Multilevel Self-Management in Nursing Research: An Approach to Decrease Health Disparities in Chronic Diseases
DOI:
https://doi.org/10.17533/udea.iee.v41n2e10Keywords:
chronic disease, self-care, health status disparities, healthcare disparities, nursing researchAbstract
Objective. To discuss multilevel self-management intervention research in nursing to decrease health disparities among people living with chronic diseases.
Content synthesis. Multilevel interventions have become the core of nursing research in the last decade. However, a critical limitation of existing interventions targeting health disparities among those living with chronic diseases is the tendency to address single or individual-level factors solely.
Conclusions. Nursing research iscreating knowledge that may be translated into clinical practice and promoting evidence-based and innovative self-management practices to decrease health disparities and promote health equity among people living with chronic diseases.
Downloads
References
1. The National Institute of Nursing Research (NINR). The NINR strategic plan: Advancing science, improving lives [Internet]. Bethesda, Maryland, United States: NINR and NIH; 2016 [cited 2022 Oct 20]. 77 p. Available from: https://www.ninr.nih.gov/sites/files/docs/NINR_StratPlan2016_reduced.pdf
2. Centers for Disease Control and Prevention (CDC). About Chronic Diseases [Internet]. United States: CDC; 2021 [cited 2022 Oct 20]. Available from: https://www.cdc.gov/chronicdisease/about/index.htm
3. Boersma P, Black LI, Ward BW. Prevalence of multiple chronic conditions among US adults, 2018. Prev. Chronic. Dis. 2020; 17:E106.
4. Raghupathi W, Raghupathi V. An empirical study of chronic diseases in the United States: A visual analytics approach. Int. J. Environ. Res. Public Health. 2018; 15(3):431.
5. Schulman-Green D, Jaser S, Martin F, Alonzo A, Grey M, McCorkle R, Redeker NS,et al. Processes of self-management in chronic illness. J. Nurs. Scholarsh. 2012; 44(2):136-44.
6. Lewis MA, Fitzgerald TM, Zulkiewicz B, Peinado S, Williams PA. Identifying synergies in multilevel interventions. Health Educ. Behav. 2017; 44(2):236-44.
7. Paskett E, Thompson B, Ammerman AS, Ortega AN, Marsteller J, Richardson D. Multilevel interventions to address health disparities show promise in improving population health. Health Aff (Millwood). 2016; 35(8):1429-34.
8. National Institute on Minority Health and Health Disparities (NIMHD). Minority health and health disparities: Definitions and parameters [Internet]. United States: NIMHD; 2021 [cited 2022 Oct 20]. Available from: https://www.nimhd.nih.gov/about/strategic-plan/nih-strategic-plan-definitions-and-parameters.html
9. The Strategic Plan Working Group (SPWG). The National Institute of Nursing Research 2022–2026 Strategic Plan [Internet]. United States: National Institute of Nursing Research; 2021 [cited 2022 Oct 20]. Available from: https://www.ninr.nih.gov/aboutninr/ninr-mission-and-strategic-plan
10. Warnecke RB, Oh A, Breen N, Gehlert S, Paskett E, Tucker KL, et al. Approaching health disparities from a population perspective: The National Institutes of Health Centers for Population Health and Health Disparities. Am. J. Public Health. 2008; 98(9):1608-15.
11. Van de Velde D, De Zutter F, Satink T, Costa U, Janquart S, Senn D, De Vriendt P. Delineating the concept of self-management in chronic conditions: A concept analysis. BMJ Open. 2019; 9(7):e027775.
12. Richard AA, Shea K. Delineation of self-care and associated concepts. J. Nurs. Scholarsh. 2011; 43(3):255-64.
13. Brofenbrenner U. The ecology of human development: Experiments by nature and design. Boston, MA: Harvard University Press, 1973.
14. Agurs-Collins T, Persky S, Paskett ED, Barkin SL, Meissner HI, Nansel TR, et al. Designing and assessing multilevel interventions to improve minority health and reduce health disparities. Am. J. Public Health. 2019; 109(S1):S86-S93.
15. Stange KC, Breslau ES, Dietrich AJ, Glasgow RE. State-of-the-art and future directions in multilevel interventions across the cancer control continuum. J. Natl. Cancer Inst. Monogr. 2012; 2012(44):20-31
16. Charns MP, Foster MK, Alligood EC, Benzer JK, Burgess JF Jr, Li D, McIntosh NM, Burness A, Partin MR, Clauser SB. Multilevel interventions: Measurement and measures. J. Natl. Cancer Inst. Monogr. 2012; 2012(44):67-77.
Downloads
Published
Versions
- 2023-08-24 (2)
- 2023-06-20 (1)
How to Cite
Issue
Section
License
Copyright (c) 2023 Investigación y Educación en Enfermería
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Derechos de propiedad / Direitos de Propriedade
English: If the article is accepted for publication, all copyright will be of exclusive property of Investigación y Educación en Enfermería. The text and the graphics included in the publication are exclusive responsibility of the authors and not necessarily reflect the thought of the Editorial Committee.
Español: Si el artículo es aprobado para publicación, todos los derechos son de propiedad de Investigación y Educación en Enfermería. El texto y las gráficas incluidas en la publicación son de exclusiva responsabilidad de los autores y no necesariamente refleja el pensamiento del Comité Editorial.
Português: Se o artigo for aceito para publicação, todos os direitos autorais serão de propriedade exclusiva de Investigación y Educación en Enfermería. O texto e os gráficos incluídos na publicação são de responsabilidade exclusiva dos autores e não refletem necessariamente o pensamento do Comitê Editorial.
