Person-specific evidence has the ability to mobilize relational capacity: A four-step grounded theory developed in people with long-term health conditions

Vibeke Zoffmann*, Rikke Jørgensen, Marit Graue, Sigrid Normann Biener, Anna Lena Brorsson, Cecilie Holm Christiansen, Mette Due-Christensen, Helle Enggaard, Jeanette Finderup, Josephine Haas, Gitte Reventlov Husted, Maja Tornøe Johansen, Katja Lisa Kanne, Beate-Christin Hope Kolltveit, Katrine Wegmann Krogslund, Silje S Lie, Anna Olinder Lindholm, Emilie H S Marqvorsen, Anne Sophie Mathiesen, Mette Linnet OlesenBodil Rasmussen, Mette Juel Rothmann, Susan Munch Simonsen, Sara Huld Sveinsdóttir Tackie, Lise Bjerrum Thisted, Trang Minh Tran, Janne Weis, Marit Kirkevold

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftArtikelForskningpeer review


Person-specific evidence was developed as a grounded theory by analyzing 20 selected case descriptions from interventions using the guided self-determination method with people with various long-term health conditions. It explains the mechanisms of mobilizing relational capacity by including person-specific evidence in shared decision-making. Person-specific self-insight was the first step, achieved as individuals completed reflection sheets enabling them to clarify their personal values and identify actions or omissions related to self-management challenges. This step paved the way for sharing these insights and challenges in a relationship with a supportive health professional, who could then rely on person-specific evidence instead of assumptions or a narrow disease perspective for shared decision-making. Trust in the evidence encouraged the supportive health professional to transfer it to the interdisciplinary team. Person-specific evidence then enhanced the ability of team members to apply general evidence in a meaningful way. The increased openness achieved by individuals through these steps enabled them to eventually share their new self-insights in daily life with other people, decreasing loneliness they experienced in self-management. Relational capacity, the core of the theory, is mobilized in both people with long-term health conditions and healthcare professionals. Further research on person-specific evidence and relational capacity in healthcare is recommended.

TidsskriftNursing Inquiry
Udgave nummer3
Tidlig onlinedato16 apr. 2023
StatusUdgivet - jul. 2023

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© 2023 The Authors. Nursing Inquiry published by John Wiley & Sons Ltd.


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