Self-determination of patients with rheumatoid arthritis: model development during action research

International Journal of Nursing Practice
Päivi LöfmanAnna-Maija Pietilä

Abstract

The purpose of this article is to describe the content and the development of the model to promote self-determination of patients with rheumatoid arthritis from a point of view of patients and nurses. For the patients the data were gathered using semistructured interviews and for the nurses through three focus groups in the initial and evaluation phases. The data were analysed by themes using qualitative content analysis. The model consisted of the concept of self-determination, impediments to and preconditions for self-determination, promoting and focusing on consequences. Patient's activity was a new view of the concept. Impediments to self-determination were linked to limitations and preconditions to patients' freedom to express themselves. Support developed an important factor promoting self-determination. The results indicate a clear need for various types of supportive nursing care to promote self-participation in patient care.

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Oct 6, 2010·Journal of Clinical Nursing·Bjørg OftedalEdvin Bru
Sep 12, 2014·Journal of Advanced Nursing·Catharina LindbergAnia Willman
Aug 13, 2011·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Mary Vining Radomski

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