Adherence to Self-Management for Chronic Diseases Among Unemployed Jobseekers in Finland-A Qualitative Study.
Nina Kemilä, Outi Kähkönen, Leila Paukkonen and 1 others
PMID 41942296WHAT IT FOUND
Unemployed jobseekers with chronic illnesses said being heard by professionals, clear instructions, regular nurse follow-up and help with daily routines made managing their conditions easier.
Pain, fatigue, money problems, medication fears, long waits and record problems made it harder.
Key findings
01The analysis found three main categories described as factors that support self-management: psychosocial support, functioning of the service chain, and life management.
02Continuity of care was described as cooperation between professionals, clear instructions, and regular follow-up, including visits to the nurse's office.
03Participants described factors that weakened self-management, including lack of support from loved ones, loss of functional capacity, ineffective treatment, economic barriers, medication problems, and barriers to services and information.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The study included 12 people, all from one small city in northern Finland, so the themes may not fit other places or health systems. Participants were recruited by convenience sampling through social workers, so they may not represent unemployed jobseekers who are less engaged with services. Most participants were women, and the study focused on jobseekers who could manage daily activities reasonably well, so people with severe self-management difficulties may be underrepresented. Some participants knew the interviewer from previous care, which may have made them more open or less willing to describe problems. The findings are based on what participants said about their experiences, not on measured health outcomes or tested services. The Finnish system provides free employment services, health check-ups, and medication support for some unemployed people, which may limit transferability to systems without these supports.
Declared interests
The authors report no funding and no conflicts of interest.