Unraveling the meaning of patient engagement: A concept analysis

Higgins, Tracy E.; Larson, Elaine; Schnall, Rebecca

doi:10.1016/j.pec.2016.09.002

Cited by 192 publications

(242 citation statements)

References 29 publications

Supporting

Mentioning

233

Contrasting

Unclassified

Order By: Relevance

“…Through clarifying concepts, healthcare providers can change their practise behaviour to reflect the identified antecedents and attributes including undertaking appropriate training (Foronda, ). As well, making explicit the meaning of words can improve communication between healthcare providers through a shared understanding of the core aspects of the behaviour that is needed to enact a particular behaviour (Higgins, ). Importantly, as healthcare providers need to keep up to date with their practice so that they can provide evidenced‐based care, gaining contemporary knowledge about healthcare concepts is crucial (Baldwin, , p. 51).…”

Section: Methodsmentioning

confidence: 99%

Cultural competence in healthcare in the community: A concept analysis

Henderson

Horne

Hills

et al. 2018

Health Soc Care Community

132

145

View full text Add to dashboard Cite

This study aims to conduct a concept analysis on cultural competence in community healthcare. Clarification of the concept of cultural competence is needed to enable clarity in the definition and operation, research and theory development to assist healthcare providers to better understand this evolving concept. Rodgers' evolutionary concept analysis method was used to clarify the concept's context, surrogate terms, antecedents, attributes and consequences and to determine implications for further research. Articles from 2004 to 2015 were sought from Medline, PubMed, CINAHL and Scopus using the terms "cultural competency" AND "health," "cultural competence" OR "cultural safety" OR "cultural knowledge" OR "cultural awareness" OR cultural sensitivity OR "cultural skill" AND "Health." Articles with antecedents, attributes and consequences of cultural competence in community health were included. The 26 articles selected included nursing (n = 8), health (n = 8), psychology (n = 2), social work (n = 1), mental health (n = 3), medicine (n = 3) and occupational therapy (n = 1). Findings identify cultural openness, awareness, desire, knowledge and sensitivity and encounter as antecedents of cultural competence. Defining attributes are respecting and tailoring care aligned with clients' values, needs, practices and expectations, providing equitable and ethical care, and understanding. Consequences of cultural competence are satisfaction with care, the perception of quality healthcare, better adherence to treatments, effective interaction and improved health outcomes. An interesting finding is that the antecedents and attributes of cultural competence appear to represent a superficial level of understanding, sometimes only manifested through the need for social desirability. What is reported as critical in sustaining competence is the carers' capacity for a higher level of moral reasoning attainable through formal education in cultural and ethics knowledge. Our conceptual analysis incorporates moral reasoning in the definition of cultural competence. Further research to underpin moral reasoning with antecedents, attributes and consequences could enhance its clarity and promote a sustainable enactment of cultural competence.

show abstract

Section: Methodsmentioning

confidence: 99%

Cultural competence in healthcare in the community: A concept analysis

Henderson

Horne

Hills

et al. 2018

Health Soc Care Community

132

145

View full text Add to dashboard Cite

show abstract

“…The contextual and organizational elements that may sustain or inhibit the “engagement” process. Finally, Higgins et al (2017) propose considering engagement as an encompassing level of patients' participation in health care, since engagement relies on “individual desires and capabilities, partnering with providers and institution maintaining the power hierarchy and increasing the confidence and skill levels of patients.” In particular, the authors consider the attributes of care personalization, access, commitment, and therapeutic alliance as constitutive of the engagement phenomenon.…”

Section: Resultsmentioning

confidence: 99%

“…They thus restrict the concept of “engagement” to the domain of therapeutic alliance (Higgins et al, 2017) and shared decision making (i.e., Davis et al, 2007; Mulley et al, 2012). Other studies suggest a broader vision of inter-individual factors at the basis of “engagement”: in particular, they focus on the role of complex networks of peer-to-peer exchanges (i.e., Dunston et al, 2009) and on the dialogue between the citizen and the healthcare system conceived as a whole (Mahmud, 2004; McBride and Korczak, 2007).…”

Section: Resultsmentioning

confidence: 99%

“…Personalization of the care approach (Higgins et al, 2017) and the level of patient centricity assumed by the healthcare organization (Borghi et al, 2016) are discussed as crucial antecedents of patient engagement. Furthermore, the issue of access to the healthcare system and to the needed resources is considered a fundamental factor influencing engagement, as well as the level of perceived quality of care (Carman et al, 2013).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Is a Transdisciplinary Theory of Engagement in Organized Settings Possible? A Concept Analysis of the Literature on Employee Engagement, Consumer Engagement and Patient Engagement

Graffigna

2017

Front. Psychol.

View full text Add to dashboard Cite

Organizations are experiencing increased competition, disruptive innovation, and continuous changes in their social and economic context. Furthermore, the decrease of resources (economic and human) in such a demanding context make it imperative for organizations to find new models and strategies to make their service delivery more sustainable at the economic, environmental and psychological levels. In such a complex scenario the concept of engagement of the individuals involved in organized settings (either as service providers or as final receivers) is a promising lever for innovation. However, despite the number of studies on the matter, the debate on engagement is still very fragmented because the corpus of literature addressing the different areas of engagement is divided and diverse in its nature. In this paper, we discuss the results of a conceptual analysis of the literature conducted in order to investigate overlapping features and areas of divergence among three different areas of investigation and application of the engagement phenomenon in organized settings: the domains of employee engagement, consumer engagement, and patient engagement. These are deliberately selected as prototypical of the phenomenon of engagement along the “inside/outside” of organizational settings. The analysis consisted in a qualitative conceptual survey? Of the scholarly literature indexed with the key terms “employee engagement,” “consumer engagement,” and “patient engagement.” We performed a key-word based survey? Of the literature in the Scopus database. A total of 163 articles were selected and analyzed. The analysis cast light on the following areas of conceptual overlap among employee, consumer and patient engagement: (1) engagement is different from empowerment and activation; (2) engagement is a multi-componential psychological experience; (3) engagement is a self-transformative experience; (4) engagement develops within a relational context; (5) engagement is a systemic phenomenon. These findings, although preliminary and in need of further investigation, suggest the feasibility of promoting a transdisciplinary reflection on the phenomenon of engagement in organized settings.

show abstract

“…Because patients are starting at different levels of knowledge and confidence, one‐size approaches are often less effective than they could be. As Higgins et al argue, truly engaging patients means meeting them where they are and helping them to move forward . Evidence indicates that interventions specifically designed to help less activated patients, such as training in how to ask questions in the medical encounter, not only increase activation scores, but also increase question asking and involvement in discussions with providers .…”

mentioning

confidence: 99%