REVIEW article
Front. Public Health
Sec. Public Health Education and Promotion
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1530427
Skills to Act from a Positive Health Approach: In Comparison with Shared Decision-Making -A Scoping Review
Provisionally accepted
- 1Medisch Spectrum Twente, Enschede, Netherlands
- 2Saxion University, Enschede, Overijssel, Netherlands
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Positive Health (PH) is a health approach that expands the definition of health, emphasizing social, psychological, and personal perspectives. PH helps healthcare professionals to provide insight into a patient's perceived health and gives them insight into their health improvement. PH is acknowledged for improving healthcare and quality of life, but the practical implementation of PH and the necessary skills for healthcare professionals remain unexplored. The overall aim of this review is to explore and map the Positive Health skills needed for healthcare professionals in a variety of healthcare settings.A scoping review was conducted. PubMed, Embase, and CINAHL were searched using the key term 'Positive Health' AND 'healthcare professionals' AND 'skills' including synonyms and related keywords. Initial searches yielded fewer relevant studies than expected. Therefore, a revised strategy incorporated 'Shared Decision-Making (SDM)' AND 'healthcare professionals' AND 'skills' to enhance the search. The methodological quality was assessed.A convergent integrated approach synthesized findings and identified overarching skills. An overview was made to visualize the skills.After screening, 15 studies were included. The five overarching skills are: 'applying a holistic approach', 'communicating and active listening', managing time effectively', 'encouraging patient participation', 'reflecting and self-reflection'.An overview of PH skills was obtained, where the comparison with SDM led to more foundation and more strategies for PH skills. Increasing PH skills in clinical practice may improve implementation. Further research is needed to explore if PH and SDM are mutually reinforcing.
Keywords: positive health, shared decision making, healthcare professionals, Skills, review
Received: 18 Nov 2024; Accepted: 14 Apr 2025.
Copyright: © 2025 Visser, Veehof and Van Hogen-Koster. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Renske Visser, Medisch Spectrum Twente, Enschede, Netherlands
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