Abstract
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, self-management, 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 self-management (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.
Original language | English (US) |
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Pages (from-to) | 91-97 |
Number of pages | 7 |
Journal | Journal of Nursing Scholarship |
Volume | 46 |
Issue number | 2 |
DOIs | |
State | Published - Mar 2014 |
Externally published | Yes |
Keywords
- Chronic disease
- Chronic illness
- Framework
- Informatics
- Patient-focused
- Self-management
- Technology
- Theory
ASJC Scopus subject areas
- General Nursing