Patient engagement in clinical communication: an exploratory study

Chaboyer, Wendy, McMurray, Anne, Marshall, Andrea, Gillespie, Brigid, Roberts, Shelley, Hutchinson, Alison M, Botti, Mari, McTier, Lauren, Rawson, Helen and Bucknall, Tracey 2016, Patient engagement in clinical communication: an exploratory study, Scandinavian journal of caring sciences, vol. 30, no. 3, pp. 565-573, doi: 10.1111/scs.12279.

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Title Patient engagement in clinical communication: an exploratory study
Author(s) Chaboyer, Wendy
McMurray, Anne
Marshall, Andrea
Gillespie, Brigid
Roberts, Shelley
Hutchinson, Alison MORCID iD for Hutchinson, Alison M
Botti, MariORCID iD for Botti, Mari
McTier, Lauren
Rawson, HelenORCID iD for Rawson, Helen
Bucknall, TraceyORCID iD for Bucknall, Tracey
Journal name Scandinavian journal of caring sciences
Volume number 30
Issue number 3
Start page 565
End page 573
Total pages 9
Publisher Wiley
Place of publication Chichester, Eng.
Publication date 2016-02
ISSN 0283-9318
Keyword(s) clinical communication
patient engagement
patient participation
patient-centred care
person-centred care
transitions in care
Summary AIM: Existing practice strategies for actively involving patients in care during hospitalisation are poorly understood. The aim of this study was to explore how healthcare professionals engaged patients in communication associated with care transitions.

METHOD: An instrumental, collective case study approach was used to generate empirical data about patient transitions in care. A purposive sample of key stakeholders representing (i) patients and their families; (ii) hospital discharge planning team members; and (iii) healthcare professionals was recruited in five Australian health services. Individual and group semi-structured interviews were conducted to elicit detailed explanations of patient engagement in transition planning. Interviews lasted between 30 and 60 minutes and were digitally recorded and transcribed verbatim. Data collection and analysis were conducted simultaneously and continued until saturation was achieved. Thematic analysis was undertaken.

RESULTS: Five themes emerged as follows: (i) organisational commitment to patient engagement; (ii) the influence of hierarchical culture and professional norms on patient engagement; (iii) condoning individual healthcare professionals' orientations and actions; (iv) understanding and negotiating patient preferences; and (v) enacting information sharing and communication strategies. Most themes illustrated how patient engagement was enabled; however, barriers also existed.

CONCLUSION: Our findings show that strong organisational and professional commitment to patient-centred care throughout the organisation was a consistent feature of health services that actively engaged patients in clinical communication. Understanding patients' needs and preferences and having both formal and informal strategies to engage patients in clinical communication were important in how this involvement occurred.
Language eng
DOI 10.1111/scs.12279
Field of Research 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 ©2016, Nordic College of Caring Science
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