UVM Theses and Dissertations
Format:
Print
Author:
Hodges, Carol L.
Dept./Program:
Nursing
Year:
2010
Degree:
MS
Abstract:
This is a thesis presented on a study utilizing self report, identifying behaviors of healthcare providers and their staff in providing self-management support for patients in Vermont with the chronic disease diagnoses of hypertension, diabetes and asthma. The self-reported behaviors ofhealthcare providers and their staff in providing selfmanagement support define strengths as well as ·gaps in resources, services and supports. The data have assisted in identifying potential strategies and interventions to standardize healthcare practice while providing individualized patient care and assist in finding methods to decrease healthcare expenditures.
This is a descriptive study based upon data obtained from a convenience sample of 74 respondents in 12 primary care practices throughout northern Vermont. The respondents completed the Assessment of Primary Care Resources and Supports (PCRS) for Chronic Disease Self-Management survey developed for the Advancing Diabetes Self Management Program by the Robert Wood Johnson Foundation's Diabetes Initiative. Two additional questions asking specifically about identification ofthe use of action plans and systematic follow-up for action plans were added to the survey.
Respondents reported consistency in providing patients with both long-term goal setting and short-term action planning but say that documentation and integration of selfmanagement education and training was done less consistently. Responses from participants also demonstrated that there was much variability in response among participants performing the same role as well as variance within individual practice sites but overall, the results of the level of care provided for self-management support showed that the education and training was done less consistently. Responses from participants also demonstrated that there was much variability in response among participants performing the same role as well as variance within individual practice sites but overall, the results of the level of care provided for self-management support showed average mean of all practices was at the "B" performance level.
This is a descriptive study based upon data obtained from a convenience sample of 74 respondents in 12 primary care practices throughout northern Vermont. The respondents completed the Assessment of Primary Care Resources and Supports (PCRS) for Chronic Disease Self-Management survey developed for the Advancing Diabetes Self Management Program by the Robert Wood Johnson Foundation's Diabetes Initiative. Two additional questions asking specifically about identification ofthe use of action plans and systematic follow-up for action plans were added to the survey.
Respondents reported consistency in providing patients with both long-term goal setting and short-term action planning but say that documentation and integration of selfmanagement education and training was done less consistently. Responses from participants also demonstrated that there was much variability in response among participants performing the same role as well as variance within individual practice sites but overall, the results of the level of care provided for self-management support showed that the education and training was done less consistently. Responses from participants also demonstrated that there was much variability in response among participants performing the same role as well as variance within individual practice sites but overall, the results of the level of care provided for self-management support showed average mean of all practices was at the "B" performance level.