Person-specific evidence has the ability to mobilize relational capacity: A four-step grounded theory developed in people with long-term health conditions.

Autor: Zoffmann V; The Interdisciplinary Research Unit of Women's, Children's and Families' Health, Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen Ø, Denmark.; Department of Public Health, University of Copenhagen, Copenhagen K, Denmark., Jørgensen R; Department of Psychiatry, Aalborg University Hospital, Aalborg, Denmark.; Department of Clinical Medicine, Faculty of Medicine, Aalborg University, Aalborg, Denmark., Graue M; Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway., Biener SN; Department of Public Health, University of Copenhagen, Copenhagen K, Denmark.; Survivorship Unit, Danish Cancer Society Research Center, Copenhagen, Denmark., Brorsson AL; Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden., Christiansen CH; The Interdisciplinary Research Unit of Women's, Children's and Families' Health, Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen Ø, Denmark., Due-Christensen M; Florence Nightingale Faculty of Nursing and Midwifery, King's College London, London, UK.; Health Promotion Research, Steno Diabetes Center Copenhagen, Gentofte, Denmark., Enggaard H; Department of Psychiatry, Aalborg University Hospital, Aalborg, Denmark.; Research Unit for Child and Adolescent Psychiatry, Unit for Psychiatric Research and Clinical Nursing Research Unit, Aalborg University Hospital, Aalborg, Denmark., Finderup J; Department of Renal Medicine, Aarhus University Hospital, Aarhus, Denmark.; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark., Haas J; Department of Clinical Science and Education, Karolinska Institute, Södersjukhuset, Stockholm, Sweden.; Sachs' Children and Youth Hospital, Södersjukhuset, Stockholm, Sweden., Husted GR; Pharmakon, Danish College of Pharmacy Practice, Hillerød, Denmark., Johansen MT; Mental Health Centre Glostrup, Glostrup, Denmark., Kanne KL; Department of Infectious Diseases Centre of Excellence for Health, Immunity, and Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen Ø, Denmark.; Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Rigshospitalet, University of Copenhagen, Copenhagen Ø, Denmark., Hope Kolltveit BC; Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.; Vossevangen Medical Center, Voss, Norway., Krogslund KW; Radiometer Medical ApS, Copenhagen, Denmark., Lie SS; Faculty of Health, VID Specialized University, Sandnes, Norway., Lindholm AO; Department of Clinical Science and Education, Karolinska Institute, Södersjukhuset, Stockholm, Sweden.; Sachs' Children and Youth Hospital, Södersjukhuset, Stockholm, Sweden., Marqvorsen EHS; The Interdisciplinary Research Unit of Women's, Children's and Families' Health, Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen Ø, Denmark.; Department of Public Health, University of Copenhagen, Copenhagen K, Denmark., Mathiesen AS; The Interdisciplinary Research Unit of Women's, Children's and Families' Health, Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen Ø, Denmark.; Department of Endocrinology, Center for Cancer and Organ Diseases, Rigshospitalet, Copenhagen University Hospital, Copenhagen Ø, Denmark., Olesen ML; The Interdisciplinary Research Unit of Women's, Children's and Families' Health, Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen Ø, Denmark.; Department of Gynaecology, Juliane Marie Centre: Copenhagen University Hospital, Rigshospitalet, Copenhagen Ø, Denmark., Rasmussen B; Department of Public Health, University of Copenhagen, Copenhagen K, Denmark.; School of Nursing and Midwifery, Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia., Rothmann MJ; Faculty of Health Sciences, University of Southern Denmark and Steno Diabetes Center, Odense M, Denmark.; Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark., Simonsen SM; Centre for Human Resources and Education, The Capital Region of Denmark, Hellerup, Denmark., Tackie SHS; The Interdisciplinary Research Unit of Women's, Children's and Families' Health, Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen Ø, Denmark., Thisted LB; Klinik for Senfølger efter Kraeft, Klinisk Onkologisk Afdeling og Palliative Enheder, Sjaellands Universitetshospital - Roskilde, Roskilde, Denmark., Tran TM; The Interdisciplinary Research Unit of Women's, Children's and Families' Health, Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen Ø, Denmark., Weis J; Department of Neonatology, Juliane Marie Centre: Copenhagen University Hospital, Rigshospitalet, Copenhagen Ø, Denmark., Kirkevold M; Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Jazyk: angličtina
Zdroj: Nursing inquiry [Nurs Inq] 2023 Jul; Vol. 30 (3), pp. e12555. Date of Electronic Publication: 2023 Apr 16.
DOI: 10.1111/nin.12555
Abstrakt: Person-specific evidence was developed as a grounded theory by analyzing 20 selected case descriptions from interventions using the guided self-determination method with people with various long-term health conditions. It explains the mechanisms of mobilizing relational capacity by including person-specific evidence in shared decision-making. Person-specific self-insight was the first step, achieved as individuals completed reflection sheets enabling them to clarify their personal values and identify actions or omissions related to self-management challenges. This step paved the way for sharing these insights and challenges in a relationship with a supportive health professional, who could then rely on person-specific evidence instead of assumptions or a narrow disease perspective for shared decision-making. Trust in the evidence encouraged the supportive health professional to transfer it to the interdisciplinary team. Person-specific evidence then enhanced the ability of team members to apply general evidence in a meaningful way. The increased openness achieved by individuals through these steps enabled them to eventually share their new self-insights in daily life with other people, decreasing loneliness they experienced in self-management. Relational capacity, the core of the theory, is mobilized in both people with long-term health conditions and healthcare professionals. Further research on person-specific evidence and relational capacity in healthcare is recommended.
(© 2023 The Authors. Nursing Inquiry published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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