SMS; a current practice analysis among hospital (N=323) and home care (N=154) nurses, as well as among final-year nursing students (N=256); and a need assessment by a grounded theory study. In phase two, the training intervention was designed using the 5A{\textquoteright}s-model (Glasgow et al., 2003), the Self-Determination Theory (Deci \& Ryan, 2000) and the Presence Approach (Baart \& Grypdonk, 2008). Five experts were involved in the process. Phase three consisted of a pilot evaluation on the feasibility, appropriateness, and meaningfulness among the participants (focus group) and the trainers.
Discussion. This method of development led to a theory- and use-feedback driven training intervention, which is meaningful to nursing practice. The broader theoretical frameworks and the time to practice autonomy-supportive communication were most appreciated by participants. In a next step the effectiveness of the intervention on nurses{\textquoteright} competencies will be evaluated.
Conclusion. We developed a multi-faceted training, which takes into account participants{\textquoteright} learning needs to provide self-management support. A first enrolment of the training has been successfully welcomed by an interdisciplinary group of students bachelor after bachelor primary care.},
  author       = {Wuyts, Dorien and Duprez, Veerle and Vandepoel, Ilse and Lemaire, Veerle and Van Hecke, Ann},
  language     = {eng},
  location     = {Leuven},
  title        = {Development and pilot evaluation of a training intervention to enhance nurses{\textquoteright} competencies for self-management support},
  year         = {2019},
}