Delineating and Clarifying the Concept of Self-care Monitoring: a Concept Analysis

Overview

Journal Int J Qual Stud Health Well-being

Specialties Health Services
Public Health

Date 2023 Jul 28

PMID 37506372

Authors

Natali Johnsson

Susanna Strandberg

Hanna Tuvesson

Cecilia Fagerstrom

Mirjam Ekstedt

Catharina Lindberg

Affiliations

Soon will be listed here.

Abstract

Aim: To delineate and clarify the meaning of the concept of self-care monitoring from a patient perspective.

Methods: A systematic search was performed in the databases ASSIA, CINAHL, PsycInfo, and PubMed (January 2016-September 2021). A selection of 46 peer-reviewed articles was included in the study and analysed using Rodgers' Evolutionary Method for Concept Analysis.

Results: The following four attributes were identified: Tracking symptoms, signs, and actions, Paying attention, Being confident, and Needing routines, creating a descriptive definition: "Self-care monitoring is an activity that means a person has to pay attention and be confident and needs routines for tracking symptoms, signs, and action." The antecedents of the concept were shown to be Increased knowledge, Wish for independence, and Commitment. The concepts' consequences were identified as Increased interaction, Perceived burden, and Enhanced well-being.

Conclusions: This concept analysis provides extensive understanding of self-care monitoring from a patient perspective. It was shown that the concept occurs when a person practices self-care monitoring at home either with or without devices. A descriptive definition was constructed and presented with exemplars to encourage practice of the concept in various healthcare settings and could be of relevance to people with chronic illnesses or other long-term conditions.

Citing Articles

Supporting patients with venous leg ulcers in self-care monitoring: an interview study with primary health care professionals.

Johnsson N, Fagerstrom C, Lindberg C, Tuvesson H Scand J Prim Health Care. 2024; 42(4):515-524.

PMID: 38676568 PMC: 11552256. DOI: 10.1080/02813432.2024.2346134.

References

Hudson C, Darking M, Cox J . Understanding the Value of Patientview for Enabling Self-Care Practice in Chronic Kidney Disease. J Ren Care. 2019; 46(1):13-24. DOI: 10.1111/jorc.12300. View

Knight B, McIntyre H, Hickman I, Noud M . Qualitative assessment of user experiences of a novel smart phone application designed to support flexible intensive insulin therapy in type 1 diabetes. BMC Med Inform Decis Mak. 2016; 16:119. PMC: 5024512. DOI: 10.1186/s12911-016-0356-6. View

Fabrizi D, Rebora P, Luciani M, Di Mauro S, Valsecchi M, Ausili D . How do self-care maintenance, self-care monitoring, and self-care management affect glycated haemoglobin in adults with type 2 diabetes? A multicentre observational study. Endocrine. 2020; 69(3):542-552. DOI: 10.1007/s12020-020-02354-w. View

Kuljis J, Money A, Perry M, Barnett J, Young T . Technology-assisted self-testing and management of oral anticoagulation therapy: a qualitative patient-focused study. Scand J Caring Sci. 2016; 31(3):603-617. DOI: 10.1111/scs.12374. View

Wilde M, Garvin S . A concept analysis of self-monitoring. J Adv Nurs. 2007; 57(3):339-50. DOI: 10.1111/j.1365-2648.2006.04089.x. View

Morton K, Dennison L, Bradbury K, Band R, May C, Raftery J . Qualitative process study to explore the perceived burdens and benefits of a digital intervention for self-managing high blood pressure in Primary Care in the UK. BMJ Open. 2018; 8(5):e020843. PMC: 5942415. DOI: 10.1136/bmjopen-2017-020843. View

Barnett K, Mercer S, Norbury M, Watt G, Wyke S, Guthrie B . Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet. 2012; 380(9836):37-43. DOI: 10.1016/S0140-6736(12)60240-2. View

Abreu L, Nunes J, Taylor P, Silva S . Distributed health literacy among people living with type 2 diabetes in Portugal: Defining levels of awareness and support. Health Soc Care Community. 2017; 26(1):90-101. DOI: 10.1111/hsc.12465. View

Hibbard J, Greene J . What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs. Health Aff (Millwood). 2013; 32(2):207-14. DOI: 10.1377/hlthaff.2012.1061. View

10.

Bernhard G, Mahler C, Seidling H, Stutzle M, Ose D, Baudendistel I . Developing a Shared Patient-Centered, Web-Based Medication Platform for Type 2 Diabetes Patients and Their Health Care Providers: Qualitative Study on User Requirements. J Med Internet Res. 2018; 20(3):e105. PMC: 5893891. DOI: 10.2196/jmir.8666. View

11.

Kneck A, Flink M, Frykholm O, Kirsebom M, Ekstedt M . The Information Flow in a Healthcare Organisation with Integrated Units. Int J Integr Care. 2019; 19(3):20. PMC: 6764182. DOI: 10.5334/ijic.4192. View

12.

Riegel B, Jaarsma T, Stromberg A . A middle-range theory of self-care of chronic illness. ANS Adv Nurs Sci. 2012; 35(3):194-204. DOI: 10.1097/ANS.0b013e318261b1ba. View

13.

Wah Y, McGill M, Wong J, Ross G, Harding A, Krass I . Self-management of gestational diabetes among Chinese migrants: A qualitative study. Women Birth. 2018; 32(1):e17-e23. DOI: 10.1016/j.wombi.2018.03.001. View

14.

Sheppard J, Tucker K, Davison W, Stevens R, Aekplakorn W, Bosworth H . Self-monitoring of Blood Pressure in Patients With Hypertension-Related Multi-morbidity: Systematic Review and Individual Patient Data Meta-analysis. Am J Hypertens. 2019; 33(3):243-251. PMC: 7162426. DOI: 10.1093/ajh/hpz182. View

15.

Nordfonn O, Morken I, Bru L, Husebo A . Patients' experience with heart failure treatment and self-care-A qualitative study exploring the burden of treatment. J Clin Nurs. 2019; 28(9-10):1782-1793. DOI: 10.1111/jocn.14799. View

16.

Adnanes M, Cresswell-Smith J, Melby L, Westerlund H, Sprah L, Sfetcu R . Discharge planning, self-management, and community support: Strategies to avoid psychiatric rehospitalisation from a service user perspective. Patient Educ Couns. 2019; 103(5):1033-1040. DOI: 10.1016/j.pec.2019.12.002. View

17.

Rodgers B . Concepts, analysis and the development of nursing knowledge: the evolutionary cycle. J Adv Nurs. 1989; 14(4):330-5. DOI: 10.1111/j.1365-2648.1989.tb03420.x. View

18.

Walker R, Tong A, Howard K, Palmer S . Patient expectations and experiences of remote monitoring for chronic diseases: Systematic review and thematic synthesis of qualitative studies. Int J Med Inform. 2019; 124:78-85. DOI: 10.1016/j.ijmedinf.2019.01.013. View

19.

Kimerling R, Lewis E, Javier S, Zulman D . Opportunity or Burden? A Behavioral Framework for Patient Engagement. Med Care. 2019; 58(2):161-168. PMC: 10226549. DOI: 10.1097/MLR.0000000000001240. View

20.

Tulu S, Cook P, Oman K, Meek P, Gudina E . Chronic disease self-care: A concept analysis. Nurs Forum. 2021; 56(3):734-741. DOI: 10.1111/nuf.12577. View