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Activities Patients and Nurses Undertake to Promote Patient Participation.
- Source :
- Journal of Nursing Scholarship; Jul2016, Vol. 48 Issue 4, p362-370, 9p
- Publication Year :
- 2016
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHRONIC diseases
COMMUNICATION
CONTENT analysis
CORPORATE culture
LENGTH of stay in hospitals
HOSPITAL wards
INTERVIEWING
NURSE-patient relationships
NURSING
SCIENTIFIC observation
PUBLIC hospitals
RESEARCH funding
SELF medication
HEALTH self-care
EMPLOYEES' workload
PATIENT participation
ETHNOLOGY research
COMORBIDITY
UNOBTRUSIVE measures
PATIENT-centered care
HEALTH literacy
PHYSICAL activity
DATA analysis software
DESCRIPTIVE statistics
FIELD notes (Science)
Subjects
Details
- Language :
- English
- ISSN :
- 15276546
- Volume :
- 48
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Nursing Scholarship
- Publication Type :
- Academic Journal
- Accession number :
- 116618032
- Full Text :
- https://doi.org/10.1111/jnu.12219