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What's wrong with the concept of self-management?
1Hunter College, City University of New York, New York 11596, USA. sbaumann@hunter.cuny.edu
Nursing Science Quarterly
|October 23, 2012
Summary
This update questions the nursing use of self-management and patient consumerism concepts within the Betty Neuman Systems Model. An overemphasis on individualism in healthcare is deemed narrow and demoralizing.
Area of Science:
- Nursing Theory
- Healthcare Systems
- Patient Care Models
Background:
- The Betty Neuman Systems Model is a holistic framework for nursing practice.
- Current healthcare trends emphasize patient self-management and consumerism.
- Questions arise regarding the integration of these trends within the Neuman model.
Purpose of the Study:
- To critically evaluate the application of 'self-management' and 'patient as consumer' concepts in nursing within Holland.
- To explore the implications of individualism and consumerism in healthcare settings.
- To assess the potential limitations and drawbacks of these concepts within the Betty Neuman Systems Model.
Main Methods:
- Conceptual analysis of 'self-management' and 'patient as consumer' in nursing.
- Literature review on the Betty Neuman Systems Model and healthcare trends.
- Discussion of the philosophical underpinnings of individualism and consumerism in healthcare.
Main Results:
- The current emphasis on individualism and consumerism in healthcare may be too narrow.
- An excessive focus on these concepts can be demoralizing for patients and nurses.
- The integration of these concepts within the Betty Neuman Systems Model requires careful consideration.
Conclusions:
- Nursing practice needs to critically examine the adoption of 'self-management' and 'patient as consumer' concepts.
- A balanced approach is needed to avoid the negative consequences of excessive individualism and consumerism.
- Further dialogue is essential to refine the application of the Betty Neuman Systems Model in contemporary healthcare.
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