Patient autonomy in a high‐tech care context—A theoretical framework

Abstract

The control-partnership-transition framework would be of help in supporting and defending patient autonomy when caring for individual patients, as it provides an understanding of the strategies employed by patients to achieve autonomy in high-tech care contexts. The guiding principles for patient autonomy presented could be used in nursing guidelines.

Digitalisierung im Krankenhaus

“…Beide Konzepte erfahren in der medizinischen Fachliteratur eine große Popularität und finden sich dort häufig verknüpft mit medizinethischen Betrachtungen, die sich vermehrt auf digitalisierte Diagnose-oder Behandlungsverfahren beziehen (vgl. Lindberg et al, 2018;Martin & Muller, 2021). Auch in der vorliegenden Studie konnte "Patientenautonomie" als ein Thema rekonstruiert werden, das in den Diskursen von Software-Gestalter*innen und Mediziner*innen eine herausgehobene Relevanz besaß.…”

In‐hospital education of parents of newborns may benefit from competency‐based education: A qualitative focus group and interview study among health professionals

“…Ubel et al (Ubel et al, 2018) defined patient autonomy as the patients' right to decide about their medical care without undue influence from health professionals. Lindberg et al (Lindberg et al, 2018) described guiding principles for patient autonomy: recognising the patient as a person, showing respect, providing information and making the patient a member of the healthcare team. These principles must be in balance with caring and taking responsibility for the patient.…”

“…Leaving behind the era of paternalism (Kilbride & Joffe, 2018) and maternalism (Lindberg et al, 2018), the next step in achieving high‐quality health care requires a balanced transition to patient autonomy. Ubel et al (Ubel et al, 2018) defined patient autonomy as the patients' right to decide about their medical care without undue influence from health professionals.…”

“…Parent education is a beneficial factor for an effective learning process towards parent autonomy. In addition to viewing the achievement of ‘patient’ autonomy from the usual perspectives of nursing (Lindberg et al, 2018), medical care (Kilbride & Joffe, 2018) and ethics (Ubel et al, 2018), the question arises how parents can benefit from current insights into the adult learning processes of health professionals, as reflected in competency‐based education (CBE) (Gervais, 2016). CBE may be appropriate for parents because it is based on flexible, self‐directed learning, focuses on learning outcomes rather than on time investment, is attuned to busy lives and different learning styles, and can consider previous experiences in life, work and education (Gervais, 2016; Wascavage Gravina, 2017).…”