The antecedents, forms and consequences of patient involvement: a narrative review of the literature

Snyder, Hannah and Engström, Jon (2016) The antecedents, forms and consequences of patient involvement: a narrative review of the literature. International Journal of Nursing Studies, 53 351-378. doi:10.1016/j.ijnurstu.2015.09.008


Author Snyder, Hannah
Engström, Jon
Title The antecedents, forms and consequences of patient involvement: a narrative review of the literature
Journal name International Journal of Nursing Studies   Check publisher's open access policy
ISSN 0020-7489
1873-491X
Publication date 2016-01-01
Year available 2016
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.ijnurstu.2015.09.008
Open Access Status Not Open Access
Volume 53
Start page 351
End page 378
Total pages 28
Place of publication London, United Kingdom
Publisher Elsevier
Collection year 2017
Language eng
Formatted abstract
Objectives

Despite the centrality of patient involvement in the policy and rhetoric of health care, the theoretical and empirical basis for patient involvement is lacking at the micro-level of practice. The purpose of this narrative review is to provide an overview and synthesize the current empirical research related to patient involvement at the micro-level of health care.

Design

Narrative review.

Data sources

A database search was conducted (in PubMed, CINAHL, Academic Search Premier, EconLit and PsycINFO) for articles published between 1990 and April 2015 in the field of patient involvement in health care. Out of 4238 references, 214 articles were eligible for this review.

Review methods

We analyzed our sample using thematic analysis.

Results

The reviewed articles revealed nine themes for patient involvement, concerning enablers; empowerment, patient education, communication for involvement, staff training, service systems, types; decision making, delivery, development, and consequences of patient involvement. The themes were synthesized into a tentative model that described patient-involvement research.

Conclusions

Our narrative review includes a wide variety of empirical studies on patient involvement in decision-making, delivery and development, and provides an integrative perspective suggesting that patient involvement should be viewed not only as isolated activities, but also as a result of educating and preparing patients, staff and systems.
Keyword patient involvement
Patient participation
Patient empowerment
Shared decision making
Self-management
Narrative review
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
UQ Business School Publications
 
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Created: Mon, 09 May 2016, 16:14:56 EST by Hannah Snyder on behalf of UQ Business School