Evidence map›Paper›PMID 42762519›Full record

ArticleNursing inquiry2026

Rethinking Empowerment in Healthcare: A Dynamic Continuum.

Cathy J Beresford

Abstract read
In one paragraph

Article in Nursing inquiry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Cathy J BeresfordDepartment of Nursing, University of Sunderland in London, London, UK.ORCID https://orcid.org/0000-0002-3861-3465

Funding

Bournemouth UniversityLewis-Manning Hospice Care
6 · The paper itself

Abstract

Empowerment is a widely used term in healthcare literature, policy and practice, but its meaning is often inconsistent and increasingly framed as an individual outcome linked to self-management, responsibility and compliance. However, such framings risk oversimplifying empowerment and reinforcing neoliberal and paternalistic assumptions that place responsibility on individuals while overlooking wider relational, systemic and contextual influences. Drawing on findings from constructivist grounded theory research with people affected by advanced liver disease, carers and healthcare professionals, I propose that empowerment is not a fixed state or something that can be delivered by professionals, but rather a dynamic, relational process that exists on a continuum and frequently co-exists with disempowerment. Rather than being an outcome to be achieved, empowerment is enacted through everyday actions, relationships, resistance and navigation of constraint across patients, carers and professionals. The paper proposes a reconceptualisation of empowerment as relational, contextual and co-produced, with implications for moving away from notions of empowerment as professional intervention or individual achievement.

Indexed as

EmpowermentPower, PsychologicalGrounded TheoryHumansLiver DiseasesQualitative Researchcarersco‐productiondisempowermentempowermenthealthcarehealthcare professionalsliver diseasepatients

Identifiers

PMID42762519
PMCPMC13589655

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.