Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

Self Management Education

Issues covered reflect widespread common problems related to a specific disease.
Issues covered are identified by the client.
Disease-specific and offers information and technical skills related to the disease.
Provides problem-solving skills relevant to the concerns identified by the client living with a chronic condition.
Based on the underlying theory that disease-specific knowledge creates behaviour change, which in turn produces better outcomes
Based on the theory that greater client confidence in his/her capacity to make life-improving changes yields better clinical and other outcomes.
The goal is “compliance”
The goal is increased self-efficacy and improved clinical outcomes
Delivered by health-care professional.
Educators may be nurses, other health-care professionals, or others who are living with the disease

Adapted from Bodenheimer, T., Lorig, K., Holman, H., & Grumbach, K. (2002). Patient self-management of chronic disease in primary care. Journal of the American Medical Association, 288(19), 2469-2475