Patients' perceptions of participation in nursing care on medical wards

Tobiano, Georgia, Bucknall, Tracey, Marshall, Andrea, Guinane, Jessica and Chaboyer, Wendy 2016, Patients' perceptions of participation in nursing care on medical wards, Scandinavian journal of caring sciences, vol. 30, no. 2, pp. 260-270, doi: 10.1111/scs.12237.

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Title Patients' perceptions of participation in nursing care on medical wards
Author(s) Tobiano, Georgia
Bucknall, TraceyORCID iD for Bucknall, Tracey
Marshall, Andrea
Guinane, Jessica
Chaboyer, Wendy
Journal name Scandinavian journal of caring sciences
Volume number 30
Issue number 2
Start page 260
End page 270
Total pages 11
Publisher Wiley-Blackwell
Place of publication Chichester, Eng.
Publication date 2016-06
ISSN 1471-6712
Keyword(s) consumer participation
nurse-patient relations
nursing care
patient engagement
patient involvement
patient participation
patient-centred care
Summary BACKGROUND: Patient participation benefits the patient and is a core concept of patient-centred care. Patients believe in their ability to prevent errors; thus, they may play a vital role in combating adverse event rates in hospitals. AIMS AND OBJECTIVES: To explore hospitalised medical patients' perceptions of participating in nursing care, including the barriers and facilitators for this activity. RESEARCH METHODS: This interpretive study was conducted on four medical wards, in two hospitals. Purposeful maximum variation sampling was operationalised to recruit patients that differed in areas such as age, gender and mobility status. In-depth semi-structured audiotaped interviews were undertaken and analysed using inductive content analysis. RESULTS: Twenty patients participated in the study. Four categories were uncovered in the data. First, valuing participation showed patients' willingness to participate, viewing it as a worthwhile task. Second, exchanging intelligence was a way of participating where patients' knowledge was built and shared with health professionals. Third, on the lookout was a type of participation where patients monitored their care, showing an attentive approach towards their own safety. Fourth, power imbalance was characterised by patients feeling their opportunities for participation were restricted. CONCLUSIONS: Patients were motivated to participate and valued participation. Cultivating this motivation may be crucial to patient empowerment and practices of safety monitoring, a fundamental strategy to addressing patient safety issues in hospitals. Engaging nurse-patient relationships, inclusive of knowledge sharing, is required in practice to empower patients to participate. Educating patients on the consequences of non-participation may motivate them, while nurses may benefit from training on patient-centred approaches. Future research should address ways to increase patient motivation and opportunities to participate.
Language eng
DOI 10.1111/scs.12237
Field of Research 111099 Nursing not elsewhere classified
1110 Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Nordic College of Caring Science
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