Empowerment in medicine: An analysis of publication trends 1980–2005

Loukanova, Svetla; Bridges, John F.P.

doi:10.2478/s11536-007-0066-7

Cited by 20 publications

(16 citation statements)

References 28 publications

(54 reference statements)

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“…Work in this area (e.g., Refs. 3,19 ) may provide a sound basis for developing dedicated e-health applications and services and for understanding better the effects of patient empowerment and the conditions in which empowerment occurs.…”

Section: Discussionmentioning

confidence: 99%

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E-health Applications and Services for Patient Empowerment: Directions for Best Practices in The Netherlands

Alpay¹,

Henkemans²,

Otten³

et al. 2010

Telemedicine and e-Health

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Objective: E-health may enable the empowerment process for patients, particularly the chronically ill. However, e-health is not always designed with the requirements of patient empowerment in mind. Drawing on evidence-based e-health studies, we propose directions for best practices to develop e-health that promotes patient empowerment. Methods: The concept of patient empowerment in the Dutch setting is discussed first. The prerequisites for patient empowerment are then described and translated into empowerment areas relevant to e-health. Materials: We reviewed Dutch e-health studies that provide insights into what works, and what does not, in e-health. Results: On the basis of the lessons learned from the studies, we propose directions for best practices to develop e-health that promotes patient empowerment. These directions cover various aspects, such as the design and implementation of e-health, its information content and usability, awareness, and acceptance. The studies also indicate the difficulty of establishing that e-health is really dedicated to patient empowerment. Conclusions: Despite the body of knowledge about patient empowerment, as well as the technological visibility of e-health, evidence for best practices in general and for patient empowerment in particular is scarce. We call for a more systematic evaluation of e-health for patient empowerment and more reliable evidence. Beyond the organizational and technical issues involved in e-health, there is also a need to demonstrate its practical benefits to patients. The Netherlands is active in developing sustainable e-health. National initiatives are now in place to support the processes with the aim of establishing the required evidence-based best practices.

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Section: Discussionmentioning

confidence: 99%

“…3 It is frequently used to describe a situation where patients are encouraged to be active in their own health management. Our viewpoint is that empowering patients can enable them to take more responsibility for managing their health and encourage self-management activities.…”

Section: Introductionmentioning

confidence: 99%

E-health Applications and Services for Patient Empowerment: Directions for Best Practices in The Netherlands

Alpay¹,

Henkemans²,

Otten³

et al. 2010

Telemedicine and e-Health

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show abstract

“…Empowerment is a widely used concept in health promotion and public health (Laverack, 2006;Loukanova & Bridges, 2008;Wallerstein, 2006;Wiggins, 2012). This term has been defined as both an outcome and a process through which individuals and communities gain greater control over health and the capacity to make or resist change (Tengland, 2007(Tengland, , 2008.…”

Section: Empowermentmentioning

confidence: 99%

Empowering Adolescents to Engage in Healthy Behaviours Through Peer Leadership Training in the Townships of Cape Town

Karlsson

Andersson

Johansson

2014

ijcyfs

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This paper investigated peer educators' perceptions of their selfempowerment, learning, and experiences of being a peer educator within the Leadership South Programme (LSP) in Cape Town, South Africa. The data about the peer educators' perceptions was gathered through open-ended questionnaires and qualitative interviews and analysed through thematic content analysis. The results showed that peer educators' self-esteem, confidence, and motivation increased, as did their knowledge and skills related to communication, supporting, and motivating peers and clients. Additionally, the results showed that education based on trainee resources and strengths successfully promoted healthy behaviours and fostered health promotion among the adolescents living in the townships of Cape Town.Keywords: empowerment, adolescents, peer education, training of trainers, health promotion, healthy behaviour, South Africa Acknowledgements: This article is dedicated to the memory of Graham Vivian Phippen (1948, who was the founder and leader of the LSP in Cape Town for 16 years. Graham continues to inspire us and we thank him for his support and assistance in implementing this study. We share the grief over his sudden death in 2012 with his relatives, colleagues, and friends.

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“…In this context, it seems obvious to refer to the idea of empowerment: people should be made more capable of making the right choices [33][34][35] . As such, patient empowerment can be very helpful, but we should not make the mistake to pretend as if the only problem left in medicine is how to 'empower' individual patients so they would be able to make the right and autonomous choices.…”

Section: Nudgingmentioning

confidence: 99%

Nudging and obesity: How to get rid of paternalism?

Devisch

2012

JNEP

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This paper reflects upon the conditions how 'nudging' can change individual health choices without being paternalistic and therefore can be defined as an instrument of social justice? So many problems we are facing in today's nursing are situated at the intersection of autonomy and heteronomy, i.e. why well informed and autonomous people make unhealthy lifestyle choices. If people do not choose what they want, this is not simply caused by their lack of character or capability, but also by the fact that absolute autonomy is impossible; also autonomous individuals are 'contaminated' by heteronymous aspects, by influences from 'outside'. In an earlier article I made an analysis of my neologism 'oughtonomy' to support the thesis that when it comes down to human existence, autonomy and heteronomy are intertwined, more than they are merely opposites.Although nudging might be of help in many nursing settings, we should evaluate it with the same criticism as we judge upon paternalism. Despite the potential of nudging for nursing, there is a risk to put the nurse again in the position of the paternalistic outsider who knows how people should behave. But maybe the awareness of the oughtonomous decisions we all make in our lives, can help us to understand why people act mindless in some situations or why we choose what we choose. Knowing this is one thing, giving people the authority of an expert to know what is better off for others, another. Despite the potential of the last, the former concept does not legitimate paternalistic interferences in patient's lifestyle.

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Empowerment in medicine: An analysis of publication trends 1980–2005

Cited by 20 publications

References 28 publications

E-health Applications and Services for Patient Empowerment: Directions for Best Practices in The Netherlands

E-health Applications and Services for Patient Empowerment: Directions for Best Practices in The Netherlands

Empowering Adolescents to Engage in Healthy Behaviours Through Peer Leadership Training in the Townships of Cape Town

Nudging and obesity: How to get rid of paternalism?

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