Empowerment and its application in health promotion in acute care settings: nurses’ perceptions

Chambers, Derek; Thompson, Sue

doi:10.1111/j.1365-2648.2008.04851.x

Cited by 20 publications

(15 citation statements)

References 25 publications

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“…Other studies have found a directive approach by health professionals persists in locations where patient empowerment was part of the official policy 29 and where health professionals had been trained in empowering approaches. 30 Our study showed that participants chose to engage with the programme according to their needs (e.g. more information, motivation to persist with exercise, sustained changes in lifestyle).…”

Section: Discussion Of Findingsmentioning

confidence: 99%

Patient engagement with a diabetes self-management intervention

et al. 2010

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Abstract:Objectives: To explore how people living with type 2 diabetes self-manage their condition in everyday life and the impact of the Diabetes Manual Programme, a one-to-one structured educational intervention aiming to increase skills and confidence for self-management.Method: Semi-structured interviews with 12 participants on the Diabetes Manual trial, sampled purposively according to baseline self-efficacy and educational attainment.Results: When describing their experience of living with diabetes, there was little difference between intervention and control participants, although those who had received the programme talked more about the use of blood glucose self-assessment. Programme users were grouped into three categories, Programme Engagers (n=2), Programme Browsers (n=4), and Information Seekers (n=6). Of the two participants engaging with the programme, one described a very positive experience, the other felt unsupported by their practice. None noticed a difference in the approach used by their health professional. Participants' approach to the Diabetes Manual programme suggests they will continue to use it as a resource in the future. Conclusion:Participants used the Diabetes Manual programme in different ways, choosing the timing and depth of engagement. Their experience suggests that the programme requires close communication and openness towards collaborative approaches to improve skills and confidence for self-management.

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Section: Discussion Of Findingsmentioning

confidence: 99%

Patient engagement with a diabetes self-management intervention

et al. 2010

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“…Chambers & Narayanasamy (2007) found that newly qualified staff nurses were capable of simultaneously holding two opposing value positions without any feeling of contradiction: a holistic view – the role based or public account, and a victim blaming view – personal agency or private account. In another study Chambers & Thompson (2009) found that despite the concept of patient empowerment being central to nursing theory, nurses continued to utilize a controlling power‐over approach to their health promotion practices. They propose that this is because biomedical values are more entrenched than nursing's concept of empowerment.…”

Section: Defining Valuesmentioning

confidence: 99%

“…They propose that this is because biomedical values are more entrenched than nursing's concept of empowerment. Thus both Chambers & Narayanasamy (2007) and Chambers & Thompson (2009) studies suggest that taught theory is not being practised because of the dominance of one set of values over another. It was this discord that led Argyris & Schön (1974) to classify action theories into 'espoused theories' and 'theories in use'.…”

Section: The Impact Of Personal Values On Nursing Practicesmentioning

confidence: 99%

Reflexivity and habitus: opportunities and constraints on transformative learning

Chambers

Thompson²,

McGarry

et al. 2012

Nursing Philosophy

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This paper will explore the relationship between Mezirow's concept of reflexivity and Bourdieu's theory of habitus in order to develop a more robust framework within which critical reflection can take place. Nurse educators have sought to close the theory practice gap through the use of critical reflection. However, we are not convinced that this has produced the depth and quality of reflection required. Furthermore, the contexts in which critical reflection takes place is often sidelined or erased so that the whole impetus in the literature is to educate nurses in reflection rather than empower nurses to understand the complex circumstances and barriers that obstruct critical reflection. This paper argues that the reason for this position is that nurse education does not always acknowledge the role that personal and cultural values systems have on reflective practices. The literature search was undertaken using CINHAL and MEDLINE. Keywords included: values systems, habitus, and critical reflection. Inclusion criteria were determined by the theoretical approach and included seminal texts, from as far back as 1956, to identify key themes. Although critical reflection is a potentially powerful way of enhancing care it has often failed to do so. It is suggested that this is because nurse educators have frequently used models of reflection without considering the impact that student's personal values systems has on their perceptions of care and subsequently care delivery. The purpose of this paper is to promote deeper levels of reflection and is part of a programme of research aimed at developing a more robust approach to reflection in educational practice.

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“…Increasingly patients are being offered structured programs that encompass a great deal of education on lifestyle and medication management. Accordingly as a largely manageable and potentially preventable disease, there is an ever-increasing number of diabetic specialist education programs emerging internationally, at the same time patient education is increasingly incorporated into role of the nurse (Runciman et al 2006) and the nurse's role as health promoter is well recognised (Chambers & Thompson 2009).…”

Section: Introductionmentioning

confidence: 99%

A case study approach to the examination of a telephone‐based health coaching intervention in facilitating behaviour change for adults with Type 2 diabetes

McGloin¹,

Timmins

Coates

et al. 2014

Journal of Clinical Nursing

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Empowerment and its application in health promotion in acute care settings: nurses’ perceptions

Abstract: The theory of health promotion taught to participants does not seem to be applied in acute care settings. This raises the possibility that Registered Nurses acting as mentors and role models are convergent rather than divergent thinkers.

Cited by 20 publications

References 25 publications

Patient engagement with a diabetes self-management intervention

Patient engagement with a diabetes self-management intervention

Reflexivity and habitus: opportunities and constraints on transformative learning

A case study approach to the examination of a telephone‐based health coaching intervention in facilitating behaviour change for adults with Type 2 diabetes

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