title: The experience of empowerment in the patient-staff encounter: the patient's perspective.
abstract: OBJECTIVE
  The aim was to explore empowerment within the patient-staff encounter as experienced by out-patients with chronic kidney disease.
  
  
  BACKGROUND
  Empowerment has an important role to play in the patient-staff relationship in the case of patients with a chronic disease. When it comes to patients with chronic kidney disease, there has been little research on empowerment, for which reason interviewing such patients about their experiences of empowerment will provide useful knowledge within the context of out-patient care.
  
  
  METHODS
  A qualitative interview study was chosen to gain an understanding of empowerment from the patient perspective.
  
  
  METHODS
  The study was carried out at an out-patient clinic in Sweden and involved 20 patients with chronic kidney disease. The interviews were subjected to latent content analysis.
  
  
  RESULTS
  Five of the seven sub-themes emerging from the analysis represented empowerment: Accessibility according to need, Confirming encounter, Trust in the competence of the healthcare staff, Participation in decision-making, Learning enables better self-management. The other two represented non-empowerment: Meeting with nonchalance, Lack of dialogue and influence. From the seven sub-themes, one comprehensive theme was generated: Creation of trust and learning through encounter.
  
  
  CONCLUSIONS
  The main finding regarding the central role of the creation of trust and learning through the patient-staff encounter underlines the importance of understanding empowerment from the patient's perspective.
  
  
  CONCLUSIONS
  Nursing and other healthcare staff need knowledge and understanding of the meaning of empowerment from the patients' perspective to meet their needs in out-patient care.
authors.affiliation: School of Health Sciences, Jönköping University, Jönköping, Sweden. annette.nygardh@hhj.hj.se
authors.forename: Annette
authors.initials: A
authors.lastname: Nygårdh
authors.forename: Dan
authors.initials: D
authors.lastname: Malm
authors.forename: Kerstin
authors.initials: K
authors.lastname: Wikby
authors.forename: Gerd
authors.initials: G
authors.lastname: Ahlström
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000592:standards / Q000639:trends; D000554:Ambulatory Care Facilities; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000451:nursing / Q000628:therapy*; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team / Q000458:organization & administration*; D017060:Patient Satisfaction; D011209:Power, Psychological; D011369:Professional-Patient Relations; D036301:Qualitative Research; D018570:Risk Assessment; D013548:Sweden; D035502:Trust / Q000523:psychology