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A Patient-Focused Framework Integrating Self-Management and Informatics

Purpose: This article introduces a framework to (a) guide chronic illness self-management interventions through the integration of self-management and nursing informatics, (b) focus self-management research, and (c) promote ethical, patient-empowering technology use by practicing nurses.
Methods: Existing theory and research focusing on chronic illness, selfmanagement, health-enabling technology, and nursing informatics were reviewed and examined and key concepts were identified. A care paradigm focusing on concordance, rather than compliance, served as the overall guiding principle.
Findings: This framework identifies key relationships among selfmanagement (patient behaviors), health force (patient characteristics), and patient-defined goals. The role of health-enabling technology supporting these relationships is explored in the context of nursing informatics.
Conclusions: The Empowerment Informatics framework can guide intervention design and evaluation and support practicing nurses’ ethical use of technology as part of self-management support.
Clinical Relevance: Nurses worldwide provide support to patients who are living with chronic illnesses. As pressures related to cost and access to care increase, technology-enabled self-management interventions will become increasingly common. This patient- focused framework can guide nursing practice using technology that prioritizes patient needs.

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Detail Information
Series Title
Journal of Nursing Scholarship, Volume 46, Number 2 March 2014
Call Number
(05) 610.5 WIL j
Publisher
Malden : Wiley-Blackwell.,
Collation
Hlm. 91-97
Language
English
ISBN/ISSN
1527-6546
Classification
(05) 610.5 WIL j
Content Type
-
Media Type
-
Carrier Type
-
Edition
Volume 46, Number 2
Subject(s)
Self-management
Theory
Chronic illness
chronic disease
informatics
technology
framework
patient-focused
Specific Detail Info
-
Statement of Responsibility
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