Empowerment of Women with Endometriosis from the Advanced Practice Nurse Care Perspective: A Concept Analysis

Georgina Feixas,1 Jordi Adamuz,2– 4 Maria Magdalena López Jiménez,2– 4 Núria Fabrellas,5,6 Maria-Eulàlia Juvé -Udina,4,7 María Ángeles Martínez-Zamora,1,* Francisco Carmona1,*1Gynaecology Department, Institute of Obstetrics, Gynaecology and Neonatology (ICGON), Hospital Clinic of Barcelona, Institut d´Investigacions Biomèdiques August Pi I Sunyer, University of Barcelona, Barcelona, Spain; 2Bellvitge University Hospital, Hospitalet de Llobregat, Barcelona, Spain; 3Department of Fundamental and Clinical Nursing, Faculty of Nursing, University of Barcelona, Barcelona, Spain; 4Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain; 5Faculty of Nursing, University of Barcelona. Fundació de Recerca Clínic Barcelona - Institut d´Investigacions Biomèdiques August Pi i Sunyer (FRCB-IDIBAPS), Barcelona, Spain; 6Spanish Centers for Biomedical Research in Liver and Digestive Diseases (CIBERehd), Madrid, Spain; 7Department of Public Health, Faculty of Nursing, University of Barcelona, Barcelona,Spain*These authors contributed equally to this workCorrespondence: Georgina Feixas, Gynaecology Department, Institute of Obstetrics, Gynaecology and Neonatology (ICGON). Hospital Clinic of Barcelona. Institut d´Investigacions Biomèdiques August Pi I Sunyer, University of Barcelona, C/ Villarroel 170, escala 5, planta 3, Barcelona, 08036, Spain, Tel +34 93 227 54 00, Email [email protected]: To critically analyze the concept of empowerment in women with endometriosis, developing a clear theoretical and operational understanding as a core component of healthcare, and strengthening its theoretical and practical framework within personalized advanced nursing care.Patients and Methods: A concept analysis was conducted using Wilson’s technique, incorporating an integrative review of 66 studies identified through MEDLINE, CINAHL, and the Merriam-Webster Dictionary. This approach was used to clarify the defining characteristics and attributes of empowerment in women with endometriosis considering contextual factors related to the condition and women’s lived experiences.Results: Empowerment in women with endometriosis emerged as both a dynamic process and an outcome shaped by contextual, emotional and, self-regulatory factors related to the disease. Six interrelated core elements form a conceptual model: Effective Communication, Access and Support Resources, Information for decision-making, Advocacy, Health-Self Management and Additional Resources and Support. These elements interact to promote active participation in care. These findings also support the need for the development of context-specific tools to assess empowerment in women with endometriosis.Conclusion: This concept analysis highlights empowerment as a multidimensional and context-specific unmet need in endometriosis healthcare, supporting the development of targeted, theory-informed nursing interventions.Keywords: Endometriosis, Advanced Practice Nurse, Concept Analysis, Patient Empowerment