Patient empowerment, patient participation and patient-centeredness in hospital care

A concept analysis based on a literature review

E.M. Castro, T. van Regenmortel, K. Vanhaecht, W. Sermeus, A. van Hecke

Research output: Contribution to journalReview articleScientificpeer-review

Abstract

Objectives
The concepts of patient empowerment, patient participation and patient-centeredness have been introduced as part of the trend towards a more participatory health care and have largely been used interchangeably. Although these concepts have been discussed for a number of years, their exact meaning in hospital care remains somewhat unclear. This absence of theoretical and conceptual clarity has led to (1) poor understanding and communication among researchers, health practitioners and policy makers and (2) problems in measurement and comparison between studies across different hospitals.
Methods
This paper examines all three concepts through a concept analysis based on the method of Avant and Walker (2005) [1] and the simultaneous concept analysis of Haase et al. (1992) [2].
Results
Through these methods, the antecedents, attributes, consequences and empirical referents of each concept are determined. In addition, similarities and differences between the three concepts are identified and a definition offered for each concept. Furthermore, the interrelatedness between the key concepts is mapped, and definitions are proposed.
Conclusions
It can be concluded that patient empowerment is a much broader concept than just patient participation and patient-centeredness.
Practice implications
The present study may provide a useful framework that researchers, policy makers and health care providers can use to facilitate patient empowerment.
Keywords: Patient participation, Patient-centeredness, Patient empowerment, Concept analysis
Original languageEnglish
Pages (from-to)1923-1939
JournalPatient Education and Counseling
Volume99
Issue number12
DOIs
Publication statusPublished - Dec 2016

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Cite this

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title = "Patient empowerment, patient participation and patient-centeredness in hospital care: A concept analysis based on a literature review",
abstract = "ObjectivesThe concepts of patient empowerment, patient participation and patient-centeredness have been introduced as part of the trend towards a more participatory health care and have largely been used interchangeably. Although these concepts have been discussed for a number of years, their exact meaning in hospital care remains somewhat unclear. This absence of theoretical and conceptual clarity has led to (1) poor understanding and communication among researchers, health practitioners and policy makers and (2) problems in measurement and comparison between studies across different hospitals.MethodsThis paper examines all three concepts through a concept analysis based on the method of Avant and Walker (2005) [1] and the simultaneous concept analysis of Haase et al. (1992) [2].ResultsThrough these methods, the antecedents, attributes, consequences and empirical referents of each concept are determined. In addition, similarities and differences between the three concepts are identified and a definition offered for each concept. Furthermore, the interrelatedness between the key concepts is mapped, and definitions are proposed.ConclusionsIt can be concluded that patient empowerment is a much broader concept than just patient participation and patient-centeredness.Practice implicationsThe present study may provide a useful framework that researchers, policy makers and health care providers can use to facilitate patient empowerment.Keywords: Patient participation, Patient-centeredness, Patient empowerment, Concept analysis",
author = "E.M. Castro and {van Regenmortel}, T. and K. Vanhaecht and W. Sermeus and {van Hecke}, A.",
year = "2016",
month = "12",
doi = "10.1016/j.pec.2016.07.026",
language = "English",
volume = "99",
pages = "1923--1939",
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Patient empowerment, patient participation and patient-centeredness in hospital care : A concept analysis based on a literature review. / Castro, E.M.; van Regenmortel, T.; Vanhaecht, K.; Sermeus, W.; van Hecke, A.

In: Patient Education and Counseling, Vol. 99, No. 12, 12.2016, p. 1923-1939.

Research output: Contribution to journalReview articleScientificpeer-review

TY - JOUR

T1 - Patient empowerment, patient participation and patient-centeredness in hospital care

T2 - A concept analysis based on a literature review

AU - Castro, E.M.

AU - van Regenmortel, T.

AU - Vanhaecht, K.

AU - Sermeus, W.

AU - van Hecke, A.

PY - 2016/12

Y1 - 2016/12

N2 - ObjectivesThe concepts of patient empowerment, patient participation and patient-centeredness have been introduced as part of the trend towards a more participatory health care and have largely been used interchangeably. Although these concepts have been discussed for a number of years, their exact meaning in hospital care remains somewhat unclear. This absence of theoretical and conceptual clarity has led to (1) poor understanding and communication among researchers, health practitioners and policy makers and (2) problems in measurement and comparison between studies across different hospitals.MethodsThis paper examines all three concepts through a concept analysis based on the method of Avant and Walker (2005) [1] and the simultaneous concept analysis of Haase et al. (1992) [2].ResultsThrough these methods, the antecedents, attributes, consequences and empirical referents of each concept are determined. In addition, similarities and differences between the three concepts are identified and a definition offered for each concept. Furthermore, the interrelatedness between the key concepts is mapped, and definitions are proposed.ConclusionsIt can be concluded that patient empowerment is a much broader concept than just patient participation and patient-centeredness.Practice implicationsThe present study may provide a useful framework that researchers, policy makers and health care providers can use to facilitate patient empowerment.Keywords: Patient participation, Patient-centeredness, Patient empowerment, Concept analysis

AB - ObjectivesThe concepts of patient empowerment, patient participation and patient-centeredness have been introduced as part of the trend towards a more participatory health care and have largely been used interchangeably. Although these concepts have been discussed for a number of years, their exact meaning in hospital care remains somewhat unclear. This absence of theoretical and conceptual clarity has led to (1) poor understanding and communication among researchers, health practitioners and policy makers and (2) problems in measurement and comparison between studies across different hospitals.MethodsThis paper examines all three concepts through a concept analysis based on the method of Avant and Walker (2005) [1] and the simultaneous concept analysis of Haase et al. (1992) [2].ResultsThrough these methods, the antecedents, attributes, consequences and empirical referents of each concept are determined. In addition, similarities and differences between the three concepts are identified and a definition offered for each concept. Furthermore, the interrelatedness between the key concepts is mapped, and definitions are proposed.ConclusionsIt can be concluded that patient empowerment is a much broader concept than just patient participation and patient-centeredness.Practice implicationsThe present study may provide a useful framework that researchers, policy makers and health care providers can use to facilitate patient empowerment.Keywords: Patient participation, Patient-centeredness, Patient empowerment, Concept analysis

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SP - 1923

EP - 1939

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

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