Daily routines, short-term priorities, and nurses' role hamper self-management support in a hospital setting: A mixed methods study.

Background: Self-management support is widely considered a critical aspect of nursing. Still, many studies indicate that nurses frequently experience difficulties in daily practice. Objective: To gain a deeper understanding of the factors perceived by nurses to impede or promote their support of patients' self-management within the dynamic environment of the in-patient hospital setting. Design: Mixed methods design. Participants: Nurses ( Methods: The SEPSS-36 questionnaire assessed nurses' self-efficacy and performance in self-management support. Semi-structured interviews were conducted to address salient results from the questionnaire, focusing on factors influencing self-management support, goal setting, follow-up care, and the nurse's role in a hospital setting. Results: the response rate for the questionnaire study was 62 %. A paired t-test revealed a significant mean difference of 6.30 95 % CI [5.91-6.69] Conclusions: Short-term priorities such as 'getting the work done' dominate nurses' daily tasks in hospital wards, leading them to overlook often the benefits of supporting patient self-management. This narrow view of their responsibilities can hinder patient care, whereas adopting a broader perspective on the patient journey could be very beneficial.