Patient empowerment: A critique of individualism and systematic review of patient perspectives

Patient Education and Counseling
Joy Agner, Kathryn L Braun

Abstract

The purpose of this review is two-fold: 1) to broaden conceptualization of patient empowerment by synthesizing qualitative research on patient perspectives, and 2) to examine how researcher's method and background may have affected their framing of patient empowerment, thereby shaping the results. A systematic search for qualitative research on patient definitions of power, powerlessness, and empowerment was completed. Articles were analyzed at three levels (theory, method, and data) as suggested by the meta-study method for qualitative synthesis. The search yielded 13 articles from 11 investigator teams across 9 countries (the United Kingdom, Norway, Australia, Taiwan, New Zealand, China, Iran, Belgium and Italy). Emergent themes from patient perspectives included control, psychological coping, legitimacy, support, knowledge, and participation. Despite variation in diagnosis, age, ethnicity, income and country of origin, patients share many perspectives on empowerment. Furthermore, there are indications that interview questions may have influenced findings such that structural barriers to empowerment were not deeply explored. This review provides knowledge that can be of direct use to medical professionals who aim to increase ...Continue Reading

Citations

Aug 28, 2020·Journal of Medical Internet Research·Liran KarniGunnar Oskar Klein
Apr 5, 2020·International Journal of Environmental Research and Public Health·Tetine SentellElizabeth McFarlane
Apr 28, 2021·Health Informatics Journal·Marilena TarousiDimitrios Koutsouris
Jul 14, 2021·Journal of Medical Internet Research·Dorien SmitJan Spijker
Jul 6, 2021·ANS. Advances in Nursing Science·Jiyoung Kim, Nayeon Shin

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