Healthcare Professionals’ Experiences and Perspectives of Facilitating Self-Management Support for Patients with Low-Risk Localized Prostate Cancer via mHealth and Health Coaching
Abstract
:1. Introduction
1.1. Background
1.2. Objective
2. Method
2.1. Study Design
2.2. Setting and Sampling
2.3. Training of the Nurses
- Group 1
- Group 2
2.4. Intervention
2.5. Data Generation
2.6. Data Analysis
2.7. Ethical Considerations
3. Results
3.1. The Influence of Coaching
“This group of PCa patients requires a different approach than other groups of patients; they need emotional support and a talk about living with an untreated cancer, rather than a blood test and a talk about their medicine.”(Nurse coach #2)
“I felt more mentally present with the patients. With coaching, I was able to find out what was important for the patients to talk about. I think that the coaching tools made it possible for me to accommodate their emotional needs and to open up for the existential talks.”(Nurse coach #3)
3.2. Motivation through Embedded Competences for Coaching
“I think that coaching can be used to help the patients through their treatment. To get someone to talk to. Allowing them to open up and finding their needs.”(Nurse coach #1)
“During a coaching conversation, I don’t have to come up with all the answers. I have to let the patient find the solution that is right for him. I don’t normally have this role in the outpatient clinic.”(Nurse coach #2)
3.3. Autonomy through Coaching
“…by being a coach, I am there for the patient, whereas as a nurse in the clinic, I sometimes feel like I am mainly there for the doctor.”(Nurse coach #1)
“Coaching is something that nurses are instructed in, not just giving messages from the doctor to the patients.”(Nurse coach #1)
3.4. The Influence of mHealth
“In one of the first sessions we talked a lot about his water intake, but in the last session the conversation was quite different. We talked a lot about his relationship with his wife and that they never talked about his disease, which he was depressed about.”(Nurse coach #1)
“It was difficult to be present in the conversation when I had to think about how to get the device to work again.”(Nurse coach #2)
3.5. Lack of Motivation through Unintegrated Competences for mHealth
“I was afraid of ruining it so the patient couldn’t use it again. I didn’t know these devices very well, so I did not want to do anything stupid. We agreed not to use it for the rest of the intervention.”(Nurse-coach #3)
“I found the music devices too abstract and too foolish. I couldn’t see how it would help the patients and I experienced that the patient felt the same.”(Nurse coach #1)
3.6. Loss of Professionalism through Diverse Expectations of Roles
“You get out of your comfort zone, you don’t have control over this because you don’t know exactly how to handle the devices and how the patients will react, and the fact that you don’t know 100% what the outcome will be. It challenges you as a professional.”(Nurse-coach #4)
“I experienced that they were very dismissive of it. I also think that it was difficult to explain to them exactly what it was about because it was a bit abstract.”(Nurse coach #3)
3.7. Relations through Shared Experiences
“I experienced that coaching creates a more personal connection to the patient. A patient told me that he didn’t experience being just a number when he came for a coaching session. The patient said that in the outpatient clinic there was never time for anything else than giving information about his blood tests.”(Nurse coach #3)
“I could sense and hear that he said something between the lines. I asked him, and suddenly he opened up, and said that he had a hard time talking about emotions.”(Nurse coach #2)
4. Discussion
Study Strengths and Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Obro, L.F.; Osther, P.J.S.; Ammentorp, J.; Pihl, G.T.; Krogh, P.G.; Handberg, C. Healthcare Professionals’ Experiences and Perspectives of Facilitating Self-Management Support for Patients with Low-Risk Localized Prostate Cancer via mHealth and Health Coaching. Int. J. Environ. Res. Public Health 2023, 20, 346. https://doi.org/10.3390/ijerph20010346
Obro LF, Osther PJS, Ammentorp J, Pihl GT, Krogh PG, Handberg C. Healthcare Professionals’ Experiences and Perspectives of Facilitating Self-Management Support for Patients with Low-Risk Localized Prostate Cancer via mHealth and Health Coaching. International Journal of Environmental Research and Public Health. 2023; 20(1):346. https://doi.org/10.3390/ijerph20010346
Chicago/Turabian StyleObro, Louise Faurholt, Palle Jörn Sloth Osther, Jette Ammentorp, Gitte Thybo Pihl, Peter Gall Krogh, and Charlotte Handberg. 2023. "Healthcare Professionals’ Experiences and Perspectives of Facilitating Self-Management Support for Patients with Low-Risk Localized Prostate Cancer via mHealth and Health Coaching" International Journal of Environmental Research and Public Health 20, no. 1: 346. https://doi.org/10.3390/ijerph20010346