• Yeon-Hwan Park, Hwal Lan Bang, Ga Hye Kim, and Ji Yeon Ha.
• College of Nursing, Seoul National University, Seoul, Korea ; The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
• Clin Interv Aging. 2015 Jan 1; 10: 1617-24.

PurposeTo explore facilitators and barriers to self-management from the viewpoint of staff taking care of nursing home (NH) residents with chronic diseases in South Korea.Patients And MethodsA qualitative content analysis was done using the focus group interview method. A total of 23 health-care professionals (16 registered nurses and 7 social workers) were interviewed from three urban NHs, each with more than 100 beds.ResultsFive facilitators were identified: grouping the residents; the resident's awareness of his/her current health status; the willingness of residents to engage in self-management; residence in the facility; and support from the staff. Additionally, seven barriers were identified: deterioration of the resident's health; the dependency expectations of the resident; hesitation in asking for help; difference in expectations between the staff and the resident's family; insufficient staffing and time; lack of standardized guidelines; and conservative tendencies of the staff due to rigid policies.ConclusionThe findings of this study can help health-care professionals recognize the factors that influence self-management and provide direction for registered nurses and other health professionals involved in supporting self-management programs for NH residents.

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