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Abuse in health care: a concept analysis
Adrianus Jelmer Brüggemann1, Barbro Wijma, Katarina Swahnberg
1Division of Gender and Medicine, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden. jelmer.bruggemann@liu.se
Scandinavian Journal of Caring Sciences
|September 3, 2011
Summary
Healthcare abuse is defined by patients
Area of Science:
- Nursing
- Healthcare Studies
- Medical Ethics
Background:
- Healthcare abuse is an emerging concept requiring clear definition.
- Distinguishing healthcare abuse from related concepts is necessary.
Purpose of the Study:
- To analyze the concept of healthcare abuse.
- To differentiate healthcare abuse from medical error, patient satisfaction, and personal identity threat.
Main Methods:
- Concept analysis using Walker and Avant's framework.
- Literature search of CINAHL, Medline, and Google Scholar (1997-2009).
Main Results:
- Healthcare abuse involves patients' subjective experiences of depersonalization and suffering.
- It is often unintended and distinct from medical error and patient satisfaction.
- Personal identity threat shares attributes but lacks the social structures inherent in healthcare abuse.
Conclusions:
- Healthcare abuse has severe consequences often overlooked by medical error or patient satisfaction frameworks.
- Understanding healthcare abuse requires a patient-centered perspective that acknowledges social determinants.
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