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Objectives: To analyze the practices of self-performance of care tasks in acute hospital settings, as well as their barriers and facilitators. Introduction: Increase in chronic illness and co-morbidity has resulted in a shift of chronic care responsibility and self-care initiatives to the patient (Reynolds et al., 2018). Patient self-care is established as improving patient outcomes (e.g., Panagioti et al., 2014; Jonkman et al., 2016; Jonkman et al., 2016), yet, acute care in hospitals is commonly provided in a way that patients tend to be passive recipients of care. This involves adhering to healthcare providers’ instructions (Tobiano et al., 2015) and relinquishing independence, and potentially results in a disruption in the continuity of patient performance of self-care tasks. Inclusion criteria: Studies that explore performing care tasks by adult patients during acute hospitalization have been included. Systematic reviews, qualitative, quantitative, mixed methods studies, case studies, and observational studies were considered. Methods: A scoping review utilizing the JBI methodology for scoping reviews (Peters et al., 2020). Several electronic databases will be searched for literature published in English using keywords and indexed terms relating to both concepts: performing care oneself (including self-care, self-management, patient participation) and hospital-setting for adult patients (excluding rehabilitation and psychiatric care). Hand searching for citation tracking will be performed for articles deemed relevant. Studies meeting the inclusion criteria will be imported into the Covidence systematic review manager. Titles and abstracts will be screened for inclusion and identified full texts reviewed. Data will be extracted using a template designed specifically for this review. Extracted data will be presented in a descriptive format, including characteristics of included studies and relevant key findings, and classified by the type of task performed by the patient. References: Jonkman, N. H., Westland, H., Groenwold, R. H., Agren, S., Atienza, F., Blue, L., . . . Hoes, A. W. (2016). Do self-management interventions work in patients with heart failure? Circulation, 133(12), 1189-1198. doi:10.1161/circulationha.115.018006 Jonkman, N., Westland, H., Trappenburg, J. C., Groenwold, R. H., Bischoff, E. W., Bourbeau, J., . . . Schuurmans, M. J. (2016). Do self-management intervention in COPD patients work and which patints benefit most? An individual patient data meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, 11, 2063-2074. doi:10.2147/copd.s107884 Panagioti, M., Richardson, G., Small, N., Murray, E., Rogers, A., Kennedy, A., Newman, S., Bower, P. (2014). Self-management support interventions to reduce health care utilisation without compromising outcomes: a systematic review and meta-analysis. BMC Health Services Research, 27(14), 356. Peters, M., Godfrey, C., McInerney, P., Munn, Z., Trico, A., & Khalil, H. (2020). Chapter 11: Scoping reviews. In E. Aromataris, & Z. Munn (Eds.), JBI manual for evidence synthesis (pp. 406–451). Joanna Briggs Institute. Reynolds, R., Dennis, S., Hasan, I. et al. A systematic review of chronic disease management interventions in primary care. BMC Fam Pract 19, 11 (2018). https://doi.org/10.1186/s12875-017-0692-3 Tobiano G, Marshall A, Bucknall T, Chaboyer W. Patient participation in nursing care on medical wards: An integrative review. Int J Nurs Stud. 2015 Jun;52(6):1107-20. doi: 10.1016/j.ijnurstu.2015.02.010. Epub 2015 Feb 19. PMID: 25769475. |
