
TY  - JOUR
A1  - Horsburgh, Margaret 
A1  - Bycroft, Janine 
A1  - Goodyear-Smith, Felicity 
A1  - Roy, Dianne 
A1  - Mahony, Faith 
A1  - Donnell, Erin 
A1  - Miller, Denise 
T1  - The Flinders Programme of Chronic Condition Self-Management in New Zealand: survey findings
JF  - Journal of Primary Health Care
JO  - J Prim Health Care
Y1  - 2010
VL  - 2
IS  - 4
SP  - 288
EP  - 293
KW  - 
UR  - https://doi.org/10.1071/HC10288 
N2  - INTRODUCTION: The Flinders ProgramTM of Chronic Condition Self-Management in New Zealand (NZ) has been given focus as a useful and appropriate approach for self-management support and improvement of long-term condition management. AIM: To determine the use of the Flinders ProgramTM in NZ and identify barriers and enablers to its use. METHOD: A web-based survey was undertaken in June 2009 with 355 eligible participants of the 500 who had completed &#x2018;Flinders&#x2019; training in NZ since 2005. RESULTS: 152 (43%) respondents completed the survey over a one-month time frame. Of those who responded, the majority were primary care nurses (80%; 118). Fifty-five percent (82) of survey respondents reported using some or all of the Flinders tools. Of these, 11% (16) reported using all of the tools or processes with 77% (104) of respondents having completed six or fewer client assessments utilising the Flinders tools. This indicates that respondents were relatively inexperienced with use of the Flinders ProgramTM. Barriers to implementation were identified as the time needed for structured appointments (up to one hour), funding, resistance from colleagues, lack of space and insufficient ongoing support. DISCUSSION: Despite the extent of training in the use of the Flinders ProgramTM, there is limited use in clinical practice of the tools and processes associated with the model. Without structured support for quality improvement initiatives and self-management programmes, the ability to implement learned skills and complex interventions is limited. KEYWORDS: Self-management; long-term conditions; chronic conditions; chronic illness; primary care; nurses 
ER  -

