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Facilitators and barriers to self-management of nursing home residents: perspectives of health-care professionals in Korean nursing homes

Authors Park YH, Bang HL, Kim GH, Ha JY

Received 29 July 2015

Accepted for publication 9 September 2015

Published 12 October 2015 Volume 2015:10 Pages 1617—1624

DOI https://doi.org/10.2147/CIA.S93333

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Supriya Swarnkar

Peer reviewer comments 2

Editor who approved publication: Dr Richard Walker

Yeon-Hwan Park,1,2 Hwal Lan Bang,2,3 Ga Hye Kim,1 Ji Yeon Ha1

1College of Nursing, Seoul National University, Seoul, Korea; 2The Research Institute of Nursing Science, Seoul National University, Seoul, Korea; 3Department of Nursing Science, College of Industry, Sangmyung University, Cheonan, Korea

Purpose: To explore facilitators and barriers to self-management from the viewpoint of staff taking care of nursing home (NH) residents with chronic diseases in South Korea.
Patients and methods: A qualitative content analysis was done using the focus group interview method. A total of 23 health-care professionals (16 registered nurses and 7 social workers) were interviewed from three urban NHs, each with more than 100 beds.
Results: Five facilitators were identified: grouping the residents; the resident’s awareness of his/her current health status; the willingness of residents to engage in self-management; residence in the facility; and support from the staff. Additionally, seven barriers were identified: deterioration of the resident’s health; the dependency expectations of the resident; hesitation in asking for help; difference in expectations between the staff and the resident’s family; insufficient staffing and time; lack of standardized guidelines; and conservative tendencies of the staff due to rigid policies.
Conclusion: The findings of this study can help health-care professionals recognize the factors that influence self-management and provide direction for registered nurses and other health professionals involved in supporting self-management programs for NH residents.

Keywords: self-management, aged, focus groups, long-term care

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