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Patient empowerment in Flemish hospital wards : a cross-sectional study

Sofie Theys (UGent) , Simon Malfait (UGent) , Kristof Eeckloo (UGent) , Sofie Verhaeghe (UGent) , Dimitri Beeckman (UGent) and Ann Van Hecke (UGent)
Author
Organization
Abstract
Objective: Measuring empowerment of patients on Flemish hospital wards by the short form of the Patient Activation Measure (PAM-13) and exploring the association between patient empowerment and patient-centred care, health literacy, patient- and context-related characteristics. Methods: Secondary analysis of data collected in nine regional hospitals and one university hospital in Flanders between February and June 2016. Patients needed to be admitted for a least 1 day, aged 18 years or over, and mentally competent with adequate ability to speak and read the Dutch language. Independent t-tests, one-way ANOVA and multivariable regression analysis were performed. Results: Mean empowerment was 58. Of the 670 patients, 22.7% tended to be unprepared to play an active role in their health care, 22.2% were struggling to manage own health, 39.4% reported to take action to maintain and improve own health, and 15.7% reported having confidence to perform adequate behaviours in most circumstances. Multivariable analysis showed that patients living together with family, a partner or a friend (p = 0.018), with higher health literacy (p < 0.001), and with higher perceptions of individuality in patients' care (p < 0.001) had higher empowerment scores. Conclusion: The multivariable analysis found three variables associated with patient empowerment and provided empirical evidence for the interrelatedness between patient-centred care and patient empowerment. Future research should use a clear framework to make sure that all relevant determinants of patient empowerment are included. Interventions to improve patient empowerment should incorporate patient characteristics and elements of both health literacy and patient-centred care.
Keywords
General Medicine, Patient empowerment, patient-centred care, nursing, hospital care, associated factor, PSYCHOMETRIC PROPERTIES, ACTIVATION MEASURE, SHORT-FORM, PARTICIPATION, CARE, COMMUNICATION, NURSES

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MLA
Theys, Sofie, et al. “Patient Empowerment in Flemish Hospital Wards : A Cross-Sectional Study.” ACTA CLINICA BELGICA, 2021, doi:10.1080/17843286.2020.1762350.
APA
Theys, S., Malfait, S., Eeckloo, K., Verhaeghe, S., Beeckman, D., & Van Hecke, A. (2021). Patient empowerment in Flemish hospital wards : a cross-sectional study. ACTA CLINICA BELGICA. https://doi.org/10.1080/17843286.2020.1762350
Chicago author-date
Theys, Sofie, Simon Malfait, Kristof Eeckloo, Sofie Verhaeghe, Dimitri Beeckman, and Ann Van Hecke. 2021. “Patient Empowerment in Flemish Hospital Wards : A Cross-Sectional Study.” ACTA CLINICA BELGICA. https://doi.org/10.1080/17843286.2020.1762350.
Chicago author-date (all authors)
Theys, Sofie, Simon Malfait, Kristof Eeckloo, Sofie Verhaeghe, Dimitri Beeckman, and Ann Van Hecke. 2021. “Patient Empowerment in Flemish Hospital Wards : A Cross-Sectional Study.” ACTA CLINICA BELGICA. doi:10.1080/17843286.2020.1762350.
Vancouver
1.
Theys S, Malfait S, Eeckloo K, Verhaeghe S, Beeckman D, Van Hecke A. Patient empowerment in Flemish hospital wards : a cross-sectional study. ACTA CLINICA BELGICA. 2021;
IEEE
[1]
S. Theys, S. Malfait, K. Eeckloo, S. Verhaeghe, D. Beeckman, and A. Van Hecke, “Patient empowerment in Flemish hospital wards : a cross-sectional study,” ACTA CLINICA BELGICA, 2021.
@article{8662091,
  abstract     = {Objective: Measuring empowerment of patients on Flemish hospital wards by the short form of the Patient Activation Measure (PAM-13) and exploring the association between patient empowerment and patient-centred care, health literacy, patient- and context-related characteristics.
Methods: Secondary analysis of data collected in nine regional hospitals and one university hospital in Flanders between February and June 2016. Patients needed to be admitted for a least 1 day, aged 18 years or over, and mentally competent with adequate ability to speak and read the Dutch language. Independent t-tests, one-way ANOVA and multivariable regression analysis were performed.
Results: Mean empowerment was 58. Of the 670 patients, 22.7% tended to be unprepared to play an active role in their health care, 22.2% were struggling to manage own health, 39.4% reported to take action to maintain and improve own health, and 15.7% reported having confidence to perform adequate behaviours in most circumstances. Multivariable analysis showed that patients living together with family, a partner or a friend (p = 0.018), with higher health literacy (p < 0.001), and with higher perceptions of individuality in patients' care (p < 0.001) had higher empowerment scores.
Conclusion: The multivariable analysis found three variables associated with patient empowerment and provided empirical evidence for the interrelatedness between patient-centred care and patient empowerment. Future research should use a clear framework to make sure that all relevant determinants of patient empowerment are included. Interventions to improve patient empowerment should incorporate patient characteristics and elements of both health literacy and patient-centred care.},
  author       = {Theys, Sofie and Malfait, Simon and Eeckloo, Kristof and Verhaeghe, Sofie and Beeckman, Dimitri and Van Hecke, Ann},
  issn         = {1784-3286},
  journal      = {ACTA CLINICA BELGICA},
  keywords     = {General Medicine,Patient empowerment,patient-centred care,nursing,hospital care,associated factor,PSYCHOMETRIC PROPERTIES,ACTIVATION MEASURE,SHORT-FORM,PARTICIPATION,CARE,COMMUNICATION,NURSES},
  language     = {eng},
  pages        = {9},
  title        = {Patient empowerment in Flemish hospital wards : a cross-sectional study},
  url          = {http://dx.doi.org/10.1080/17843286.2020.1762350},
  year         = {2021},
}

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