期刊
PATIENT EDUCATION AND COUNSELING
卷 101, 期 12, 页码 2054-2064出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2018.07.026
关键词
Empowerment; Patient empowerment; Patient-centered care; Structural power; Qualitative review; Community psychology; Psychological empowerment; Medical culture
Objective: 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. Methods: 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. Results: 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. Conclusions: 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. Practice Implications: This review provides knowledge that can be of direct use to medical professionals who aim to increase patient empowerment (via findings on patient perspectives) and to researchers who can use the critical appraisal of past work to improve future research on this topic. (c) 2018 Elsevier B.V. All rights reserved.
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