A training intervention to enhance self-management support competencies among nurses: A non-randomized trial with mixed-methods evaluation |
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| Institution: | 1. University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Belgium;2. Staff member of Nursing Department Ghent University Hospital, Ghent, Belgium;3. Expertise Unit Health Innovation, University Colleges Leuven Limburg, Leuven, Belgium;1. Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan;2. Department of Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia;1. The Third Xiangya Hospital, Central South University, Changsha, China;2. Xiangya School of Nursing, Central South University, Changsha, China;1. Trudy Busch Valentine School of Nursing, Saint Louis University, USA;2. M. Louise Fitzpatrick College of Nursing, Villanova University, USA;3. P.D. Hinduja National Hospital, Mumbai, India;1. School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Thomas Street, Ultimo 2007, Sydney, Australia;2. School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Thomas Street, Ultimo 2007, Sydney, Australia;3. Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Western Avenue, Camperdown 2050, Sydney, Australia;4. Faculty of Information Technologies, Monash University, 25 Exhibition Walk, Clayton, Melbourne 3800, Victoria, Australia |
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| Abstract: | AimTo evaluate the process and outcomes of INTENSS, a training intervention grounded in Self-Determination Theory to enhance nurses’ competencies for self-management support.DesignNon-randomized intervention study with mixed-methods evaluation approach (2019–2020).MethodsThe multifaceted training was implemented in six groups. Cluster-assignment to study arm 1 or arm 2. Arm 1 received a basic training module and arm 2 the basic module with additional video-interaction guidance. Focus groups were held to detect what was helpful in competency enhancement. Intervention effectiveness was determined on trainees’ attitude, motivation, self-efficacy and skills for self-management support (multiple time-points by self-reports and observations).ResultsTrainees (N = 50) indicated the video-interaction guidance, the connectivity within the training group, the constructive feedback from trainers as well as from peers, as helpful for the acquisition of self-management support skills. At 2-month post-training, participants slightly improved in their competencies for the assess (p = .03), agree (p = .02), arrange (p < .01) phase and partnership skills (p < .01). Between the study arms, video-trained participants significantly reduced their use of controlling approaches (p = .03). Observations indicated that trainees mostly used an autonomy-supportive approach, seldom we observed the use of competence supportive, controlling or chaotic approaches. The interviews gave indications that obligatory training in this field needs to be questioned.ConclusionThe outcome evaluation of the INTENNS training indicated most improvement in nurses’ skills for collaborative goal setting and partnership with patients. The mixed-methods evaluation emerges transferable principles to implement the training amongst nurses and, by extension, other healthcare professions. A training intervention involving patient experts can add value to further pave the way towards a true partnership between patients and healthcare professionals.ImpactA training intervention taking into account the complexity of supporting patients towards self-management is available. Important elements for growth are: connectivity within training group, a safe learning climate where ‘failure’ is allowed and video-interaction guidance. Obligatory training participation can be questioned. |
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| Keywords: | Competencies Intervention Mixed-methods evaluation Nursing Professional development Self-management support Self-Determination Theory |
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