Patient perceptions of patient‐empowering nurse behaviours, patient activation and functional health status in postsurgical patients with life‐threatening long‐term illnesses
Abstract
Aim: To explore the trajectory of associations between the nursing care process of patient empowerment during postsurgical hospitalization and postdischarge patient self‐management outcomes, specifically patient activation and functional health status. Background: Patient‐centred care models advocate for patient empowerment in long‐term illness care. Postsurgical patients with life‐threatening long‐term illnesses frequently feel powerless, have unmet needs, decreased functional health status and high readmission rates; however, previous studies of patient empowerment have conceptualized empowerment as an outcome primarily in outpatient settings, with little attention paid to provider processes used to empower patients during hospitalizations. Design: A non‐experimental, prospective, correlational study. Methods: This sample consisted of 113 postsurgical cancer and cardiac patients enrolled between August 2012–February 2013. Patient perceptions of patient‐empowering nurse behaviours and baseline patient activation were measured prior to discharge. Patient activation and functional health status were measured 6 weeks following discharge. Data were analysed with multiple linear regression using a simultaneous equation approach. Results: Patients reported high perceptions of patient‐empowering nurse behaviours and patient activation levels. Functional health status scores were below population norms. Patient perceptions of empowering nurse behaviours were positively associated with postdischarge patient activation, which was positively associated with mental functional health status. Length of stay was the only significant predictor of physical functional health status. Conclusion: This study provides further quantitative evidence supporting the relationship between quality nursing care and postdischarge patient outcomes. Intentional use of patient‐empowering nurse behaviours could lead to improved patient activation and functional health status in postsurgical patients with life‐threatening long‐term illnesses.
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Patients and families often feel heightened powerlessness before and after surgery.
“Patients and families often experience heightened feelings of powerlessness before and after surgery.12, 13”
From A Multimedia Self-management Intervention to Prepare Cancer Patients and Family Caregivers for Lung Surgery and Postoperative Recovery (2017) · cites this paper as [12]
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Applying the Patient Empowerment, Engagement, and Activation Survey to Improve Patient Outcomes
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- Authors
- Jerofke, T., Weiss, M., & Yakusheva, O.
- Affiliations
- College of Nursing Marquette University Milwaukee Wisconsin USA
- Marquette University (US)
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2013-11-08
- Volume
- 70
- Issue
- 6
- Pages
- 1310-1322
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2089692324
- Semantic Scholar
- 1007e05ebf937b77c4acd8fe207f64588b935fe6
- Cited by
- 61
- References
- 69
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 3 · 2023: 5 · 2022: 5 · 2021: 3 · 2020: 5 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 7 · 2015: 5 · 2014: 3
- FWCI
- 9.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- e-Publications@Marquette (Marquette University) (submittedVersion)
- Funders
- Sigma Theta Tau International
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Keywords
- patient empowerment, nurse behavior, patient activation, functional status, postoperative patients, chronic disease, cancer patients, cardiac patients, patient-centered care, hospital readmission, length of hospital stay
- MeSH terms
- Adult, Aged, Aged, 80 and over, Attitude to Health, Chronic Disease, Female, Humans, Male, Middle Aged, Nurse-Patient Relations, Patient Participation, Prospective Studies, Midwestern United States, Postanesthesia Nursing, Self Efficacy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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