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A Patient‐Focused Framework Integrating Self‐Management and Informatics
Author(s) -
Knight Elizabeth P.,
Shea Kimberly
Publication year - 2014
Publication title -
journal of nursing scholarship
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 80
eISSN - 1547-5069
pISSN - 1527-6546
DOI - 10.1111/jnu.12059
Subject(s) - health informatics , nursing , health administration informatics , psychological intervention , context (archaeology) , medicine , informatics , nursing management , self management , empowerment , health care , knowledge management , computer science , public health , paleontology , machine learning , economic growth , law , political science , electrical engineering , economics , biology , engineering
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.

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