Self-management care plans for patients with severe chronic obstructive pulmonary disease: a quality improvement project
Intended for healthcare professionals
Evidence and practice    

Self-management care plans for patients with severe chronic obstructive pulmonary disease: a quality improvement project

Sarah Ann Durber Advanced nurse practitioner, Peel House Medical Practice, Accrington Pals Primary Health Care Centre, Accrington, Lancashire, England

Why you should read this article:
  • To be aware that acute exacerbations of chronic obstructive pulmonary disease (COPD) are a significant public health challenge worldwide

  • To read about a quality improvement project in general practice that aimed to support self-management for people experiencing acute exacerbations of severe COPD

  • To recognise the important role of practice nurses in leading the delivery of self-management education to patients with chronic conditions

Self-management of chronic conditions is not a new concept, but it is often underused in primary care. This article describes the development, implementation and outcomes of a quality improvement project in an English general practice that aimed to ensure 100% of patients with severe chronic obstructive pulmonary disease (COPD) had a personalised self-management care plan in place within a six-month period between January 2020 and July 2020. The intention was to standardise COPD care among healthcare professionals and empower patients to recognise symptom changes faster to reduce acute exacerbations of COPD, hopefully leading to a reduction in hospital admissions. An evidence-based self-management template was designed and embedded into routine care for all patients with COPD. Project delivery involved the use of telephone and remote consultations. The project achieved its aim, with general practice nurses having a crucial role in its success.

Primary Health Care. doi: 10.7748/phc.2023.e1822

Peer review

This article has been subject to external double-blind peer review and checked for plagiarism using automated software

@sarahannwillia3

Correspondence

sarah.durber@nhs.net

Conflict of interest

None declared

Durber SA (2023) Self-management care plans for patients with severe chronic obstructive pulmonary disease: a quality improvement project. Primary Health Care. doi: 10.7748/phc.2023.e1822

Published online: 20 December 2023

Want to read more?

Already subscribed? Log in

OR

Unlock full access to RCNi Plus today

Save over 50% on your first 3 months

Your subscription package includes:
  • Unlimited online access to all 10 RCNi Journals and their archives
  • Customisable dashboard featuring 200+ topics
  • RCNi Learning featuring 180+ RCN accredited learning modules
  • RCNi Portfolio to build evidence for revalidation
  • Personalised newsletters tailored to your interests
Subscribe
RCN student member? Try Nursing Standard Student

Alternatively, you can purchase access to this article for the next seven days. Buy now

Or