# Skills to act from a Positive Health approach: in comparison with shared decision-making: a scoping review

## TL;DR

This review identifies key skills healthcare professionals need to apply the Positive Health approach, comparing it with shared decision-making.

## Contribution

The study maps and compares specific skills required for implementing Positive Health in clinical practice.

## Key findings

- Five key skills were identified: holistic approach, communication, time management, patient participation, and self-reflection.
- Comparing PH skills with shared decision-making revealed more strategies and foundations for PH.
- Further research is needed to determine if PH and shared decision-making reinforce each other.

## Abstract

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.