Factors that create Obstacles and Opportunity for Patient Participation in Orthopaedic Nursing Care

Rn, Susanne Stålenhag

doi:10.35279/jewma201905.06

Cited by 2 publications

(5 citation statements)

References 27 publications

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“…Similar barriers associated with HCPs were reported in the literature, including the desire to maintain control, lack of time to educate patients and caregivers, HCP knowledge and beliefs, HCP professional specialty, ethnic origin, and insufficient training and education in patient involvement [32,44]. Time pressure was recognized as a barrier to patient participation for safer care in our study, which is consistent with previous similar studies [24,45,46]. Many changes in clinical practice have led to increased demands on physicians and nurses to document various aspects of their work, which along with staff shortage and heavy workload, have often been identified as key reasons for reduced time with patients in Iran's hospital setting [47,48].…”

Section: Discussionsupporting

confidence: 90%

Engaging patients in patient safety: a qualitative study examining healthcare managers and providers’ perspectives

2022

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Background Patients can play an essential role in improving patient safety by becoming actively involved in their health care. The present study aimed to qualitatively explore healthcare providers’ (HCPs) and managers’ perceptions on patient participation in patient safety processes. Methods This qualitative study carried out in three teaching hospitals in Tehran, Iran. The data were collected through semi-structured interviews with 31 HCPs and managers working at public teaching hospitals, medical universities and the Ministry of Health. The data were analyzed using thematic analysis. Results Three main themes and 21 sub-themes emerged from the interviews. Participants believed that patients and their families can play an effective role in maintaining and improving patient safety through different roles. However, a variety of barriers were identified at patients, providers, and system levels hindering patient participation in delivering safe care. Conclusion The participants identified facilitators and barriers to patient engagement in safety-orientated activities at multiple patients, providers, and system levels, indicating that complex, multifaceted initiatives must be designed to address the issue. This study encourages further research to enhance the understating of the problems and solutions to patient involvement in safety initiatives in the Iranian healthcare setting.

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Section: Discussionsupporting

confidence: 90%

Engaging patients in patient safety: a qualitative study examining healthcare managers and providers’ perspectives

2022

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“…This is also in line with other studies, where both patients and staff scored communication poorly when assessing quality of care and patient participation. 7 , 12 , 15 Caregivers may often falsely believe that patients have a clear understanding of the intended aim and content of the ward round, which are not always achieved. Patients may also be prevented from participating in the round due to time constraints and have no opportunity to ask questions or receive explanations of technical information and jargon.…”

Section: Discussionmentioning

confidence: 99%

“…Patients may also be prevented from participating in the round due to time constraints and have no opportunity to ask questions or receive explanations of technical information and jargon. 7 , 12 A possible aggravating circumstance is that the responsible surgeon is present in the care ward to a lesser extent during the day due to placement in the operating room or reception, which can reduce the time for communication with patients.…”

Section: Discussionmentioning

confidence: 99%

“…Patients may also be prevented from participating in the round due to time constraints and have no opportunity to ask questions or receive explanations of technical information and jargon. 7,12 A possible aggravating circumstance is that the responsible surgeon is present in the Patients may also be influenced by prevailing traditions and respect for medical staff, in addition to a more general uncertainty about what to wish for. 7 By giving examples of what patients may wish for and varying questioning frameworks, the answers may become different and more elaborate.…”

Section: Discussionmentioning

confidence: 99%

“…According to previous research, patients score the communication and information they receive poorly 13 and desire more two-way communication. [11][12][13] Multidisciplinary staff also consider good communication as crucial to ward round quality. 14 Variable levels of care and a lack of standardization in patient assessment during ward rounds also have a negative impact on the ward round.…”

Section: Introductionmentioning

confidence: 99%

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The Ward Round: Patients’ Perceptions of a Patient-Centered Approach and Their Suggestions for Improved Participation

Aronsson¹,

Frithiof²,

Röstedal³

et al. 2022

PPA

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Purpose To explore, through a learning activity for healthcare students, how patients perceived the ward round and its patient-centered approach. Patients and Methods Patients admitted for elective orthopedic surgery were invited to participate in the study, which involved answering a survey comprising seven intersectional questions and eight free text questions. In addition, medical and nursing students did semi-structured interviews with the patients, covering the same free text questions. Twenty-three patients answered the survey, of whom fifteen also completed the interviews. The results from the interviews were explored using a thematic content analysis. Results Forty-three percent (10/23) of the patients strongly agreed or agreed that their knowledge of patient-centered ward round was sufficient to be able to participate actively, and thirty percent (7/23) indicated they had good knowledge of the laws and regulations governing the care of patients. Most of the patients felt satisfied with how their own and their relatives’ experiences were taken into account. The categories information and to be listened to were mentioned repeatedly by patients as priorities for patient-centered ward rounds. The interview analysis revealed four main categories: preparation, communication, organization, and safety as important and in need of improvement. Conclusion Less than half of the patients surveyed felt they could participate in the ward round, which indicates that there is an opportunity for improvement and development. Better information and communication about legal rights, as well as about the structure and content of the ward round, could be valuable to patients before admission. It is also important to find a way for patients’ individual wishes to be more fully and easily conveyed to medical staff. Creating a more tailor-made ward round for each patient and fulfilling a patient-centered approach will likely entail a substantial organizational and mental shift.

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Factors that create Obstacles and Opportunity for Patient Participation in Orthopaedic Nursing Care

Cited by 2 publications

References 27 publications

Engaging patients in patient safety: a qualitative study examining healthcare managers and providers’ perspectives

Engaging patients in patient safety: a qualitative study examining healthcare managers and providers’ perspectives

The Ward Round: Patients’ Perceptions of a Patient-Centered Approach and Their Suggestions for Improved Participation

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