Activities patients and nurses undertake to promote patient participation

Tobiano, Georgia, Marshall, Andrea, Bucknall, Tracey and Chaboyer, Wendy 2016, Activities patients and nurses undertake to promote patient participation, Journal of nursing scholarship, vol. 48, no. 4, pp. 362-370, doi: 10.1111/jnu.12219.

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Title Activities patients and nurses undertake to promote patient participation
Author(s) Tobiano, Georgia
Marshall, Andrea
Bucknall, TraceyORCID iD for Bucknall, Tracey
Chaboyer, Wendy
Journal name Journal of nursing scholarship
Volume number 48
Issue number 4
Start page 362
End page 370
Total pages 9
Publisher Wiley
Place of publication London, Eng.
Publication date 2016-07
ISSN 1547-5069
Keyword(s) communication
nurse-patient relations
nursing care
organizational culture
patient participation
patient-centered care
Science & Technology
Life Sciences & Biomedicine
Summary PURPOSE: To describe and understand activities patients and nurses undertake to enact patient participation in nursing care. DESIGN: This observational study was conducted on two medical units at a public hospital in Australia. Twenty-eight nurse-patient dyads were observed for at least 4 hr. Data were collected from November 2013 to February 2014. METHODS: Field notes were collected and were analyzed both inductively and deductively. FINDINGS: Nurse-patient interactions promoted patient participation through dialogue and knowledge sharing. Less evident was patient involvement in planning or self-care. Nurses exerted control over patient care, which influenced the extent of patient participation. CONCLUSIONS: Patient participation appears to be difficult to enact. Nurses' controlling approach, influenced by organizational issues, was in conflict with a patient-centered approach to care. Nurse-patient communication is one aspect of patient-centered care enacted more frequently. CLINICAL RELEVANCE: Nurses may benefit from strategies at the individual and organizational level to enhance their patient-centered practices. Fostering nurses' communication may enhance patient-centered practices in hospitals.
Language eng
DOI 10.1111/jnu.12219
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, Sigma Theta Tau International
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