A concept analysis of self-management in long-term conditions

Self-management is a complex, ill-defined concept often promoted in the clinical management of chronic disease. Ambiguity about the meaning of self-management can cause confusion and misunderstanding among health professionals about its purpose and application. Aim and method : The aim of this article is to help define and clarify what is meant by self-management through a critical appraisal of the evidence using an abridged version of Walker and Avant′s approach to concept analysis. Findings : Self-management is regarded as an intervention in health care which increases a patient′s power and responsibility for making decisions, and helps ensure that necessary health-care actions are taken. Conclusions : It is recommended that self-management be adopted more widely.