TY  - JOUR
AU  - Öberg, Ulrika
AU  - Orre, Carl Johan
AU  - Hörnsten, Åsa
AU  - Jutterström, Lena
AU  - Isaksson, Ulf
PY  - 2020
DA  - 2020/9/15
TI  - Using the Self-Management Assessment Scale for Screening Support Needs in Type 2 Diabetes: Qualitative Study
JO  - JMIR Nursing
SP  - e16318
VL  - 3
IS  - 1
KW  - eHealth
KW  - internet
KW  - type 2 diabetes
KW  - self-management
KW  - primary health care
KW  - qualitative research
KW  - nursing
AB  - Background: Globally, most countries face a common challenge by moving toward a population-based structure with an increasing number of older people living with chronic conditions such as type 2 diabetes. This creates a considerable burden on health care services. The use of digital tools to tackle health care challenges established views on traditional nursing, based on face-to-face meetings. Self-management is considered a key component of chronic care and can be defined as management of the day-to-day impact of a condition, something that is often a lifelong task. The use of a screening instrument, such as the Self-Management Assessment Scale (SMASc), offers the potential to guide primary health care nurses into person-centered self-management support, which in turn can help people strengthen their empowerment and self-management capabilities. However, research on self-management screening instruments is sparse, and no research on nurses’ experiences using a digitalized scale for measuring patients’ needs for self-management support in primary health care settings has been found. Objective: This paper describes diabetes specialist nurses’ (DSNs) experiences of a pilot implementation of the SMASc instrument as the basis for person-centered digital self-management support. Methods: This qualitative study is based on observations and interviews analyzed using qualitative content analysis. Results: From the perspectives of DSNs, the SMASc instrument offers insights that contribute to strengthened self-management support for people with type 2 diabetes by providing a new way of thinking and acting on the patient’s term. Furthermore, the SMASc was seen as a screening instrument with good potential that embraces more than medical issues; it contributed to strengthening person-centered self-management support, and the instrument was considered to lead both parts, that is, DSNs and patients, to develop together through collaboration. Conclusions: Person-centered care is advocated as a model for good clinical practice; however, this is not always complied with. Screening instruments, such as the SMASc, may empower both nurses and patients with type 2 diabetes with more personalized care. Using a screening instrument in a patient meeting may also contribute to a role change in the work and practice of DSNs. 
SN  - 2562-7600
UR  - https://nursing.jmir.org/2020/1/e16318/
UR  - https://doi.org/10.2196/16318
DO  - 10.2196/16318
ID  - info:doi/10.2196/16318
ER  -