Patients’ perceptions of participation in nursing care on medical wards

Abstract

Patients were motivated to participate and valued participation. Cultivating this motivation may be crucial to patient empowerment and practices of safety monitoring, a fundamental strategy to addressing patient safety issues in hospitals. Engaging nurse-patient relationships, inclusive of knowledge sharing, is required in practice to empower patients to participate. Educating patients on the consequences of non-participation may motivate them, while nurses may benefit from training on patient-centred approaches. Future research should address ways to increase patient motivation and opportunities to participate.

A Spider in a Broken Web: Nurses’ Views on Discharge Planning for Older Patients after Hip Fracture Surgery Who Live in their Own Homes in Rural Areas

“…According to Efraimsson et al [38], older patients have difficulties participating in DP meetings because they are not accustomed to the form of the meeting or the vocabulary used. A particular disadvantage for patients who have recently undergone hip fracture surgery may be that they are in pain or feel unwell [39].…”

“…Studies [39] [40] have shown that older patients do not feel sufficiently competent to participate in determining their care. That trend underscores the importance of facilitating DP that respects patients' preferences, remains sensitive to and supportive of patients, and gives patients who want to participate in planning the opportunity to do so.…”

Patient perceptions of deterioration and patient and family activated escalation systems—A qualitative study

“…Patient participation has been shown to benefit patients in many ways, with evidence of increased patient satisfaction, safety and the quality of care provided (Poochikian-Sarkissian, Sidani, Ferguson-Pare, & Doran, 2010;Schwappach, Frank, Buschmann, & Babst, 2013;Tobiano, Bucknall, Marshall, Guinane, & Chaboyer, 2016;Weingart et al, 2011). However, barriers to patient participation such as socioeconomic status, power imbalances, generation, differences in knowledge level and illness severity exist and influence consumers' ability to partake in their own care (Davis, Jacklin, Sevdalis, & Vincent, 2007;Eldh, Ekman, & Ehnfors, 2006;Larsson, Sahlsten, Segesten, & Plos, 2011;Tobiano et al, 2016).…”

“…However, barriers to patient participation such as socioeconomic status, power imbalances, generation, differences in knowledge level and illness severity exist and influence consumers' ability to partake in their own care (Davis, Jacklin, Sevdalis, & Vincent, 2007;Eldh, Ekman, & Ehnfors, 2006;Larsson, Sahlsten, Segesten, & Plos, 2011;Tobiano et al, 2016).…”

“…Some patients have also expressed a preference to take a passive role (Rathert, Huddleston, & Pak, 2011), whilst others perceived themselves as being subordinate to physicians, suggesting that patient participation is highly individual and subject to a reluctance to participate in their care (Tobiano et al, 2016). Health Care, 2012).…”