Patient autonomy in a high-tech care context-A theoretical framework

Area of Science:

• Healthcare
• Nursing
• Patient Autonomy

Background:

• Patient autonomy is challenging to implement, often neglecting the patient's perspective.
• High-tech care contexts present unique challenges to patient autonomy due to patient vulnerability and potential cognitive impairment.
• Enhanced understanding of patient autonomy is crucial for vulnerable populations in high-tech settings.

Purpose of the Study:

• To synthesize existing findings and develop a theoretical framework for patient autonomy.
• To address the invisibility of the patient perspective in healthcare literature regarding autonomy.
• To create a practical framework for supporting patient autonomy in high-tech care environments.

Main Methods:

• Theory development using Walker and Avant's basic approaches.
• Amalgamation of findings from three prior qualitative studies.
• Delineation of a theoretical framework through synthesis of research results.

Main Results:

• A novel theoretical framework, the control-partnership-transition framework, was developed.
• The framework outlines prerequisites for patient autonomy in high-tech care.
• Identified patient strategies for autonomy: control, partnership, trust, and transition.

Conclusions:

• An expanded knowledge base on patient autonomy can improve nursing care in high-tech settings.
• The control-partnership-transition framework aids in supporting and defending patient autonomy.
• Guiding principles derived from the framework can inform nursing guidelines for patient autonomy.