The process of patient enablement in general practice nurse consultations: a grounded theory study.
Aim The aim of this study was to gain insight into the process of patient enablement in general practice nursing consultations. Background Enhanced roles for general practice nurses may benefit patients through a range of mechanisms, one of which may be increasing patient enablement. In studies with...
| Publicado en: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 73; no. 5; pp. 1085 - 1097 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
May2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122380884&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 122380884 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 LVDY jtl: Journal of Advanced Nursing (John Wiley & Sons, Inc.) issn: 03092402 maglogo: N pubinfo: dt: May2017 vid: 73 iid: 5 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 122380884 122380884 122380884 10.1111/jan.13199 122380884 ppf: 1085 ppct: 12 formats: tig: atl: The process of patient enablement in general practice nurse consultations: a grounded theory study. aug: au: Desborough, Jane Banfield, Michelle Phillips, Christine Mills, Jane affil: Department of Health Services Research and Policy, Research School of Population Health, Australian National University, Canberra Australia sug: subj: Office Nursing Patient Satisfaction Nurse-Patient Relations Human Family Practice Grounded Theory Constant Comparative Method Theoretical Sample Models, Theoretical Self-Efficacy Multimethod Studies Cross Sectional Studies Surveys Australian Capital Territory Interviews Coding Registered Nurses Purposive Sample Female Male Adult Middle Age Aged Patient Education Referral and Consultation Outpatients Communication Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Aim The aim of this study was to gain insight into the process of patient enablement in general practice nursing consultations. Background Enhanced roles for general practice nurses may benefit patients through a range of mechanisms, one of which may be increasing patient enablement. In studies with general practitioners enhanced patient enablement has been associated with increases in self-efficacy and skill development. Design This study used a constructivist grounded theory design. Methods In-depth interviews were conducted with 16 general practice nurses and 23 patients from 21 general practices between September 2013 - March 2014. Data generation and analysis were conducted concurrently using constant comparative analysis and theoretical sampling focussing on the process and outcomes of patient enablement. Use of the storyline technique supported theoretical coding and integration of the data into a theoretical model. Findings A clearly defined social process that fostered and optimised patient enablement was constructed. The theory of 'developing enabling healthcare partnerships between nurses and patients in general practice' incorporates three stages: triggering enabling healthcare partnerships, tailoring care and the manifestation of patient enablement. Patient enablement was evidenced through: 1. Patients' understanding of their unique healthcare requirements informing their health seeking behaviours and choices; 2. Patients taking an increased lead in their partnership with a nurse and seeking choices in their care and 3. Patients getting health care that reflected their needs, preferences and goals. Conclusions This theoretical model is in line with a patient-centred model of health care and is particularly suited to patients with chronic disease. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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