Patient participation in hospital care: Nursing staffs' point of view

Abstract

The aim was to investigate nursing staff's perceptions related to patient participation and the parameters affecting it during nursing care. A cross-sectional study with both a quantitative and qualitative orientation was conducted. The sample consisted of all nursing staff working in medical and surgical wards in three Greek hospitals. A questionnaire was developed and the data were analysed with exploratory factor analysis, whereas content analysis was used for qualitative data. Nursing staff perceived participation as the process of information giving to patients, communication of symptoms by patients and compliance with the staff's orders. 'Information providing' and 'ability to influence and responsibility' were significant aspects of the content of participation, whereas the parameters affecting participation were related to patients, nursing staff and the care context. These results support patient engagement in dialogue and shared decision-making, while highlighting the need to implement participation systematically and stimulate changes in nursing care organization.

Patient participation in patient safety still missing: Patient safety experts' views

“…This supports previous findings that patients often feel that they should listen to, trust and cooperate with hospital staff, but PS is not their responsibility so they generally prefer to adopt a passive role in their care, and decision‐making . Thus, health care professionals should consider patients' participation abilities, needs and preferences when they develop interventions and strategies to promote patient participation …”

“…3,23 Thus, health care professionals should consider patients' participation abilities, needs and preferences when they develop interventions and strategies to promote patient participation. 24 PSEs described professionals' attitudes, as well as their ability and willingness to deal with issues raised by patients, as crucial for promoting patient involvement. These results confirm findings of many international studies that patients strongly need the support and encouragement of their healthcare professionals when participating in PS.…”

Nurses' views of patient participation in nursing care

“…), cognitive and physical impairment (Kolovos et al . ) and culture (Hӧglund et al . , Schwappach et al .…”

Healthcare professionals’ perspective on how to promote older couples’ participation in everyday life when using respite care

“…In relation to this, the findings indicate a need for professionals to acknowledge the importance and impact a change of context between home and the respite care facility has on relationships, environments and activities in everyday life. Interchange of information and knowledge (30)(31)(32) in addition to life story knowledge and individual needs has previously shown to be important for participation (33)(34)(35). In this study, the professionals considered these aspects as significant ways to build trust with the older couples and to promote couples' participation.…”

“…Interchange of information and knowledge in addition to life story knowledge and individual needs has previously shown to be important for participation . In this study, the professionals considered these aspects as significant ways to build trust with the older couples and to promote couples’ participation.…”