TY - JOUR
AU - J. Beaudin
AU - M. C. Chouinard
AU - É Hudon
AU - C. Hudon
A1 - 
AB - AIM: To describe the factors influencing clinical integration of self-management support by primary care nurses for people with physical chronic diseases and common mental disorders, as well as strategies for improvement. DESIGN: Thorne's interpretive descriptive qualitative approach. METHODS: Semi-structured interviews lasting from 60 to 90 min were carried out virtually with nurses from Family Medicine Groups and University Family Medicine Groups across the province of Quebec (Canada) from January 2022 to January 2023. Twenty-three primary care nurses were recruited through purposive and snowball sampling from three networks. Iterative deductive and inductive thematic analysis was completed using Valentijn's Rainbow Model of Integrated Care. RESULTS: The study identified several factors influencing integrated self-management support from primary care nurses across integration domains: clinical (knowledge, skills, training and experience; workload; approaches and activities; attitudes and behaviours; clinical tools), professional (interprofessional and nursing roles; collaboration; team composition), normative and functional (culture and organisational mechanisms). Improvement strategies pointed to the necessity of developing training regarding common mental disorders, adapted clinical tools, clinical support and coaching through collaboration and culture change. CONCLUSION: These findings suggest that a cultural shift emphasising continuous improvement through targeted training and coaching is essential to enhance integrated self-management support. Identifying factors and improvement strategies will help implement future interventions and tailor current practices. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Identifying barriers and facilitators, along with proposing improvement strategies, will enable the implementation of more effective interventions and the adaptation of care practices to better support self-management. Additionally, it will influence stakeholders to modify the context surrounding integrated self-management support and interprofessional practise. REPORTING METHOD: Consolidated criteria for reporting qualitative research (COREQ). PATIENT AND PUBLIC CONTRIBUTION: No patient or public contribution.
AD - Module Des Sciences infirmières, Université du Québec à Chicoutimi, Québec, Canada.; Faculté Des Sciences infirmières, Université de Montréal, Pavillon Marguerite-d'Youville, Québec, Canada.; Faculté de Médecine et Des Sciences de la Santé, Université de Sherbrooke, Québec, Canada.
AN - 40062467
BT - J Adv Nurs
C5 - Education & Workforce
CP - 12
DA - Dec
DO - 10.1111/jan.16892
DP - NLM
ET - 20250310
IS - 12
JF - J Adv Nurs
LA - eng
N2 - AIM: To describe the factors influencing clinical integration of self-management support by primary care nurses for people with physical chronic diseases and common mental disorders, as well as strategies for improvement. DESIGN: Thorne's interpretive descriptive qualitative approach. METHODS: Semi-structured interviews lasting from 60 to 90 min were carried out virtually with nurses from Family Medicine Groups and University Family Medicine Groups across the province of Quebec (Canada) from January 2022 to January 2023. Twenty-three primary care nurses were recruited through purposive and snowball sampling from three networks. Iterative deductive and inductive thematic analysis was completed using Valentijn's Rainbow Model of Integrated Care. RESULTS: The study identified several factors influencing integrated self-management support from primary care nurses across integration domains: clinical (knowledge, skills, training and experience; workload; approaches and activities; attitudes and behaviours; clinical tools), professional (interprofessional and nursing roles; collaboration; team composition), normative and functional (culture and organisational mechanisms). Improvement strategies pointed to the necessity of developing training regarding common mental disorders, adapted clinical tools, clinical support and coaching through collaboration and culture change. CONCLUSION: These findings suggest that a cultural shift emphasising continuous improvement through targeted training and coaching is essential to enhance integrated self-management support. Identifying factors and improvement strategies will help implement future interventions and tailor current practices. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Identifying barriers and facilitators, along with proposing improvement strategies, will enable the implementation of more effective interventions and the adaptation of care practices to better support self-management. Additionally, it will influence stakeholders to modify the context surrounding integrated self-management support and interprofessional practise. REPORTING METHOD: Consolidated criteria for reporting qualitative research (COREQ). PATIENT AND PUBLIC CONTRIBUTION: No patient or public contribution.
PY - 2025
SN - 0309-2402 (Print); 0309-2402
SP - 8754
EP - 8769+
ST - Factors and Strategies Influencing Integrated Self-Management Support for People With Chronic Diseases and Common Mental Disorders: A Qualitative Study of Canadian Primary Care Nurses' Experience
T1 - Factors and Strategies Influencing Integrated Self-Management Support for People With Chronic Diseases and Common Mental Disorders: A Qualitative Study of Canadian Primary Care Nurses' Experience
T2 - J Adv Nurs
TI - Factors and Strategies Influencing Integrated Self-Management Support for People With Chronic Diseases and Common Mental Disorders: A Qualitative Study of Canadian Primary Care Nurses' Experience
U1 - Education & Workforce
U3 - 10.1111/jan.16892
VL - 81
VO - 0309-2402 (Print); 0309-2402
Y1 - 2025
ER -