Previus document

Next document

Send mail to the author

Sin Ttulo

Presentation modality: poster
Nursing care research and long term conditions




REF.: 019
Country: United Kingdom

Self-management in chronic disease: a typology of patient expertise
Wilson P, Kendall S, Brooks F
Centre for Research in Primary and Community Care, University of Hertfordshire, College Lane, Hatfield (UK)

Mail delivery: Centre for Research in Primary and Community Care, University of Hertfordshire. College Lane, Hatfield AL10 9AB (UK)

Rev Paraninfo digital, 2007: 2

How to cite this document

Wilson P, Kendall S, Brooks F. Self-management in chronic disease: a typology of patient expertise. Rev Paraninfo digital, 2007; 2. In: <http://www.index-f.com/para/n2/019.php> Consulted 17 de Agosto del 2022



Objectives: As a response to the increasing burden of chronic illness there has been a succession of self-care initiatives which have the potential to alter the relationship between professional and patient. This poster will present findings of a qualitative study which explored how patient expertise was interpreted, defined and experienced by both patients and health professionals, and how self-management and patient expertise is enhanced or impeded.
Design: Over 100 patients and health professionals participated in the research. The latter group included doctors, nurses and physiotherapists. Data was collected through semi-structured interviews, focus groups and observation.
Results: Analysis of the data from patients suggested a typology of patient expertise that had developed over time. Responses to active self-management could be mapped on overt-covert and acceptor-challenger axes. Factors influencing the typology were patients� responses to National Health Service provision, their response to the emotional consequence of having a chronic illness, their motive for information seeking regarding their condition, and the patient�s style of communication within the clinical consultation.
The findings indicated that professionals had varied responses to differing presentations of patient expertise. Compared to the other professionals, nurses were the most anxious regarding patient expertise. This appeared linked with a lack of professional confidence and unfounded fears regarding litigation in self-management. However, clinical nurse specialists often provided a disconfirming case to this. In addition, many patients described nurses as being the most effective professional in helping them meet the emotional consequences of living with a chronic disease.
Conclusion: Within the context of an ever-increasing remit for nurses within chronic disease management, the poster will explore the implications of these findings. Drawing on the example of the clinical nurse specialists the paper will conclude with role and environmental characteristics that facilitate nurses' enablement of active self-management.
Principio de p᧩na

Pie Doc










CUIDEN citación

REHIC Revistas incluidas
Como incluir documentos
Glosario de documentos periódicos
Glosario de documentos no periódicos
Certificar producción


Hemeroteca Cantárida
El Rincón del Investigador
Otras BDB


¿Quiénes somos?
RICO Red de Centros Colaboradores
Casa de Mágina
MINERVA Jóvenes investigadores


INVESCOM Salud Comunitaria
LIC Laboratorio de Investigación Cualitativa
OEBE Observatorio de Enfermería Basada en la Evidencia
GED Investigación bibliométrica y documental
Grupo Aurora Mas de Investigación en Cuidados e Historia
FORESTOMA Living Lab Enfermería en Estomaterapia
CIBERE Consejo Iberoamericano de Editores de Revistas de Enfermería