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Published on: January 7, 2019
Relational agency: An evolutionary concept analysis
Morgan Wadams1, Mayank Kaushik1, Andrew Estefan2
1Faculty of Nursing, MacEwan University, Edmonton, Alberta, Canada.
Background:
Relational agency has emerged across care disciplines to conceptualize agency as a process embedded in relationships. However, the concept remains underdeveloped in nursing and allied health literature-fields where relationship-building is central to care provision.
Purpose:
We clarify the concept of relational agency and explore its relevance and application to nursing practice.
Methods:
An evolutionary concept analysis was conducted using Rodgers' method.
Discussion:
Relational agency has four attributes: individual growth, collaborative action, relational knowing, and as something that can be cultivated. Antecedents included recognition, respect, and the creation of relational and/or physical spaces of opportunity. Consequences resulted in the development of trust, resilience, empowerment, and the ability to imagine new possibilities.
Conclusion:
Relational agency offers a framework for relationship-building in nursing and allied health practice. It holds particular promise for addressing health disparities and improving care for populations who experience systemic barriers and distrust in formal health systems.
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