Charlotte T M van Corven1, Annemiek Bielderman2, Mandy Wijnen3, Ruslan Leontjevas4, Peter L B J Lucassen5, Maud J L Graff6, Debby L Gerritsen7. 1. Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands; Radboud Alzheimer Center, Radboud University Medical Center, Nijmegen, the Netherlands. Electronic address: charlotte.vancorven@radboudumc.nl. 2. Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands; Radboud Alzheimer Center, Radboud University Medical Center, Nijmegen, the Netherlands. Electronic address: annemiek.bielderman@radboudumc.nl. 3. Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands. Electronic address: mandy.wijnen@radboudumc.nl. 4. Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands; Radboud Alzheimer Center, Radboud University Medical Center, Nijmegen, the Netherlands; Faculty of Psychology, Open University of the Netherlands, Heerlen, The Netherlands. Electronic address: roeslan.leontjevas@ou.nl. 5. Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands. Electronic address: peter.lucassen@radboudumc.nl. 6. Radboud Alzheimer Center, Radboud University Medical Center, Nijmegen, the Netherlands; Scientific Institute for Quality of Healthcare and Department of Rehabilitation, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands. Electronic address: maud.graff@radboudumc.nl. 7. Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands; Radboud Alzheimer Center, Radboud University Medical Center, Nijmegen, the Netherlands. Electronic address: debby.gerritsen@radboudumc.nl.
Abstract
BACKGROUND AND OBJECTIVES: Although the concept of empowerment seems useful for good care and support for people living with dementia, there is a lack of understanding of the process of empowerment. Therefore, more insight is needed into the concept of empowerment, and the environment's role in the empowerment process. RESEARCH DESIGN AND METHODS: We performed an integrative literature review (PubMed, CINAHL, PsychINFO), including studies that addressed empowerment for people living with dementia in their title or abstract. Using qualitative data analysis software ATLAS.ti, we applied open codes to describe all relevant aspects of included articles. Common themes and categories were identified using inductive reasoning and constant comparison. RESULTS: Sixty-nine articles were included. We identified four themes: (1) description of the state of being empowered, (2) the process of empowerment, (3) contribution of the environment to the empowerment process, and (4) effects on other variables. We combined these results with the conceptual framework of our previous qualitative study on the definition of empowerment for people living with dementia based on stakeholders' perspectives. Subsequently, the combined information of both studies was visualized in a revised conceptual framework. DISCUSSION AND IMPLICATIONS: This literature review provides more details as to the role of the environment for empowerment of people living with dementia and suggests that empowerment can be considered a dynamic process, taking place through interaction between the person living with dementia and their environment. Our revised conceptual framework of empowerment can serve as a basis for future studies on empowerment for people living with dementia, and to support (in)formal caregivers in the empowerment process.
BACKGROUND AND OBJECTIVES: Although the concept of empowerment seems useful for good care and support for people living with dementia, there is a lack of understanding of the process of empowerment. Therefore, more insight is needed into the concept of empowerment, and the environment's role in the empowerment process. RESEARCH DESIGN AND METHODS: We performed an integrative literature review (PubMed, CINAHL, PsychINFO), including studies that addressed empowerment for people living with dementia in their title or abstract. Using qualitative data analysis software ATLAS.ti, we applied open codes to describe all relevant aspects of included articles. Common themes and categories were identified using inductive reasoning and constant comparison. RESULTS: Sixty-nine articles were included. We identified four themes: (1) description of the state of being empowered, (2) the process of empowerment, (3) contribution of the environment to the empowerment process, and (4) effects on other variables. We combined these results with the conceptual framework of our previous qualitative study on the definition of empowerment for people living with dementia based on stakeholders' perspectives. Subsequently, the combined information of both studies was visualized in a revised conceptual framework. DISCUSSION AND IMPLICATIONS: This literature review provides more details as to the role of the environment for empowerment of people living with dementia and suggests that empowerment can be considered a dynamic process, taking place through interaction between the person living with dementia and their environment. Our revised conceptual framework of empowerment can serve as a basis for future studies on empowerment for people living with dementia, and to support (in)formal caregivers in the empowerment process.
Authors: Charlotte van Corven; Annemiek Bielderman; Mandy Wijnen; Ruslan Leontjevas; Peter Lbj Lucassen; Maud Jl Graff; Debby L Gerritsen Journal: Dementia (London) Date: 2022-09-05
Authors: Valentina Bressan; Allette Snijder; Henriette Hansen; Kim Koldby; Knud Damgaard Andersen; Natalia Allegretti; Federica Porcu; Sara Marsillas; Alvaro García; Alvisa Palese Journal: Int J Environ Res Public Health Date: 2022-08-19 Impact factor: 4.614