Peer support interaction in people with chronic diseases: nurses’ perspectives and practices
DOI:
https://doi.org/10.29352/mill0216e.36074Keywords:
chronic disease; peer interaction; transitionAbstract
Introduction: Chronic disease implies a change in people's lives, requiring the assumption of new habits in order to adapt to a new health condition. The dynamic relationship between a person with a chronic condition and others who have the same disease ("peers"), and who have had an effective adaptation, has the potential to be beneficial, facilitating the development of behaviours and skills that promote a better quality of life and self-management of the disease.
Objective: To describe nurses’ perspectives and practices regarding peer support for adults with chronic diseases.
Methods: Observational and cross-sectional study, in a university hospital. A survey was applied to a non-probabilistic sample of 1-2 nurses per service, exploring their perspectives and practices.
Results: 90 nurses from 55 units were interviewed. 27% said they frequently promote interaction between patients with similar clinical conditions. 58% consider peer support to the patient in adapting/accepting a new health condition as “very important”. The lack of motivation, involvement, and the manifestation of negative feelings and beliefs are the most frequent reasons for this intervention. The main gains focus on the dimensions of health behaviours and improved quality of life.
Conclusion: Nurses recognize the potential of peer support, yet there is currently no systematic or intentional action to implement the nursing intervention: encouraging dynamic interaction with people with effective therapeutic regimen management.
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Adriano, A., Thompson, D. M., McMullan, C., Price, M., Moore, D., Booth, L., & Mathers, J. (2022). Peer support for carers and patients with inflammatory bowel disease: A systematic review. Systematic Reviews, 11(1), 200. https://doi.org/10.1186/s13643-022-02064-6
Bastos, F. (2013). A pessoa com doença crónica: Uma teoria explicativa sobre a problemática da gestão da doença e do regime terapêutico [Tese de doutoramento, Universidade Católica Portuguesa].
Clark, E., MacCrosain, A., Ward, N. S., & Jones, F. (2020). The key features and role of peer support within group self-management interventions for stroke: A systematic review. Disability and Rehabilitation, 42(3), 307–316. https://doi.org/10.1080/09638288.2018.1498544
Cooper, R. E., Saunders, K. R. K., Greenburgh, A., Shah, P., Appleton, R., Machin, K., Jeynes, T., Barnett, P., Allan, S. M., Griffiths, J., Stuart, R., Mitchell, L., Chipp, B., Jeffreys, S., Lloyd-Evans, B., Simpson, A., & Johnson, S. (2024). The effectiveness, implementation, and experiences of peer support approaches for mental health: A systematic umbrella review. BMC Medicine, 22, 72. https://doi.org/10.1186/s12916-024-03260-y
Dennis, C. L. (2003). Peer support within a health care context: A concept analysis. International Journal of Nursing Studies, 40(3), 321-32. https://doi.org/10.1016/s0020-7489(02)00092-5
Elst, K. V. der, Cock, D. D., Bangels, L., Peerlings, L., Doumen, M., Bertrand, D., Caluwé, L. D., Langers, I., Stouten, V., Westhovens, R., & Verschueren, P. (2021). ‘More than just chitchat’: A qualitative study concerning the need and potential format of a peer mentor programme for patients with early rheumatoid arthritis. RMD Open, 7(3), e001795. https://doi.org/10.1136/rmdopen-2021-001795
Embuldeniya, G., Veinot, P., Bell, E., Bell, M., Nyhof-Young, J., Sale, J. E., & Britten, N. (2013). The experience and impact of chronic disease peer support interventions: A qualitative synthesis. Patient Education and Counseling, 92(1), 3-12. https://doi.org/10.1016/j.pec.2013.02.002
Enggaard, H., & Uhrenfeldt, L. (2016). Experiences of peer support in self-management interventions among people with ischemic heart disease: A systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, 14(10), 10-16. https://doi.org/10.11124/JBISRIR-2016-2372
Health Council of Canada. (2012). Self-management support for Canadians with chronic health conditions: A focus for primary health care. Health Council of Canada. https://publications.gc.ca/collections/collection_2012/ccs-hcc/H174-28-2012-eng.pdf
Hossain, S. N., Jaglal, S. B., Shepherd, J., Perrier, L., Tomasone, J. R., Sweet, S. N., Luong, D., Allin, S., Nelson, M. L. A., Guilcher, S. J. T., & Munce, S. E. P. (2021). Web-based peer support interventions for adults living with chronic conditions: Scoping review. JMIR Rehabilitation and Assistive Technologies, 8(2), e14321. https://doi.org/10.2196/14321
Hu, J., Wang, X., Guo, S., Chen, F., Wu, Y., Ji, F., & Fang, X. (2019). Peer support interventions for breast cancer patients: A systematic review. Breast Cancer Research and Treatment, 174(2), 325–341. https://doi.org/10.1007/s10549-018-5033-2
International Council of Nurses. (2015). CIPE: Classificação internacional para a prática de enfermagem. Lusodidacta. https://futurosenf.wordpress.com/wp-content/uploads/2017/04/cipe_2015.pdf
Joo, J. H., Bone, L., Forte, J., Kirley, E., Lynch, T., & Aboumatar, H. (2022). The benefits and challenges of established peer support programmes for patients, informal caregivers, and healthcare providers. Family Practice, 39(5), 903–912. https://doi.org/10.1093/fampra/cmac004
Kong, L., Hu, P., Zhao, Q., Yao, H., & Chen, S. (2020). Effect of peer support intervention on diabetes distress in people with type 2 diabetes: A systematic review and meta-analysis. International Journal of Nursing Practice, 26(5), e12830. https://doi.org/10.1111/ijn.12830
Lacombe, D., O’Morain, C., Casadei, B., Hill, K., Mateus, E., Lories, R., & Brusselle, G. (2019). Moving forward from drug-centred to patient-centred research: A white paper initiated by EORTC and developed together with the BioMed Alliance members. European Respiratory Journal, 53(2). https://doi.org/10.1183/13993003.01870-2018
Lyons, N., Cooper, C., & Lloyd-Evans, B. (2021). A systematic review and meta-analysis of group peer support interventions for people experiencing mental health conditions. BMC Psychiatry, 21, 315. https://doi.org/10.1186/s12888-021-03321-z
Meleis, A., & Trangenstein, P. (1994). Facilitating transitions: Redefinition of the nursing mission. Nursing Outlook, 42(6), 255-259. https://doi.org/10.1016/0029-6554(94)90045-0
Murphy, R., Huggard, L., Fitzgerald, A., Hennessy, E., & Booth, A. (2024). A systematic scoping review of peer support interventions in integrated primary youth mental health care. Journal of Community Psychology, 52(1), 154–180. https://doi.org/10.1002/jcop.23090
Nikiphorou, E., Santos, E. J. F., Marques, A., Böhm, P., Bijlsma, J. W., Daien, C. I., Esbensen, B. A., Ferreira, R. J. O., Fragoulis, G. E., Holmes, P., McBain, H., Metsios, G. S., Moe, R. H., Stamm, T. A., de Thurah, A., Zabalan, C., Carmona, L., & Bosworth, A. (2021). 2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis. Annals of the Rheumatic Diseases, 80(10), 1278–1285. https://doi.org/10.1136/annrheumdis-2021-220249
Sousa, M. R. (2015). Promover o autocuidado apoiar a adesão e a gestão do regime terapêutico – Programa de intervenção de enfermagem em pessoas com diabetes [Tese de doutoramento, Instituto de Ciências Biomédicas Abel Salazar da Universidade do Porto]. Repositório Universidade do Porto. https://repositorio-aberto.up.pt/handle/10216/80091?locale=pt
Thompson, D., Booth, L., Moore, D., & Mathers, J. (2022). Peer support for people with chronic conditions: A systematic review of reviews. BMC Health Services Research, 22, 427. https://doi.org/10.1186/s12913-022-07816-7
Trasolini, A., Wood, E., & Thomas, N. (2021). A narrative review of peer support barriers and facilitators in kidney care. Journal of Renal Care, 47, 9–16. https://doi.org/10.1111/jorc.12350
Virtic, T., Mihevc, M., Zavrnik, C., Mori Lukancic, M., Poplas Susic, A., & Klemenc-Ketiš, Z. (2023). Peer support as part of scaling-up integrated care in patients with type 2 diabetes and arterial hypertension at the primary healthcare level: A study protocol. Zdravstveno Varstvo, 62(2), 93–100. https://doi.org/10.2478/sjph-2023-0013
Werfalli, M., Raubenheimer, P., Engel, M., Musekiwa, A., Bobrow, K., Peer, N., Hoegfeldt, C., Kalula, S., Kengne, A., & Levitt, N. (2020). The effectiveness of peer and community health worker-led self-management support programs for improving diabetes health-related outcomes in adults in low- and middle-income countries: A systematic review. Systematic Reviews, 9, 1-21. https://doi.org/10.1186/s13643-020-01377-8
World Health Organization. (2023). World health statistics 2023: Monitoring health for the SDGs, Sustainable Development Goals. Geneva: WHO. https://www.who.int/publications/i/item/9789240074323
Yao, X., Wang, X., Yuan, J., Huang, Z., Wu, D., & Xu, H. (2021). Benefits of peer-support nursing intervention to pulmonary function and quality of life in nonsmoking patients with COPD. Canadian Respiratory Journal, 2021, 1–7. https://doi.org/10.1155/2021/7450979
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