Louise Faurholt Øbro, PhD, sygeplejerske og adjunkt 1,2, Palle Jörn Sloth Osther, PhD, overlæge, professor 1,2, Jette Ammentorp, PhD, MHSc, professor, centerleder 3,4,
Gitte Thybo Pihl, PhD, Cand. Soc., sygeplejerske og lektor5, Peter Gall Krogh, Cand. Arch., professor6, Charlotte Handberg, PhD, MPH, Sygeplejerske senior forsker og lektor 7,8
1 Urological Research Center, Vejle Hospital – a part of Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark.
2 Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
3 Centre for Research in Patient Communication, Odense University Hospital, Odense, Denmark.
4 Department of Clinical Research, University of Southern Denmark, Odense C, Denmark.
5 UCL University College, Vejle, Denmark.
6 School of Communication and Culture, Aarhus University, Aarhus, Denmark.
7 National Rehabilitation Center for Neuromuscular Diseases, Aarhus, Denmark.
8 Department of Public Health, Faculty of Health, Aarhus University, Aarhus, Denmark
Resumé
Self-management spiller en afgørende rolle i kræftforløb, da det styrker patienternes evne til at håndtere symptomer og behandling. Anvendelse af mobil sundhedsteknologi (mHealth), som omfatter smartphones og smartwatches, har vist sig at forbedre self-management ved at øge patienternes kontrol og mulighed for at overvåge egen sundhed.
Kombinationen af mHealth og sundhedscoaching har potentiale til at styrke patientrelationer og fremme individuel empowerment. Sygeplejersker spiller en central rolle i implementeringen af mHealth. Deres opgave er at vejlede patienter i brugen af teknologien, tolke data og integrere dem i behandlingen. Dog oplever mange sygeplejersker barrierer såsom lav digital kompetence og usikkerhed i forhold til deres rolle, hvilket kan føre til manglende selvtillid og lav motivation for at anvende mHealth.
På trods af udfordringer viser forskning, at mHealth kan fungere som et grænseobjekt, der styrker relationen mellem sygeplejersker og patienter gennem fælles oplevelser og dialog. For at forbedre brugen af mHealth anbefales løbende uddannelse, inddragelse i teknologiudvikling og fokus på digital kompetence. Disse tiltag kan fremme sygeplejerskernes selvtillid og sikre effektiv integration af mHealth i sundhedscoaching. Formålet med denne artikel er at afdække sygeplejerskers brug af mHealth i sundhedscoaching og kritisk reflektere over mHealths potentialer og barrierer.
Nøgleord: Self-management, mHealth, teknologi, digitale kompetencer, relation.
English abstract
How can mHealth support self-management and act as a catalyst in health coaching?
Self-management plays a crucial role in cancer trajectories by strengthening patients’ ability to handle symptoms and treatment. The use of mobile health technology (mHealth), including smartphones and smartwatches, has been shown to improve self-management by increasing patients’ sense of control and their ability to monitor their own health.
The combination of mHealth and health coaching has the potential to strengthen patient–provider relationships and promote individual empowerment. Nurses play a central role in the implementation of mHealth; they are responsible for guiding patients in the use of the technology, interpreting data, and integrating these data into care. However, many nurses face barriers, such as low digital competence and uncertainty about their role, which can lead to reduced confidence and motivation to use mHealth.
Despite these challenges, research indicates that mHealth can serve as a boundary object, strengthening the relationship between nurses and patients through shared experiences and dialogue. To improve the use of mHealth, ongoing education, involvement in technology development, and a focus on digital competence are recommended, as these initiatives can enhance nurses’ confidence and support effective integration of mHealth in health coaching. The aim of this article is to explore nurses’ use of mHealth in health coaching and to critically reflect on the potentials and barriers of mHealth.
Keywords: Self-management, mHealth, technology, digital competence, nurse–patient relationship, health coaching.
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