Strategies in health-promoting dialogues--primary healthcare nurses' perspectives--a qualitative study.
Scand J Caring Sci
; 28(2): 235-44, 2014 Jun.
Article
em En
| MEDLINE
| ID: mdl-23594185
ABSTRACT
AIM AND OBJECTIVES:
The aim of this study was to describe dialogic strategies about health and lifestyle used by primary healthcare nurses (PHNs) in the Västerbotten Intervention Programme (VIP) in Sweden.BACKGROUND:
The VIP offers all citizens aged 40, 50 and 60 in Västerbotten County an individual health check-up followed by a health-promoting dialogue with a specialist PHN. Inconsistencies in previous reports of the effects of lifestyle counselling and health promotion suggest that it is important to study dialogues about health and lifestyle to understand health-promoting strategies and to highlight aspects important to improving their effects.METHOD:
In 2010, we conducted in-depth interviews with ten experienced PHNs working with the VIP at eight healthcare centres in Västerbotten County, Sweden. Qualitative content analysis was used to illuminate the nurses' strategies in health-promoting dialogues. The Regional Ethics Board (Dno 06-126M) approved the study.RESULTS:
The PHNs used various strategies in dialogues about health and lifestyle that fell under the five themes 'Guiding patients vs. pressuring them; Adjusting to patients vs. directing the conversation; Inspiring confidence vs. instilling fear; Motivating and supporting patients vs. demanding responsibility; and lastly, Introducing emotionally charged subjects or avoiding them'.CONCLUSIONS:
The results of this study may add knowledge about the difficulties and opportunities in health counselling. In the discussion, we suggest professional reflection as a means to increase knowledge and awareness about the self and context in the process of health counselling.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
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Promoção da Saúde
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Relações Enfermeiro-Paciente
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Recursos Humanos de Enfermagem
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article