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Advanced Theory for the Practice of Nursing

Self-Management Concept. Lisa G. Castro, BSN,RN,MBA. Advanced Theory for the Practice of Nursing. Objectives. Explain the reason for concept selection Describe the various uses of concept Describe the concept’s defining attributes Analyze the concept’s empirical referents.

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Advanced Theory for the Practice of Nursing

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  1. Self-Management Concept Lisa G. Castro, BSN,RN,MBA Advanced Theory for the Practice of Nursing

  2. Objectives • Explain the reason for concept selection • Describe the various uses of concept • Describe the concept’s defining attributes • Analyze the concept’s empirical referents

  3. Concept Selection • Health care environment • Increasing demand and cost reduction • Acute and chronic disease management • Synonymous use of self-management concepts • Self-care, self-management, symptom management and self-efficacy • Need for clear concept definition • Guidance toward better outcomes • Opinion post analysis

  4. Various Uses of Concept • Dictionary self-management definition • Business self-management • Team self-management • Education self-management • Nursing self-management • Throne, Patterson, & Whitehead • Wilkinson and Whitehead • Unger and Buelow

  5. Defining Attributes • Lifestyle changes • Individualized goals • Self-monitoring • Support

  6. Empirical Referents • Goal setting • Lifestyle modifications • Healthcare support Example: http://ndep.nih.gov/publications/PublicationDetail.aspx?PubId=71

  7. References • American Association of Diabetes Educators. (2009). AADE position statement: primary prevention of type 2 diabetes [Supplemental material]. The Diabetes Educator, 35(3), 57S-59S. • Bandura, A. (2004, April). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143-164. http://dx.doi.org/ • Briesch, A. M., & Chafouleas, S. M. (2009, June). Review and analysis of literature on self-management interventions to promote appropriate classroom behaviors. School Psychology Quarterly, 24, 106-118. http://dx.doi.org/10.1037/a0016159 • Dictionary.com. (2013). www.dictionary.com • Kaplan, R. S. (2008). Reaching your potential. Harvard Business Review, 86(), 45-49. • Kelly, J. M., Marrero, D. G., Gallivan, J., Leontos, C., & Perry, S. (2004, July). Diabetes prevention: a GAMEPLAN for success. Geriatrics, 59(7), 26-32. • Knowler, W. C., Barrett-Connor, E., Fowler, S. E., Hamman, R. F., Lachin, J. M., Walker, E. A., & Nathan, D. M. (2002, February 7). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine, 346(6), 393-403. • Langfred, C. W. (2007, August 1). The downside of self-management: a longitudinal study of the effects of conflict on trust, autonomy, and task interdependence in self-managing teams. Academy of Management Journal, 50, 885-890. http://dx.doi.org/10.5465/AMJ.2007.26279196 • Lorig, K. R., & Holman, H. R. (2003). Self-management education: history, definitions, outcomes, and mechanisms. Annals of Behavioral Medicine, 26(1), 1-7. http://dx.doi.org/10.1207/S15324796ABM2601_01 • Richard, A. A., & Shea, K. (2011). Delineation of self-care and associated concepts. Journal of Nursing Scholarship, 43(3), 255-264. http://dx.doi.org/10.1111/j.1547-5069.2011.01.404.x • Rothenberger, C. D. (2011, January 27). Chronic illness self-management in prediabetes: a concept analysis. Journal of Nursing and Healthcare of Chronic Illness, 3, 77-86. http://dx.doi.org/ • Thorne, S., Paterson, B., & Russell, C. (2003, December). The structure of everyday self-caredecision making in chronic illness. Qualitative Health Research, 13(10), 1337-1352. http://dx.doi.org/10.1177/1049732303258039 • Unger, W. R., & Buelow, J. M. (2009, January). Hybrid concept analysis of self-management in adults newly diagnosed with epilepsy. Epilepsy and Behavior, 14(1), 89-95. Retrieved from http://www.sciencedirect.com/science/article/pii/S1525505008002795 • Walker, L. O., & Avant, K. C. (2011). Strategies for theory construction in nursing (5th ed.). Saddle River, New Jersey: Prentice Hall.

  8. Thank you.

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