Christin Iroegbu, Delphine S. Tuot, Lisa Lewis, Lea Ann Matura
{"title":"The Influence of Patient–Provider Communication on Self‐Management Among Patients With Chronic Illness: A Systematic Mixed Studies Review","authors":"Christin Iroegbu, Delphine S. Tuot, Lisa Lewis, Lea Ann Matura","doi":"10.1111/jan.16492","DOIUrl":null,"url":null,"abstract":"AimTo explore the influence of patient–provider communication on patient self‐management of chronic illness.DesignSystematic Mixed Studies Review.Data SourcesCINAHL, Google Scholar, EMBASE and PubMed were searched until March 2024.MethodsEmployed a result‐based convergent design and the Mixed Method Appraisal Tool to evaluate studies. Narrative analysis, quantitative studies and thematic analysis for qualitative studies and overall results.ResultsThirteen articles published between 2003 and 2023 were included. Chronic illnesses studied: diabetes, heart failure, hypertension, chronic obstructive pulmonary disease and asthma. Data synthesis yielded the overarching theme: <jats:italic>adaptive interpersonal communication.</jats:italic> An approach that adapts communication content to each patient's unique needs, employs verbal and nonverbal communication, builds a connection and establishes patient rapport.ConclusionAvailable evidence suggests that patient–provider communication influences chronic illness self‐management. A provider's ability to adjust and tailor their communication style is an important factor in helping patients to achieve optimal self‐management. Future research should explore this phenomenon in other common chronic illnesses not included in this review. Additionally, research on the patient's role in this process could help improve patient–provider communication.Implications for the Profession and/or Patient CareFindings from this review have significant implications for shared and participatory decision making, where patients and providers collaborate to develop plans of care for patients to achieve optimal self‐management. Additionally, this review can contribute to the development of educational content and communication strategies for nurses and all healthcare professionals caring for patients with chronic illnesses.ImpactThis is the first mixed studies systematic review to describe the influence patient–provider communication on patient self‐management of chronic illness. These findings consolidate existing evidence, providing a pathway for practical application to clinical practice and the potential to significantly impact the delivery of patient‐centred care and healthcare quality.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8000,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Advanced Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jan.16492","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
AimTo explore the influence of patient–provider communication on patient self‐management of chronic illness.DesignSystematic Mixed Studies Review.Data SourcesCINAHL, Google Scholar, EMBASE and PubMed were searched until March 2024.MethodsEmployed a result‐based convergent design and the Mixed Method Appraisal Tool to evaluate studies. Narrative analysis, quantitative studies and thematic analysis for qualitative studies and overall results.ResultsThirteen articles published between 2003 and 2023 were included. Chronic illnesses studied: diabetes, heart failure, hypertension, chronic obstructive pulmonary disease and asthma. Data synthesis yielded the overarching theme: adaptive interpersonal communication. An approach that adapts communication content to each patient's unique needs, employs verbal and nonverbal communication, builds a connection and establishes patient rapport.ConclusionAvailable evidence suggests that patient–provider communication influences chronic illness self‐management. A provider's ability to adjust and tailor their communication style is an important factor in helping patients to achieve optimal self‐management. Future research should explore this phenomenon in other common chronic illnesses not included in this review. Additionally, research on the patient's role in this process could help improve patient–provider communication.Implications for the Profession and/or Patient CareFindings from this review have significant implications for shared and participatory decision making, where patients and providers collaborate to develop plans of care for patients to achieve optimal self‐management. Additionally, this review can contribute to the development of educational content and communication strategies for nurses and all healthcare professionals caring for patients with chronic illnesses.ImpactThis is the first mixed studies systematic review to describe the influence patient–provider communication on patient self‐management of chronic illness. These findings consolidate existing evidence, providing a pathway for practical application to clinical practice and the potential to significantly impact the delivery of patient‐centred care and healthcare quality.Patient or Public ContributionNo patient or public contribution.
期刊介绍:
The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy.
All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.