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Implications for practice and research
Self-management support for patients with long-term conditions is not seen as a priority within the current structures and procedures of primary care nursing.
The few nurses who implement aspects of self-management support have been confident enough to disrupt the prevailing system and spend time on hidden work. However, they could only initiate conversations and were not able to sustain interactions sufficiently to support lifestyle change.
Supporting patients with lifestyle changes necessary to self-manage long-term conditions requires changes in primary …
Competing interests None.