Empowerment in healthcare: A thematic synthesis and critical discussion of concept analyses of empowerment.

Abstract:

OBJECTIVE:The objective of this study is to shed light on common characteristics revealed in concept analyses of empowerment to contribute to further understanding. A further objective is to discuss how the perspective of healthcare service users appeared in the concept analyses. METHODS:The review was performed by systematically searching Medline, CINAHL, EMBASE, PsycINFO and ERIC. The search yielded 255 abstracts, which were reduced by relevance and critical appraisal to the 12 concept analyses included. The analysis process involved thematic synthesis as described by Thomas and Harden. RESULTS:The synthesis led to 13 descriptive themes structured according to antecedents, attributes and consequences of empowerment. The synthesis revealed how sparsely the question of equality and power in the relation between health professionals and healthcare service users is addressed. DISCUSSION:To a great extent empowerment is viewed as a helping process of making patients act differently, rather than redistribution of power. For groups that are particularly vulnerable to oppression, questions of power are of severe importance. PRACTICE IMPLICATIONS:As user participation is a growing discourse in health policy, health professionals need education to develop and address dimensions of power and reciprocity in empowering relations between users and themselves.

journal_name

Patient Educ Couns

authors

Halvorsen K,Dihle A,Hansen C,Nordhaug M,Jerpseth H,Tveiten S,Joranger P,Ruud Knutsen I

doi

10.1016/j.pec.2020.02.017

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

1263-1271

issue

7

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(20)30067-7

journal_volume

103

pub_type

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