The social in medicine: Social techniques in patient education

Ljungdalh, Anders Kruse; Møller, Jane Ege

doi:10.1177/1363459311416835

Cited by 9 publications

(5 citation statements)

References 14 publications

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“…One of the findings of this review has been that health professionals have an important role in supporting empowerment through informed and collaborative decision making, a finding consistent within the broader literature. 6,27,28,57 Historically, health care professionals have occupied a position as the authoritative figure, 6 with patients required to comply with prescribed therapeutic goals to be considered as successful self-managers. 6 Empowering patients to determine the approach and priorities in their own care requires a shift in patient-health care professional to allow for shared authority with their expert patients.…”

Section: Implications For Practicementioning

confidence: 99%

“…6 Empowering patients to determine the approach and priorities in their own care requires a shift in patient-health care professional to allow for shared authority with their expert patients. 7,57 In doing this, the success is redefined "by the relationships they create with their patients, as well as outcomes achieved by their patients" in relation to patientdetermined goals. 6 This collaborative approach translates to a marked shift from patients being assessed on their ability to make correct decisions that fit in with a health professional's defined plan of care to patients making decisions that align with their own goals and needs.…”

Section: Implications For Practicementioning

confidence: 99%

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Empowerment in people with COPD

Disler¹,

Appleton²,

Smith³

et al. 2015

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Background: Patient empowerment is recognized as an important aspect of chronic disease management. There is an increasing expectation that health providers engage patients as active participants in their own self-management. This engagement is crucial to the chronic care model as patients with COPD and their families manage the majority of the care in the community. Understanding what influences empowerment will help health care professionals to better engage in collaborative care planning and decision making that meet the needs of this new generation of health consumers. Aim: The aim of the present study was to identify interventions or approaches that empower patients in the management of COPD. Methods: An integrative review was undertaken following the preferred reporting items for systematic reviews and meta-analyses approach. Papers were included if they 1) provided a definition or conceptualization of empowerment, and 2) reported interventions or approaches fostering empowerment in patients with COPD. Thematic analysis was used to develop conceptual themes on patient empowerment in COPD. These conceptual themes were validated by a panel of specialists in COPD, chronic disease management, self-management, and patient education. Results: Literature searching revealed 183 papers of which 15 studies conceptualized or defined empowerment interventions or approaches to support COPD management. These were grouped into the following five categories: pulmonary rehabilitation, social support, web-based interventions, approaches that support knowledge development, and the approach taken by the health care professional. Conclusion: Pulmonary rehabilitation, knowledge acquisition, social support, telehealth and web-based interfaces, and collaboration with health care professionals empower patients to recognize their own strengths and to manage the impact of the condition. Patients' abilities to direct their own care are additionally influenced by physical debilitation, treatment complexity, economic status, and health literacy. Health care professional-patient relationships must shift to a more collaborative approach that recognizes the patient as an expert in their own condition and facilitates patients to determine their own plan of care and life goals.

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Section: Implications For Practicementioning

confidence: 99%

Section: Implications For Practicementioning

confidence: 99%

Empowerment in people with COPD

Disler¹,

Appleton²,

Smith³

et al. 2015

View full text Add to dashboard Cite

show abstract

“…A deliberate attempt is made to keep the 'social' as an expansive concept that allows for open and creative interpretations at various levels of interventions (Ljungdalh & Moller 2011), without the potential constraints of a more specifically prescribed framework. This is done with the full knowledge that the lack of specificity and failure to explain 'the social' might problematise its usage in public health and health promotion.…”

Section: Conceptions Of Healthmentioning

confidence: 99%

‘Upstream/downstream’ – locating the ‘social’ in health promotion and HIV/AIDS in south africa?

Gilbert

2012

South African Review of Sociology

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Strengthening HIV prevention remains an urgent global health priority. The problem is that 'advancement' in HIV prevention often stands for the development of biomedical technologies or interventions. Theories and practices of health promotion have been advocating a shift from a biological/medical preventive focus to a more social one; from the level of individuals to organisations, communities and broader social policy. It seems, however, that in practice a real shift in the desired direction remains an elusive goal. This article explores HIV/AIDS health promotion efforts in South Africa, focusing on the traditional dichotomies of bio-social; individual-society and downstream-upstream, in order to draw attention to associated complexities that should be taken on board. Relying on evidence from South Africa (past and present), the main thesis in the article demonstrates the limitation of these efforts, and argues for a more comprehensive approach along a flexible continuum of options, with a focus on the 'social'. The main argument advanced here, rests on the premise that there is a lack of fit between the forces that shaped the epidemic and efforts to prevent its rapid spread, despite the existence of an adequate sociological understanding of these forces. A model based on the critique developed in the article is presented as a 'way forward', suggesting solutions along a flexible 'continuum of options' that take the 'social' on board. While the focus of the article is on HIV/AIDS, the insights offered in the final thesis and the way forward should prove useful for health promotion efforts in dealing with other health problems as well.

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“…Lavoie et al (2013), for example, state that, far from detracting from consultation quality, the format of group consultations "rather adds value to the encounter by providing opportunities for peer learning and mutual support" (p. 8). However, the processes that underpin group settings are poorly understood (Ickovics et al, 2007;Ljungdalh & Møller, 2012).…”

Section: Introductionmentioning

confidence: 99%

Antenatal group consultations: Promoting wellbeing

Fage-Butler

Brannigan

2022

QHC

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Background: Most healthcare encounters take place in a dyadic encounter between a patient and healthcare practitioner, and improving dyadic communication has been the object of much health communication research. However, it seems that an alternative to the dyadic encounter – group consultations – may have distinct advantages for the promotion of patients’ wellbeing. Aim: This article focuses on antenatal group consultations (AGCs), where groups of pregnant women meet with one or more healthcare practitioners instead of meeting their midwife individually, and explores how the presence of other pregnant women in AGCs may promote wellbeing. Methods: Adopting a post-intentional phenomenological approach, we analysed the transcripts of 16 semi-structured interviews undertaken with pregnant women who attended AGCs in Denmark, focusing on their accounts of being with each other. Results: The presence of other pregnant women helped to generate trust, with the participants’ pregnant bodies symbolising their common situation. The presence of peers prompted feelings of identification and solidarity, generally decreased the women’s concerns, and normalised their experiences of pregnancy. Discussion and conclusion: This article develops understandings of how patients experience interpersonal healthcare encounters, and suggests the value of alternatives to the clinical dyad, such as group consultations, for promoting the wellbeing of other patient groups.

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The social in medicine: Social techniques in patient education

Cited by 9 publications

References 14 publications

Empowerment in people with COPD

Empowerment in people with COPD

‘Upstream/downstream’ – locating the ‘social’ in health promotion and HIV/AIDS in south africa?

Antenatal group consultations: Promoting wellbeing

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