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Volume 2, Issue 2 (Suppl)
Chronic Obstructive Pulmonary Diseases
ISSN: 2572-5548
Page 56
conferenceseries
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CO-ORGANIZED EVENT
August 31-September 01, 2017 Brussels, Belgium
&
International Conference on
Chronic Diseases
6
th
International Conference on
Microbial Physiology and Genomics
Nurses’motivating practices in self-management support, a self-determination theory perspective
Van Hecke Ann, Duprez Veerle
and
Vansteenkiste Maarten
University Center for Nursing and Midwifery, Belgium
Statement of the Problem:
Chronic conditions account for more than half of the global disease burden. Today, patients living
with a chronic condition are expected to take a more active role in dealing with the physical, psychosocial and social demands
of their disorder. To achieve optimal self-management, patients often require professional support. Nurses are challenged to
drop their expert role and form partnerships with patients. Evidence demonstrates that nurses often control the process of self-
management and leave little room for patients’ autonomy. According to the Self-Determination Theory (SDT), a motivating
and autonomy-supportive healthcare climate has beneficial effects on health behavior outcomes, whereas a demotivating,
controlling climate might lead to adverse effects on e.g. patients’ motivation and health behavior. This study aimed to explore
nurses’ motivating practices in chronic care SMS and its association with person-related antecedents–derived from the SDT.
Methods:
Cross-sectional multicenter study was conducted within a random clustered sample of hospitals and home care
organizations in Belgium. Nurses with at least 50% of their patients living with a chronic illness were eligible to participate.
Data were collected through validated self-reporting instruments between January 2016 and May 2017. Motivating versus
demotivating practices was measured by a validated vignette-based questionnaire. Four behavioral options can be distinguished
i.e. an autonomy-supportive, structuring, controlling, or chaotic practice in chronic condition management. Person-related
antecedents were measured with the basic psychological need satisfaction and need frustration scale, the patient-invested
contingent self-esteem scale and the Dutch version of the Maslach Burnout Inventory.
Results & Implications:
Results will help us to learn if nurses establish a motivating, and thereby autonomy-supportive, or
rather demotivating and controlling healthcare climate. The results will indicate what might be the predictive value of person-
related antecedents on (de)motivating practices. The results can inform the development of an intervention to train nurses in
giving autonomy to chronic patients in the management of their condition. teacher core member of the strategic policy unit
of the Master of Nursing and Midwifery. She is also secretary of the Examination Committee and is a member of the steering
committee of this key program
Ann.vanHecke@UGent.beChron Obstruct Pulmon Dis 2017, 2:2
DOI: 10.21767/2572-5548-C1-003