Patient empowerment: Does it still occur in the ICU?

Christensen, Martin; Hewitt‐Taylor, Jaqui

doi:10.1016/j.iccn.2006.03.002

Cited by 28 publications

(36 citation statements)

References 41 publications

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“…Free choice is generally considered as an approach to initiate users' autonomy as well as to encourage users' active participation in the care process (Greener, 2003;Dixon et al, 2010;Victoor et al, 2012a). Many scholars consider this approach as a way to increase provider's responsibility, to increase consumers' value and to promote care quality (Christensen & Hewitt-Taylor, 2007;Greener, 2007).…”

Section: Choice In Care Processmentioning

confidence: 99%

Using Private Social Care Services in Finland: Free or Forced Choices for Older People?

Puthenparambil

Kröger

2016

Journal of Social Service Research

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The purpose of this study was to examine the reasons that influence older people to choose private services as an alternative source in the comprehensive tax-subsidized Finnish social care system. The study also aimed to analyse whether people use private services as a free choice or an enforced choice and to identify factors that contribute towards these choices.This paper used both quantitative techniques and qualitative content analysis methods. The results showed that people chose private care because of effortlessness to use, requirements for additional services, unavailability of public support and lack of information about public provisions. Most of the respondents performed a free choice to use private services but a considerable number were enforced towards this alternative service. People who lived in city center with a higher level of income and who needed more services are more likely enforced towards using private support. More research is required to understand deeply about the effects of the growing private care market on older people in Finland.

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Section: Choice In Care Processmentioning

confidence: 99%

Using Private Social Care Services in Finland: Free or Forced Choices for Older People?

Puthenparambil

Kröger

2016

Journal of Social Service Research

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“…40 Lankford and colleagues 41 reported that a HCW's hand hygiene behavior was influenced negatively when the HCW was in a room with a senior staff member or peer who did not perform hand hygiene. Sax and colleagues 42 identified the influence of superiors and colleagues on staff and patients as highly ranked determinants of good hand hygiene adherence.…”

Section: Educational Programsmentioning

confidence: 99%

Patient Empowerment and Multimodal Hand Hygiene Promotion: A Win-Win Strategy

et al. 2010

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Patient empowerment is a new concept in health care that has now been extended to the domain of patient safety. Within the framework of the development of the new World Health Organization (WHO) Guidelines on Hand Hygiene in Health Care, the authors conducted a review of the literature from 1997 to 2008 to identify the evidence supporting programs aimed at encouraging patients to take an active role in their care. Patient empowerment is an integral part of the WHO hand hygiene multimodal strategy. Hand hygiene promotion strategies that have demonstrated evidence of successfully empowering patients include one or all of the following components: educational tools, motivation and reminder tools, and role modeling. What is important is that programs and models to empower patients must be developed with an inbuilt evaluation component that includes both qualitative and quantitative measures to determine not only what works but under what conditions and within which organizational context.

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“…Its success seems due to both the political views of society and loss of confidence in healthcare professionals [28], especially physicians, who should 'come down off their pedestal' [29]. However, the claim that all types of patients should 'get up off their knees', assuming that only one role fits all patients, seems extreme [10].…”

Section: Discussionmentioning

confidence: 99%

“…Accordingly, since the PE approach is based on mutual respect and a good physician-patient relationship [30], insisting on it for all patients might paradoxically become another model of paternalism [31]. Rather, the real challenge for clinicians (nurses included) should be to ascertain each patient's wishes, to understand what role she/he really wants to play [28], keeping in mind that power cannot be given, but can be taken [10,32]. Moreover, although clinicians are required to act in the best interest of their patients, competent patients might reject their recommendations, sometimes jeopardizing their health despite clinical evidence [33].…”

Section: Discussionmentioning

confidence: 99%

Patient empowerment in Europe: is no further research needed?

Garattini

2018

Eur J Health Econ

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Patient empowerment: Does it still occur in the ICU?

Cited by 28 publications

References 41 publications

Using Private Social Care Services in Finland: Free or Forced Choices for Older People?

Using Private Social Care Services in Finland: Free or Forced Choices for Older People?

Patient Empowerment and Multimodal Hand Hygiene Promotion: A Win-Win Strategy

Patient empowerment in Europe: is no further research needed?

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