Journal article
Systematic review of perception of barriers and facilitators to chronic disease self-management among older adults: Implications for evidence-based practice
Worldviews on Evidence-Based Nursing, Vol.19(3), pp.191-200
2022
PMID: 35032152
Abstract
Background:
An aging population has contributed to an increased prevalence in chronic disease. To empower patients, healthcare systems are shifting toward chronic disease self-management. However, no review on how older adults self-manage chronic disease and the barriers and facilitators they experience has been published.
Aims:
To explore barriers and facilitators perceived by older adults during the process of self-managing chronic disease.
Methods:
A systematic review of qualitative literature was performed using the Joanna Briggs Institute methodology. The literature search was conducted using Ovid databases (MEDLINE, CINAHL with full text, and PsycINFO) for the period of 1988–2020. All records were screened using predetermined eligibility criteria. The critical appraisal instrument QARI (Qualitative Assessment and Review Instrument) was employed to assess the quality of the included studies. Data from the included papers were extracted using the QARI data extraction tool. Extracted data were then synthesized to produce final sets of themes and sub-themes relating to the review question.
Results:
A total of 267 abstracts were screened, and 13 studies reporting barriers and facilitators perceived by older adults during the process of managing chronic diseases were included in the review. Physical and cognitive decline, low-health literacy, culture, and relationships with healthcare professionals were described as barriers. Facilitators were described as resources that supported disease self-management and included family, social networks, healthcare professionals, and religious beliefs.
Linking evidence to action:
This study highlights the importance of understanding the patients' perspectives of the barriers and enablers of self-management of chronic illness for health professionals across settings. Understanding barriers and facilitators to chronic disease self-management will support health professionals to identify strength-based approaches to self-management that meet the needs of individual older adults.
Details
- Title
- Systematic review of perception of barriers and facilitators to chronic disease self-management among older adults: Implications for evidence-based practice
- Authors
- Thi Ngoc Minh Nguyen (Corresponding Author) - Edith Cowan UniversityLisa Whitehead (Author) - Edith Cowan UniversityRosemary Saunders (Author) - Edith Cowan UniversityGordana Dermody (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
- Publication details
- Worldviews on Evidence-Based Nursing, Vol.19(3), pp.191-200
- Publisher
- Wiley-Blackwell Publishing, Inc.
- Date published
- 2022
- DOI
- 10.1111/wvn.12563
- ISSN
- 1741-6787
- PMID
- 35032152
- Organisation Unit
- School of Nursing, Midwifery and Paramedicine - Legacy; University of the Sunshine Coast, Queensland; School of Health - Nursing
- Language
- English
- Record Identifier
- 99605108002621
- Output Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Nursing
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Source: InCites