Patient participation in nursing care on medical wards: An integrative review

Tobiano, Georgia, Marshall, Andrea, Bucknall, Tracey and Chaboyer, Wendy 2015, Patient participation in nursing care on medical wards: An integrative review, International Journal of Nursing Studies, vol. 52, no. 6, pp. 1107-1120, doi: 10.1016/j.ijnurstu.2015.02.010.

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Title Patient participation in nursing care on medical wards: An integrative review
Author(s) Tobiano, Georgia
Marshall, Andrea
Bucknall, TraceyORCID iD for Bucknall, Tracey
Chaboyer, Wendy
Journal name International Journal of Nursing Studies
Volume number 52
Issue number 6
Start page 1107
End page 1120
Total pages 14
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015-06
ISSN 1873-491X
Keyword(s) Communication
Consumer participation
Cooperative behaviour
Nurse–patient relations
Patient engagement
Patient involvement
Patient participation
Patient-centred care
Shared decision-making
Nurse-patient relations
Science & Technology
Life Sciences & Biomedicine
Summary BACKGROUND: Patient participation is a way for patients to engage in their nursing care. In view of the possible link between patient participation and safety, there is a need for an updated review to assess patient participation in nursing care. OBJECTIVES: To investigate patients' and nurses' perceptions of and behaviours towards patient participation in nursing care in the context of hospital medical wards. DESIGN: Integrative review. DATA SOURCES: Three search strategies were employed in August 2013; a computerised database search of Cumulative Index of Nursing and Allied Health Literature, Cochrane Library, Medline and PsychINFO; reference lists were hand-searched; and forward citation searching was executed. REVIEW METHODS: After reviewing the studies, extracting study data and completing summary tables the methodological quality was assessed using the Mixed-Methods Assessment Tool by two reviewers. Reviewers met then to discuss discrepancies as well as the overall strengths and limitations of the studies. Discrepancies were overcome through consensus or a third reviewer adjudicated the issue. Within and across study analysis and synthesis of the findings sections was undertaken using thematic synthesis. RESULTS: Eight studies met inclusion criteria. Four themes were identified - enacting participation, challenges to participation, promoting participation and types of participation. Most studies included were conducted in Europe. The majority of studies used qualitative methodologies, with all studies sampling patients; nurses were included in three studies. Data were largely collected using self-reported perceptions; two studies included observational data. Methodological issues included a lack of reflexivity, un-validated data collection tools, sampling issues and low response rates. CONCLUSIONS: On medical wards, patients and nurses desire, perceive or enact patient participation passively. Challenging factors for patient participation include patients' willingness, nurses' approach and confusion around expectations and roles. Information-sharing was identified as an activity that promotes patient participation, suggesting nurses encourage active communication with patients in practice. Involving patients in assessment and care planning may also enhance patient participation. For education, enhancing nurses' understanding of the attributes of patient participation, as well as patient-centred care approaches may be beneficial for medical ward nurses. From here, researchers need to examine ways to overcome the barriers to patient participation; further nurse participants and observational data is required on medical wards.
Language eng
DOI 10.1016/j.ijnurstu.2015.02.010
Field of Research 111099 Nursing not elsewhere classified
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, Elsevier
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