Derek Lin, MPH
Medical Student
UNM School of Medicine
Albuquerque, New Mexico, United States
Luke Sanchez, BS
Medical Student
UNMSOM
Albuquerque, New Mexico, United States
Emily Zwierzchoski, BS
Medical Student
UNMSOM
Albuquerque, New Mexico, United States
Davishia Henderson, BS
Medical Student
UNMSOM
Albuquerque, New Mexico, United States
Anthony Fleg, MD, MPH
Associate Professor
UNMSOM
Albuquerque, New Mexico, United States
The strength-based approach (SBA) in healthcare focuses on patients' inherent strengths and resources, rather than solely on their deficits or problems. This framework is built on equity, anti-racism, and decolonization by viewing patients as whole, complex individuals. Transitioning the paradigm of medicine towards SBA allows for patients to have more agency in making personally- and culturally-appropriate healthcare decisions. This study aimed to evaluate attitudes of healthcare professionals to SBA and assess the applicability of SBA to education, practice, and scholarship. Participants’ knowledge of SBA increased from 4.8 to 7.2 from before to after the workshop. Participants' average confidence implementing SBA in patient care increased from 5.2 to 7.5 from before to after the workshop. 96% of respondents believed SBA would make them better medical providers, and 97% thought SBA would increase their job fulfillment. Participants expressed a desire for more education on SBA and integration into healthcare training, with comments highlighting its potential to reduce hierarchical patient-provider relationships and improve healthcare infrastructure.
Design: This survey-based study assessed the impact of a SBA framework after didactic workshops to 118 healthcare professionals. Participants included students, trainees, and providers in physiatry, medicine, nursing, physician assistant programs, and physical, occupational, and speech therapy. Post-presentation surveys with either Likert scale (scale of 1-10) or open-ended responses were administered to evaluate participants' knowledge, confidence, and perception of SBA. Key thematic responses and statistical data from the survey were analyzed.
Results:
Conclusions: The SBA can significantly improve patient care by shifting the focus from deficits to strengths, fostering patient empowerment and enhancing provider fulfillment. Integrating SBA into healthcare education and clinical practice can create a more human-centered and anti-racist approach to care. Expanding SBA training and incorporating strength-based assessment tools are vital next steps in reshaping healthcare delivery.