Concordance in the healthcare context: A concept analysis.
Belitung Nurs J
; 10(3): 252-260, 2024.
Article
in En
| MEDLINE
| ID: mdl-38947301
ABSTRACT
Background:
The concept of concordance and its usage are indicative of patient-centered healthcare, which encourages an equitable collaboration between patients and clinicians. However, there is a lack of clarity in understanding concordance, and an analysis of this concept is warranted.Objective:
This paper seeks to explore the essence of the concordance concept in the healthcare context.Methods:
Walker and Avant's eight-step method of concept analysis was applied. A literature search was conducted using concordance AND concord as keywords on CINAHL, MEDLINE, PubMed, ProQuest, Cochrane database, and ScienceDirect databases, published between 2006 and 2022.Results:
The attributes of concordance include communication process, therapeutic partnership, and agreement on treatment regimens. Antecedents of concordance comprise provider-patient relationship, patients' beliefs, healthcare providers' characteristics, and complexity of treatment plans. Consequences are improved adherence and compliance, improved clinical outcomes, and better quality of life.Conclusion:
This paper offers clarification of concordance by presenting its antecedents, attributes, and consequences. The findings serve as a basis for developing assessments and nursing interventions to promote patient concordance. Nurses can use the findings to encourage concordance by establishing a trusty relationship during health encounters that respects patients' beliefs and effectively communicating to improve patients' understanding in dealing with complex treatment plans.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Belitung Nurs J
Year:
2024
Document type:
Article