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Patient Participation and the Environment: A Scoping Review of Instruments
Dalarna University, School of Health and Welfare, Caring Science/Nursing. Lund University.ORCID iD: 0000-0003-2887-3674
Dalarna University, School of Health and Welfare, Social Work. Stockholm University.ORCID iD: 0000-0002-3866-5636
Dalarna University, School of Health and Welfare, Caring Science/Nursing.ORCID iD: 0000-0001-7044-8896
2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 4, article id 2003Article in journal (Refereed) Published
Abstract [en]

Patient participation and the environment are critical factors in achieving qualitative healthcare. We conducted a systematic scoping review using Arksey and O’Malley’s framework to identify instruments intended to measure patient participation. We assessed those instruments’ characteristics, which areas of the healthcare continuum they target, and whether environmental factors are considered. Instruments were considered eligible if they represented the patient perspective and measured patient participation in healthcare. The search was limited to articles written in English and published in the last 10 years. We extracted concepts (i.e., patient empowerment, patient participation, and patient-centeredness) based on the framework developed by Castro et al. and outcomes of significance regarding the review questions and specific objectives. The search was conducted in PsycINFO, CINHAL/EBSCO, and PubMed in September 2019 and July 2020. Of 4802 potential titles, 67 studies reported on a total of 45 instruments that met the inclusion criteria for this review. The concept of patient participation was represented most often in these studies. Although some considered the social environment, no instrument was found to incorporate and address the physical environment. Thirteen instruments were generic and the remaining instruments were intended for specific diagnoses or healthcare contexts. Our work is the first to study instruments from this perspective, and we conclude that there is a lack of instruments that measure aspects of the social and physical environment coherently as part of patient participation. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Place, publisher, year, edition, pages
MDPI , 2022. Vol. 19, no 4, article id 2003
Keywords [en]
Environment, Healthcare, Patient participation, Patient-reported instruments, Scoping review, adult, environmental factor, female, human, male, Medline, outcome assessment, patient empowerment, PsycINFO, review, social environment, systematic review
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Nursing
Identifiers
URN: urn:nbn:se:du-39687DOI: 10.3390/ijerph19042003ISI: 000767109500001PubMedID: 35206191Scopus ID: 2-s2.0-85124216585OAI: oai:DiVA.org:du-39687DiVA, id: diva2:1640169
Available from: 2022-02-23 Created: 2022-02-23 Last updated: 2023-04-14Bibliographically approved

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Kylén, MayaSchön, Ulla-KarinElf, Marie

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CiteExportLink to record
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