Department of Research, Cizik School of Nursing, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
J Clin Nurs. 2024 Apr;33(4):1575-1581. doi: 10.1111/jocn.16984. Epub 2024 Jan 4.
This paper aims to inform nursing and other healthcare disciplines by clearly defining patient competence and the skills required to improve self-care behaviours.
Competence has been defined in education and leadership. However, competence in persons with chronic disease has not been expanded upon since one publication in 1983. Patient competence needs to be developed and defined so that healthcare disciplines can understand the attributes necessary for a patient to be deemed competent to promote self-care behaviours.
A concept derivation.
Walker and Avant's approach to concept derivation was used to identify a base concept (competence) that is well-defined in another field, define the concepts associated with the parent field, and transpose that definition to a new field to formulate a redefined concept. PsycINFO, Scopus, Web of Science and Medline were searched, and 21 articles were included.
Patient competence is defined as the ability of a person with a chronic illness to reach skill mastery, achieve knowledge, maintain a positive attitude and develop trust in themselves and in healthcare providers that will facilitate active engagement to improve self-care behaviours.
Defining patient competence is important in assisting nurses and other healthcare providers in understanding the attributes needed to deem a patient competent, especially those living with chronic illnesses requiring lifelong self-care behaviours. More research is needed to aid in the designing of a precise instrument for measuring this phenomenon.
Concept derivation of patient competence provides a framework for nurses and other members of the healthcare profession to understand the attributes needed to determine patient competence.
本文旨在通过明确界定患者能力以及提高自我护理行为所需的技能，为护理和其他医疗保健学科提供信息。
能力在教育和领导领域已有定义。然而，自 1983 年的一篇文献发表以来，慢性病患者的能力尚未得到扩展。需要发展和定义患者能力，以便医疗保健学科能够理解患者被认为有能力促进自我护理行为所需的属性。
概念推导。
采用 Walker 和 Avant 的概念推导方法，确定一个在其他领域有明确定义的基础概念（能力），定义与母领域相关的概念，并将该定义转化为新领域，从而形成重新定义的概念。在 PsycINFO、Scopus、Web of Science 和 Medline 中进行了搜索，共纳入 21 篇文章。
患者能力被定义为患有慢性病的人达到技能掌握、获得知识、保持积极态度以及对自己和医疗保健提供者建立信任的能力，这将促进积极参与以改善自我护理行为。
定义患者能力对于帮助护士和其他医疗保健提供者理解认定患者有能力所需的属性非常重要，特别是那些患有需要终身自我护理行为的慢性病的患者。需要进一步研究以帮助设计测量这一现象的精确工具。
患者能力的概念推导为护士和其他医疗保健专业人员提供了一个框架，以理解确定患者能力所需的属性。
