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J Nurs Scholarsh. 2014 Mar;46(2):91-7. doi: 10.1111/jnu.12059. Epub 2013 Dec 19.

A patient-focused framework integrating self-management and informatics.

Author information

1
Beta Mu, PhD/DNP student, University of Arizona, College of Nursing, Tucson, AZ, USA.

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.

KEYWORDS:

Chronic illness; chronic disease; framework; informatics; patient-focused; self-management; technology; theory

PMID:
24354997
DOI:
10.1111/jnu.12059
[Indexed for MEDLINE]

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