Antecedent conditions are circumstances that need to happen before empowerment can take place. Maladaptive behaviors usually precede empowerment. Maladaptation is manifested as poor health behaviors, which probably is the reason the patient is seeking out healthcare interventions, whether or not the patient acknowledges it (Ellis-Stoll et al. , 1998). Respect and trust are important antecedents (Rodwell, 1996). The empowerer and the empoweree need to have mutual respect and trust to be able to establish a relationship that can bring about change.
Motivation is also essential. The patient needs the want to change, weigh the risk and benefits, and problem solve with the healthcare professional as to how to achieve the behavioral change. The healthcare professional takes on the role of the facilitator and provides information to the patient to make an informed decision (Ellis-Stoll et al. , 1998). Interpersonal antecedents are also necessary, as the patient needs to be willing to accept personal responsibility, have basic cognitive ability, be self-confident, and resourceful (Finfgeld, 2004).
In addition, the patient needs to see a personal significance to view the behavioral change as worth making. Finally, the patient has to make an autonomous decision without the healthcare professional making any impositions (Ellis-Stoll et al. , 1998). In summary the antecedent conditions are as follows: – Maladaptation – Respect and trust between patient and nurse – Motivation to change poor health behavior – Interpersonal skills: problem solving, personal responsibility, cognitive ability and self-confidence
– Realization of personal significance of the behavior change – Autonomous patient decision making Identify consequences The word “consequences” commonly carries a negative undertone. However, the consequences of empowerment, much the opposite, have a very positive connotation, and leads to growth and better health of the patient. With empowerment we see higher self-esteem, self-confidence, self-determination and greater satisfaction (Finfgeld, 2004). A patient will also experience greater self understanding and positive self-concept as concequences of empowerment.
In addition, the patient establishes independent health promoting behaviors and learns to make positive changes and be proactive about their life and decisions (Ellis-Stoll et al. , 1998). Consequently, this leads to a better quality of life and improved physical health. Define empirical referents Empirical referents help measure the defining attributes by using observable phenomena’s to help explain the concept (Walker & Avant, 2005). Empowerment, however, is a process and an emotional sentiment, for which it is hard to measure due to its abstract nature.
According to Rodwell (1996), since empowerment is so complex, it is difficult to operationalize or measure its existence in the real world. Finally, Rodwell (1996) suggest that to further analyze empowerment and its empirical referents a qualitative research approach should be considered. Conclusion Empowerment is a significant concept that can equip healthcare professionals to better serve their patients. Empowerment is a very effective intervention, especially for patients with chronic diseases, as it can give the patient hope, confidence and encouragement to make positive lifestyle changes.
Empowerment is a dynamic process, in which the healthcare professional can help their patients make positive changes in their behavior, and gain self-esteem, self-confidence, self-determination and greater satisfaction, leading to be better health and quality of life. References Anderson, R. M. , & Funnell, M. M. (2010). Patient empowerment: Myths and misconceptions. Patient Education & Counseling, 79(3), 277-282.
Empower (n. d. ) Oxford Dictionaries Online. Retrieved on October 5, 2010 from http://oxforddictionaries. com/view/entry/m_en_us1243902#m_en_us1243902 Empowerment (n. d. ) Merriam-Webster Dictionary. Retrieved on October 5, 2010 from http://www. merriam-webster. com/dictionary/empowerment Ellis-Stoll, C. , & Popkess-Vawter, S. (1998). A concept analysis on the process of empowerment. Advances in Nursing Science, 21(2), 62-68. Finfgeld, D. L. (2004). Empowerment of individuals with enduring mental health problems: Results from concept analyses and qualitative investigations. Advances in Nursing Science, 27(1), 44-52.
Gibson, C. H. (1991). A concept analysis of empowerment. Journal of Advanced Nursing, 16(3), 354-361. Lewis, M. , & Urmston, J. (2000). Flogging the dead horse: The myth of nursing empowerment? Journal of Nursing Management, 8(4), 209-213. Rodwell, C. M. (1996). An analysis of the concept of empowerment. Journal of Advanced Nursing, 23(2), 305-313. Walker, L. O. , & Avant, K. C. (2005). Strategies for theory construction in nursing. (4th ed. ). Upper Saddle River, NJ: Pearson Education.