title: Developing a structured education programme for clients with COPD.
abstract: This article describes the development of a Structured Education Pulmonary Rehabilitation Programme (SEPRP), for the PRINCE (Pulmonary Rehabilitation In Nurse-led Community Environments) study. This process involved a literature review of existing PR programmes, a content analysis of national and international PR programmes and a concept analysis of empowerment. Secondly, two small descriptive qualitative studies were undertaken to further inform programme content exploring the views of health professionals and clients on programme content, as well as their perceptions of living with COPD. The findings of these two stages led to the development of the eight-week PRINCE SEPRP, based on a philosophy of empowerment and the SEPRP was underpinned by the Transtheoretical model (TTM) of behaviour change. Programme content included managing medications and managing breathlessness, knowing and managing symptoms, recognizing and managing acute exacerbations as well as an individualized exercise programme. Participants' experiences of self management following participation in the SEPRP were also examined. The findings indicate that nurses working in primary care have an important role in informing the development of SEPRP as well as having a key role in their delivery. They have the potential to work in empowering ways with COPD clients and the PRINCE SEPRP is just one example of how this can be put into practice.
authors.affiliation: School of Nursery and Midwifery, National University of Ireland, Galway. dympna.casey@nuigalway.ie
authors.forename: Dympna
authors.initials: D
authors.lastname: Casey
authors.forename: Kathy
authors.initials: K
authors.lastname: Murphy
authors.forename: Adeline
authors.initials: A
authors.lastname: Cooney
authors.forename: Lorraine
authors.initials: L
authors.lastname: Mee
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007494:Ireland; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D010353:Patient Education as Topic; D011209:Power, Psychological; D011320:Primary Health Care; D029424:Pulmonary Disease, Chronic Obstructive / Q000534:rehabilitation*; D016896:Treatment Outcome