Nurse PATHIT: An Adapted Framework for Nurse Support for Patient Activation Through Health Information Technology

Area of Science:

• Nursing Science
• Health Informatics
• Patient Engagement

Background:

• Health Information Technology (HIT) adoption is limited by sociodemographic and psychosocial factors, despite its potential benefits.
• The nursing discipline is well-positioned to address these barriers and facilitate HIT utilization among patients.
• An adapted framework is proposed to embed nursing priorities in promoting self-care agency through HIT.

Purpose of the Study:

• To present an adapted framework integrating the Patient Health Engagement (PHE) model and Orem's Nursing Systems theory.
• To highlight the nursing role in promoting Health Information Technology (HIT) tools for enhanced patient activation and self-care.
• To support chronic disease management through nursing-guided HIT use.

Main Methods:

• Alignment of Orem's nursing system model with the PHE model.
• Development of the adapted Nurse PATHIT framework.
• Focus on nursing actions and considerations for targeting HIT tools to enhance patient activation in chronic care.

Main Results:

• The integrated framework promotes HIT use for chronic disease management by fostering patient self-care agency.
• Key stages of the PHE model (blackout, arousal, adhesion) align with Orem's compensatory and supportive nursing approaches.
• The framework provides a structured approach for nurses to leverage HIT.

Conclusions:

• The Nurse PATHIT framework offers a comprehensive approach for nurses to encourage HIT adoption in chronic disease management.
• Future research should evaluate patient-centered outcomes using HIT within this framework.
• Incorporating support and motivation for HIT use can enhance patient engagement and self-care agency.