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Health care professionals’ understanding and day-to-day practice of patient empowerment in diabetes; time to pause for thought?

Health care professionals’ understanding and day-to-day practice of patient empowerment in diabetes; time to pause for thought?

Asimakopoulou, K., Newton, P. ORCID: 0000-0002-8525-6763, Sinclair, A.J. and Scambler, S. (2012) Health care professionals’ understanding and day-to-day practice of patient empowerment in diabetes; time to pause for thought? Diabetes Research and Clinical Practice, 95 (2). pp. 224-229. ISSN 0168-8227 (doi:10.1016/j.diabres.2011.10.005)

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Abstract

This exploratory study examines what Health Care Professionals (HCPs) working with diabetes patients, understand by the term ‘empowerment’, their attitudes towards it and whether they believe they practise in ways consistent with empowerment principles. A small sample of diabetes HCPs (N = 13), from National Health Service (NHS) hospital, walk-in and General Practitioner (GP) clinics in South-East England, was interviewed. In-depth semi-structured interviews established attitudes towards and use of empowerment in day-to-day practice. Interviews were recorded, transcribed verbatim and analysed thematically. There was no clear specific understanding of what empowerment is and what it involves, although there was broad reporting of factors around education and informed choices. Disagreement was evident about the level of freedom patients should have in making choices – from leading them to the ‘right’ choice to an acceptance that they may have the right to choose not to be empowered. No consensus emerged on what is successful empowerment and how it is measured. The resistance of some patients to the process of empowerment in its original definition of active partnership in care, was seen as problematic by HCPs. Although empowerment is a popular concept in theory, its practical, clinical implementation day to day, can be problematic.

Item Type: Article
Uncontrolled Keywords: empowerment, self-management, type 2 diabetes, adherence
Subjects: R Medicine > RT Nursing
Pre-2014 Departments: School of Health & Social Care
School of Health & Social Care > Nursing Research Group
Related URLs:
Last Modified: 14 Oct 2016 09:15
Selected for GREAT 2016: None
Selected for GREAT 2017: None
Selected for GREAT 2018: None
URI: http://gala.gre.ac.uk/id/eprint/5777

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