ANALYSIS OF THE EXPERT PATIENT CONCEPT ACCORDING TO WALKER AND AVANT'S MODEL

Bezerril, Manacés dos Santos; Moreno, Isabel Morales; Ayllón, Francisca Sánchez; Lira, Ana Luisa Brandão de Carvalho; Cogo, Ana Luísa Petersen; Santos, Viviane Euzébia Pereira

doi:10.1590/1980-265X-TCE-2021-0167en

Brasil

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Literature Review • Texto contexto - enferm. 31 • 2022 • https://doi.org/10.1590/1980-265X-TCE-2021-0167en linkcopy

ANALYSIS OF THE EXPERT PATIENT CONCEPT ACCORDING TO WALKER AND AVANT'S MODEL

ANÁLISIS DEL CONCEPTO DE PACIENTE EXPERTO CONFORME AL MODELO DE WALKER Y AVANT

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective: to analyze the Expert Patient concept in Walker and Avant's model.

Method: theoretical concept analysis conducted in November 2019 on national and international databases with a final sample of 21 studies, in which the following data were investigated: country, year of publication, area of knowledge, participants, concept, attributes, antecedents, and consequences. The quantitative data were analyzed in a simple descriptive way and the qualitative data were organized in figures. The concepts identified were processed with the aid of the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionnaires software program.

Results: the United Kingdom (10; 47.6%) stood out, as well as the year 2015 (04; 19.1%), Nursing as the most evidenced area of knowledge (05; 23.8%), and patients as participants (18; 72.0%). With regard to the basic elements, care self-management (04;19.5%) was the most relevant attribute; in addition, the increase in the number of people with chronic diseases (10;18.5%) and social/community integration (14;24.5%) were evidenced as the most important antecedent and consequence, respectively. Additionally, the terms expert patient, condition and health stood out in the processing of the concepts presented in the studies included in the final sample.

Conclusion: concept analysis allowed determining the origin of the Expert Patient concept, the different fields of action of this subject, the self-care skills developed and their actual meaning, which is defined as an individual actively engaged in self-care and with the required skills to manage their clinical condition and help others in a similar situation.

DESCRIPTORS: Self-care; Health services; Participation of the patient; Patient safety; Concept formation

Attribute	n	%
Care self-management20^,23^,27^-28	04	19.5
Health self-management16^-17^,26	03	14.2
Self-care19^,29^,32	03	14.2
Empowerment in care15^,24^,30	03	14.2
Self-management of the disease21^-22	02	09.5
Autonomy in care25^,31	02	09.5
Reliable support source18^,33	02	09.5
It promotes shared care14	01	04.7
Digital native8	01	04.7
Total	21	1000

Variable	n	%
Antecedents
Increase in the number of people with chronic diseases16^-19^,21^,26^,28^-29^,31^-32	10	18.5
High cost of treatment/medical care/health services14^,16^,26^,28^-29^,32	07	12.9
Multimorbidities16^-19^,21^,26^,28^-29^,31^-32	07	12.9
Social stigma15^,17^,22^-23^,27^,30^,33	07	12.9
Need for social support15^-16^,22^-23^,30^,33	06	11.1
Shift in paradigm8^,22^,27^-28^,30	06	11.1
Access to information18^,23^-25	04	07.4
Search for alternative treatments14^,17^,22^,27	04	07.4
Internet8^,23^-24	03	05.8
Consequences
Social/Community integration8^,15^-16^,20^-24^,26^-28^,31^-33	14	24.5
Optimized relationship between patient and professional14^-15^,19^,21^-22^,24^-25^,28^,30^,33	10	17.5
Improvement in self-esteem and quality of life14^-15^,19^,22^,24^,28^,30^-33	10	17.5
Search for training/knowledge updates by the professionals14^,16^,21^,24^-26^,28^,31	08	14.0
Improvement in communication8^,16^,18^,23^,25^,27^-28^,32	08	14.0
Development of the Expert Patient Program (EPP)8^,16^-18^,22^-23^,29	07	12.8

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