58. A mapping and analysis of literature on community nurses’ support for self care with patients who have long term conditions (73)

Colin Macduff, Lecturer, CeNPRaD, School of Nursing, The Robert Gordon University, Aberdeen, United Kingdom
Co author:  Judith Sinclair
c.macduff@rgu.ac.uk

Abstract:

During the past five years the promotion of self care as a means for improving health has gained considerable momentum in national health care policy within many developed countries. This approach has been particularly advocated in the UK as being beneficial to patients with long term conditions (DOH 2005). Recently within Scotland, supporting self care has been identified as one of the seven core elements of a redesigned community nursing model that is built around a new, generalist Community Health Nurse role. Despite these developments, there appears to be little known about the nature and extent of support for self care that community nurses currently provide for patients with long term conditions in Scotland (and in the UK as a whole). As part of a larger empirical study of practice in Scotland, a literature mapping and analysis study is being conducted in order to synthesise relevant knowledge. This paper will report the process and outcomes of this study (due for completion in January 2008), with a view to providing conference participants with a current “state of the art” summary. The mapping process has involved systematic literature enquiry drawing on relevant texts within three broad fields: community nursing literature; self care literature; and long term conditions literature. This has included analysis of recent major reviews in each of these fields (e.g. Coulter and Ellis 2006; Jones et al 2006). Through this mapping process a set of core papers are being identified and analysed: thematically in terms of commonalities and divergences; critically in terms of using validated approaches to appraisal of qualitative and quantitative material; and summatively in terms of what can be concluded from the literature. In this way, baseline knowledge of relevance to both practice and policy will be presented for discussion and debate.

Recommended reading list:

• Department of Health (2005) Supporting people with long term conditons. London: DOH
• Coulter, A and Ellis, J (2006) Patient-focused interventions: a review of the evidence London: The Health Foundation and Picker Institute Europe
• Jones, M et al (2006) A scoping review to inform the development of patient-directed self management interventions in people with chronic illness Dundee: Alliance for Self Care Research

Source of Funding:  UK - Professional Association
Queens Nursing Institute Scotland

Amount in Funding:  10,001 - 50,000

Biography:

Colin is a Lecturer in Robert Gordon University, Aberdeen.He has a background in nursing and health services research. His research interests are varied and include evaluation research, quality of life and outcome measures, community nursing, ethics and poetry in nursing. In recent years he has published widely on these subjects.