Nurses' views of patient participation in nursing care

Tobiano, Georgia, Bucknall, Tracey, Marshall, Andrea, Guinane, Jessica and Chaboyer, Wendy 2015, Nurses' views of patient participation in nursing care, Journal of advanced nursing, vol. 71, no. 12, pp. 2741-2752, doi: 10.1111/jan.12740.

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Title Nurses' views of patient participation in nursing care
Author(s) Tobiano, Georgia
Bucknall, TraceyORCID iD for Bucknall, Tracey
Marshall, Andrea
Guinane, Jessica
Chaboyer, Wendy
Journal name Journal of advanced nursing
Volume number 71
Issue number 12
Start page 2741
End page 2752
Total pages 12
Publisher Wiley
Place of publication Weinheim, Germany
Publication date 2015-07-28
ISSN 1365-2648
Keyword(s) communication
consumer participation
nurse-patient relations
nursing care
patient engagement
patient participation
patient safety
patient-centred care
Summary AIMS: To explore nurses' views of patient participation in nursing care on medical wards. BACKGROUND: Nurses have frequent contact with patients, highlighting their potential role in enabling patient participation. However, some nurses' actions and attitudes act as barriers, failing to achieve core requirements of patient participation. Discovering nurses' views may assist in developing strategies to encourage patient participation in hospitals. DESIGN: Interpretive study. METHODS: Twenty nurses were recruited from four medical wards, located in two Australian hospitals. In-depth semi-structured interviews were conducted between November 2013-March 2014 and analysed using content analysis. FINDINGS: Five categories emerged from the nurses' views. The first category, acknowledging patients as partners, showed nurses respected patients as legitimate participants. In the second category, managing risk, nurses emphasized the need to monitor participation to ensure rules and patient safety were maintained. Enabling participation was the third category, which demonstrated nurses' strategies that enhanced patients' participation. The fourth category was hindering participation; encapsulating nurses' difficulty in engaging patients with certain characteristics. In the final category, realizing participation, nurses believed patients could be involved in physical activities or clinical communication. CONCLUSION: Nurses have a crucial role in promoting patient participation. Through acknowledging and enabling participation, nurses may facilitate patient participation in a range of nursing activities. The nurse's role in enacting participation is complex, having to accommodate each patient's risks and characteristics, highlighting the need for good assessment skills. Education, policy and research strategies are essential to foster nurses' pivotal role in patient participation.
Language eng
DOI 10.1111/jan.12740
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
Copyright notice ©2015, Wiley
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