Facilitators and barriers to self-management of nursing home residents: perspectives of health-care professionals in Korean nursing homes.
OBJECTIVE
To explore facilitators and barriers to self-management from the viewpoint of staff taking care of nursing home (NH) residents with chronic diseases in South Korea.


METHODS
A qualitative content analysis was done using the focus group interview method. A total of 23 health-care professionals (16 registered nurses and 7 social workers) were interviewed from three urban NHs, each with more than 100 beds.


RESULTS
Five facilitators were identified: grouping the residents; the resident's awareness of his/her current health status; the willingness of residents to engage in self-management; residence in the facility; and support from the staff. Additionally, seven barriers were identified: deterioration of the resident's health; the dependency expectations of the resident; hesitation in asking for help; difference in expectations between the staff and the resident's family; insufficient staffing and time; lack of standardized guidelines; and conservative tendencies of the staff due to rigid policies.


CONCLUSIONS
The findings of this study can help health-care professionals recognize the factors that influence self-management and provide direction for registered nurses and other health professionals involved in supporting self-management programs for NH residents.
College of Nursing, Seoul National University, Seoul, Korea ; The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
Yeon-Hwan
YH
Park
The Research Institute of Nursing Science, Seoul National University, Seoul, Korea ; Department of Nursing Science, College of Industry, Sangmyung University, Cheonan, Korea.
Hwal Lan
HL
Bang
College of Nursing, Seoul National University, Seoul, Korea.
Ga Hye
GH
Kim
College of Nursing, Seoul National University, Seoul, Korea.
Ji Yeon
JY
Ha
D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D036301:Qualitative Research; D056910:Republic of Korea; D012648:Self Care
aged; focus groups; long-term care; self-management