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Patient empowerment in nursing practice

Fiza deen

on 7 February 2014

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Transcript of Empowerment

Patient by: Haafizah Characteristics of Empowerment Classifications of Empowerment Community Empowerment Organizational Empowerment Individuals’ psychological empowerment Outcomes related to disease and its treatment Antecedents Consequences Attributes Inter-personal Intra-personal Types of Empowerment empowerment: process of communication and education
"interactive process": power is ‘‘given’’ by someone to somebody Empowerment based approach seeks to reinforce some general abilities in people:
ability to identify needs and psychosocial problems
determine personal goals
define strategies to achieve self-selected goals
solve problems
and more... empowerment: process of personal transformation
"personal process": power is ‘‘created’’ within someone Reciprocal interaction
Autonomy linked with accountability
Shared or transferred power
Greater access to financial or intangible resources Respectful trusting relationships
Willingness to accept change
Communication, negotiating skills
Willingness to accept transferred or bestowed power
Personal capacity for growth
Desire for autonomy and self-determination Trusting, respectful, nurturing nurse-patient relationship that supplies support, encouragement and information self-management
self-determination of goals
self-efficacy regarding behaviours “A process used to correct an imbalance of power by increasing access to resources such as communication and negotiating skills”
Methods of community empowerment:
Empowerment education and training
Media use and advocacy
Public education and participation
Organizing associations and unions
Work training and microenterprise
Enabling services and support
Rights protections and promotion Empowerment as involving access to information, support, resources and opportunities to learn and grow in the work setting Level of the individual
sense of personal control and efficacy <--> willingness to change and take action
links internal cognitive factors and visible action/change
4 levels of cognition:
Ability to influence outcomes Empowerment expected
to gain more power over one’s life (provider-patient interaction POV) (patient alone POV) (Aujoulat, 2007) empowerment: result from interactive and personal process
emergence of ‘‘power’’ is facilitated by a caring relationship, and not merely given by someone, nor created within someone (Aujoulat, 2007) “a process by which people, organizations, and communities gain mastery over issues of concern to them”
Empower – "to invest with power, especially legal power or official authority; to equip or supply with an ability; to enable."
Empowerment encompasses the term "power"

Empowerment: philosophy in which human beings have the right and ability to choose by and for themselves. (McCarthy, 2008) (person-centered empowerment) (McCarthy, 2008) Empowerment... (McCarthy, 2008) “evolving consciousness”
Active participation – nurses facilitate, not create, empowerment
Interactive – reciprocal nature (McCarthy, 2008) (McCarthy, 2008) (McCarthy, 2008) Outcomes related to psychosocial aspects enhanced QoL
enhanced capacity to cope with negative feelings
personal transformation of self
better psychosocial adaptation decision/implementation of behaviour changes
enhanced control
personal satisfaction
responsibility Other outcomes (Aujoulat, 2007) (Aujoulat, 2007) (Aujoulat, 2007) (McCarthy, 2008) (Aujoulat, 2007) (McCarthy, 2008) Community members that share power with healthcare professionals as well as have their cultural beliefs implemented into the healthcare system felt empowered (Amendola, 2011) to create their own identity (the minority)
to influence others (the majority) to embrace their identity
to maintain conflict with the majority power to promote social change Strategies for empowerment Sharing of Power (Amendola, 2011) (Aujoulat, 2007) will maximize:
sense of autonomy (Aujoulat, 2007) Example Scenario? Attitudes that contribute to the empowerment process:
construct a positive atmosphere
demonstrate interest
provide non-judgmental responsiveness
pay attention to patients’ priorities and concerns (active listening) followed by a self-reflective dialogue
support patients’ autonomy and actively encourage them to participate in the consultation and health-related decisions
offer individualised information and advice
allow patients to express emotions, be there as emotional support
be aware patient needs time to make decisions, or practice tasks
facilitate evaluation of changes in one’s representation of self
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