Self-management is a method that encourages people to take charge of their health with the help of their healthcare providers (HCPs). Health outcomes, healthcare expenses, and patient contentment can all benefit from self-management education (SME) (Armstrong et al., 2022). However, several obstacles prevent SMEs from being effectively implemented in healthcare settings. The enormous workload and staffing shortages that HCPs face is a key obstacle.
Multiple detrimental effects on HCPs and patients can result from excessive workload and inadequate staffing. The efficacy and safety of the treatment and the interaction and connection between HCPs and patients are all negatively impacted by the increased anxiety, fatigue, turnover, and discontent among HCPs. As a result, HCPs have less time, fewer resources, and fewer opportunities to offer patients with sufficient SME-related information, recommendation, follow-up, and feedback.
Many diverse approaches are needed to address these obstacles. There should be national long-term planning and financing for the workforce based on the existing and projected demands of the people. The business may benefit from more encouraging management, a shift in attitude, better scheduling, more training time, and more employee appreciation. HCPs should have a positive outlook on patients managing their care, provide individualized SMEs to each patient’s requirements and preferences, and use cutting-edge digital tools to enable SME delivery and monitoring (Chan et al., 2018). Reading this overview has enhanced my understanding of healthcare self-management advocacy and education and the challenges and potential solutions related to workload and staffing problems. I have learned that self-management is viable, but only with systemic assistance from the medical field and collaboration between healthcare practitioners and clients.
Summary of The Second Barrier: Social-Cultural Factors
Powers et al. (2020) propose that obstacles to the promotion and instruction of self-management encompass several elements that impede individuals or collectives from assuming responsibility for their health and overall well-being. One significant obstacle that hinders health behaviors and results is the socio-cultural factor. This component comprises the influence of social and cultural norms, values, attitudes, and behaviors. Socio-cultural factors can impact individuals’ beliefs about their health needs, healthcare services usage, disease and stress management approaches, and relationships with healthcare professionals and peers.
According to sociocultural theory, the development and education of individuals are primarily shaped by social interactions and the incorporation of cultural tools. Hence, it is imperative for self-management initiatives to take into account the socio-cultural setting of the specific group being targeted and to customize the content and delivery methods to their unique requirements and preferences (Ameri, 2020). For instance, different cultures place varying degrees of importance on independence or dependency, which might influence individuals’ perceptions of their duties and obligations regarding healthcare management (Chen et al., 2018).
As an individual engaged in the learning process, I have acquired a more profound comprehension of the significance of socio-cultural elements in facilitating self-management promotion and education. It has been observed that self-management cannot be universally applied since it is a multifaceted and cooperative undertaking that necessitates adjustment and consensus among individuals and their respective social and cultural contexts. Through carefully contemplating these concepts, I have cultivated a more discerning and comprehensive viewpoint about self-management as an intricate and multifarious phenomenon.
Summary of The Third Barrier: Overlooking Low Health Literacy
This section explores the core ideas underlying hurdles to the promotion and instruction of self-management, with particular attention to the often neglected obstacle of insufficient health literacy. The concept of low health literacy refers to an individual’s limited proficiency in comprehending and effectively utilizing health-related information to make informed decisions. This deficiency greatly impedes an individual’s ability to engage in successful self-management activities. The study conducted by Murugesu et al. (2022) highlights the difficulties faced by persons with limited health literacy in understanding medical instructions, navigating healthcare institutions, and sticking to treatment programs. Limited health literacy exacerbates health disparities, increases hospitalizations, and reduces overall health outcomes. Language barriers, cultural nuances, and inadequate communication between healthcare providers and patients often compound this barrier.
Reflecting critically on these findings, it is evident that addressing low health literacy necessitates a multifaceted approach that involves simplifying health information, enhancing patient-provider communication, and fostering a culture of continuous learning. Acknowledging my learning outcomes, this analysis reinforces the significance of clear and accessible health communication in my future practice as a healthcare professional (Liu et al., 2020). It underscores the importance of tailoring educational resources to individuals with varying levels of health literacy, promoting equitable access to information, and fostering patient empowerment. Exploring the principles of barriers to self-management promotion and education brings to light the often underestimated impact of low health literacy.
Summary of The Fourth Barrier: Social Isolation
This overview critically analyzes the obstacles to promoting and teaching self-management, particularly emphasizing the barrier of social isolation. Shukla et al. (2020) define social isolation as lacking substantial social contacts and relationships. It has become a notable barrier to individuals’ capacity to address their health needs and participate in self-educational activities successfully. This research article examines the complex influence of social isolation on self-management methods and investigates various therapies to alleviate its negative consequences.
A study by Reupert et al. (2021) indicates that socially isolated individuals often experience reduced access to support networks, leading to limited opportunities for shared knowledge and learning experiences. Furthermore, the absence of emotional and informational support adversely affects motivation and engagement in self-management activities. Social interaction is necessary to acquire health-related information, as it curtails the exchange of insights and coping strategies among peers.
Critical reflection on these findings unveils the importance of recognizing social isolation as a complex barrier that intertwines psychological, emotional, and physical dimensions. It highlights the necessity for healthcare professionals to adopt holistic approaches that acknowledge the broader social determinants of health. This exploration into the principles of barriers to self-management promotion and education reveals how social isolation undermines individuals’ potential to participate in their health management actively. Reflecting on these concepts, I recognize the broader implications for my learning outcomes. This paper reinforces the need for healthcare practitioners to be attuned to the social context in which health behaviors unfold.
References
Reupert, A., Gladstone, B., Helena Hine, R., Yates, S., McGaw, V., Charles, G., … & Foster, K. (2021). An integrative review of Stigma concerning families living with parental mental illness. International Journal of Mental Health Nursing, 30(1), 6–26.
Chen, Y.-C., Chang, L.-C., Liu, C.-Y., Ho, Y.-F., Weng, S.-C. and Tsai, T.-I. (2018). The Roles of Social Support and Health Literacy in Self-Management Among Patients With Chronic Kidney Disease. Journal of Nursing Scholarship, 50(3), pp.265–275. doi:https://doi.org/10.1111/jnu.12377
Ameri, M. (2020). Criticism of the sociocultural theory. Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Volume, 3, 1530–1540.
Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., … & Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes: a consensus report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Journal of the American Pharmacists Association, 60(6), e1-e18.
Armstrong, M., Tuijt, R., Read, J., Pigott, J., Davies, N., Manthorpe, J., … & Walters, K. (2021). Health care professionals’ perspectives on self-management for people with Parkinson’s: qualitative findings from a UK study. BMC geriatrics, 21, 1–11.
Chan, E.A., Wong, F., Cheung, M.Y. and Lam, W. (2018). Patients’ perceptions of their experiences with nurse-patient communication in oncology settings: A focused ethnographic study. PLOS ONE, [online] 13(6), p.e0199183. doi https://doi.org/10.1371/journal.pone.0199183.
Chan, E.A., Wong, F., Cheung, M.Y. and Lam, W. (2018). Patients’ perceptions of their experiences with nurse-patient communication in oncology settings: A focused ethnographic study. PLOS ONE, [online] 13(6), p.e0199183. doi https://doi.org/10.1371/journal.pone.0199183.
Shukla, A., Harper, M., Pedersen, E., Goman, A., Suen, J. J., Price, C., … & Reed, N. S. (2020). Hearing loss, loneliness, and social isolation: a systematic review. Otolaryngology–Head and Neck Surgery, 162(5), 622-633.
Liu, C., Wang, D., Liu, G., Jiang, J., Wang, X., Chen, H., Xin, J., & Zhang, X. (2020). What is the meaning of health literacy? A systematic review and qualitative synthesis. Family Medicine and Community Health, 8(2), e000351–e000351. https://doi.org/10.1136/fmch-2020-000351
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