Cargando…
Meaning of self-management from the perspective of individuals with traumatic spinal cord injury, their caregivers, and acute care and rehabilitation managers: an opportunity for improved care delivery
BACKGROUND: The trend of decreasing length of stay in rehabilitation facilities has led to individuals with spinal cord injury (SCI) entering the community with unmet needs and fewer self-care skills to prevent secondary complications. The implementation of a self-management program for individuals...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4724136/ https://www.ncbi.nlm.nih.gov/pubmed/26801243 http://dx.doi.org/10.1186/s12883-016-0534-2 |
_version_ | 1782411538759417856 |
---|---|
author | Munce, Sarah E. P. Webster, Fiona Fehlings, Michael G. Straus, Sharon E. Jang, Eunice Jaglal, Susan B. |
author_facet | Munce, Sarah E. P. Webster, Fiona Fehlings, Michael G. Straus, Sharon E. Jang, Eunice Jaglal, Susan B. |
author_sort | Munce, Sarah E. P. |
collection | PubMed |
description | BACKGROUND: The trend of decreasing length of stay in rehabilitation facilities has led to individuals with spinal cord injury (SCI) entering the community with unmet needs and fewer self-care skills to prevent secondary complications. The implementation of a self-management program for individuals with SCI for the management of these complex needs, including secondary complications, may be one option to fill these care gaps. A greater understanding of the meaning of self-management may facilitate the development of a tailored self-management program in this population. Thus, the current research aims to understand the meaning of self-management in traumatic SCI from the perspectives of individuals with traumatic SCI and their caregivers as well as acute care/trauma and rehabilitation managers. METHODS: A descriptive qualitative approach was used. Semi-structured telephone interviews were conducted with 26 individuals with traumatic SCI, their family members/caregivers, and managers from acute care/trauma and rehabilitation centres. Inductive thematic analysis was applied. RESULTS: The meaning of self-management in SCI related to two overarching themes of internal and external responsibility attribution and revealed differences between the meaning of self-management in SCI among individuals with traumatic SCI and their caregivers versus managers. Overall, the meaning of self-management among the SCI and caregiver participants related principally to internal responsibility attribution. For the manager participants, the meaning of self-management was much narrower and the overarching theme of internal responsibility attribution that was observed among the SCI-caregiver dyads was not as widely expressed by this group. CONCLUSIONS: Interventions that are co-created by users and health care professionals are associated with positive physical and mental health outcomes. Thus, the understanding of self-management from these varying perspectives could be applied to the development of a tailored self-management program that is relevant to individuals with traumatic SCI and their caregivers. This may involve the development of a program that uses some of the structure of traditional chronic disease self-management programs, in accordance with the beliefs held by the managers, but also incorporates elements of wellness/health promotion interventions, in accordance with the beliefs held by the SCI and caregiver participants. |
format | Online Article Text |
id | pubmed-4724136 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-47241362016-01-24 Meaning of self-management from the perspective of individuals with traumatic spinal cord injury, their caregivers, and acute care and rehabilitation managers: an opportunity for improved care delivery Munce, Sarah E. P. Webster, Fiona Fehlings, Michael G. Straus, Sharon E. Jang, Eunice Jaglal, Susan B. BMC Neurol Research Article BACKGROUND: The trend of decreasing length of stay in rehabilitation facilities has led to individuals with spinal cord injury (SCI) entering the community with unmet needs and fewer self-care skills to prevent secondary complications. The implementation of a self-management program for individuals with SCI for the management of these complex needs, including secondary complications, may be one option to fill these care gaps. A greater understanding of the meaning of self-management may facilitate the development of a tailored self-management program in this population. Thus, the current research aims to understand the meaning of self-management in traumatic SCI from the perspectives of individuals with traumatic SCI and their caregivers as well as acute care/trauma and rehabilitation managers. METHODS: A descriptive qualitative approach was used. Semi-structured telephone interviews were conducted with 26 individuals with traumatic SCI, their family members/caregivers, and managers from acute care/trauma and rehabilitation centres. Inductive thematic analysis was applied. RESULTS: The meaning of self-management in SCI related to two overarching themes of internal and external responsibility attribution and revealed differences between the meaning of self-management in SCI among individuals with traumatic SCI and their caregivers versus managers. Overall, the meaning of self-management among the SCI and caregiver participants related principally to internal responsibility attribution. For the manager participants, the meaning of self-management was much narrower and the overarching theme of internal responsibility attribution that was observed among the SCI-caregiver dyads was not as widely expressed by this group. CONCLUSIONS: Interventions that are co-created by users and health care professionals are associated with positive physical and mental health outcomes. Thus, the understanding of self-management from these varying perspectives could be applied to the development of a tailored self-management program that is relevant to individuals with traumatic SCI and their caregivers. This may involve the development of a program that uses some of the structure of traditional chronic disease self-management programs, in accordance with the beliefs held by the managers, but also incorporates elements of wellness/health promotion interventions, in accordance with the beliefs held by the SCI and caregiver participants. BioMed Central 2016-01-23 /pmc/articles/PMC4724136/ /pubmed/26801243 http://dx.doi.org/10.1186/s12883-016-0534-2 Text en © Munce et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Munce, Sarah E. P. Webster, Fiona Fehlings, Michael G. Straus, Sharon E. Jang, Eunice Jaglal, Susan B. Meaning of self-management from the perspective of individuals with traumatic spinal cord injury, their caregivers, and acute care and rehabilitation managers: an opportunity for improved care delivery |
title | Meaning of self-management from the perspective of individuals with traumatic spinal cord injury, their caregivers, and acute care and rehabilitation managers: an opportunity for improved care delivery |
title_full | Meaning of self-management from the perspective of individuals with traumatic spinal cord injury, their caregivers, and acute care and rehabilitation managers: an opportunity for improved care delivery |
title_fullStr | Meaning of self-management from the perspective of individuals with traumatic spinal cord injury, their caregivers, and acute care and rehabilitation managers: an opportunity for improved care delivery |
title_full_unstemmed | Meaning of self-management from the perspective of individuals with traumatic spinal cord injury, their caregivers, and acute care and rehabilitation managers: an opportunity for improved care delivery |
title_short | Meaning of self-management from the perspective of individuals with traumatic spinal cord injury, their caregivers, and acute care and rehabilitation managers: an opportunity for improved care delivery |
title_sort | meaning of self-management from the perspective of individuals with traumatic spinal cord injury, their caregivers, and acute care and rehabilitation managers: an opportunity for improved care delivery |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4724136/ https://www.ncbi.nlm.nih.gov/pubmed/26801243 http://dx.doi.org/10.1186/s12883-016-0534-2 |
work_keys_str_mv | AT muncesarahep meaningofselfmanagementfromtheperspectiveofindividualswithtraumaticspinalcordinjurytheircaregiversandacutecareandrehabilitationmanagersanopportunityforimprovedcaredelivery AT websterfiona meaningofselfmanagementfromtheperspectiveofindividualswithtraumaticspinalcordinjurytheircaregiversandacutecareandrehabilitationmanagersanopportunityforimprovedcaredelivery AT fehlingsmichaelg meaningofselfmanagementfromtheperspectiveofindividualswithtraumaticspinalcordinjurytheircaregiversandacutecareandrehabilitationmanagersanopportunityforimprovedcaredelivery AT straussharone meaningofselfmanagementfromtheperspectiveofindividualswithtraumaticspinalcordinjurytheircaregiversandacutecareandrehabilitationmanagersanopportunityforimprovedcaredelivery AT jangeunice meaningofselfmanagementfromtheperspectiveofindividualswithtraumaticspinalcordinjurytheircaregiversandacutecareandrehabilitationmanagersanopportunityforimprovedcaredelivery AT jaglalsusanb meaningofselfmanagementfromtheperspectiveofindividualswithtraumaticspinalcordinjurytheircaregiversandacutecareandrehabilitationmanagersanopportunityforimprovedcaredelivery |