Patient participation in emergency care – a phenomenographic analysis of caregivers’ conceptions

Frank, Catharina; Asp, Margareta; Dahlberg, Karin

doi:10.1111/j.1365-2702.2008.02477.x

Cited by 31 publications

(48 citation statements)

References 25 publications

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“…Some of the requisites for and constraints to patient participation identified in this study have previously been reported in nursing literature [20,21,23,25]. Despite differences in patient populations, settings, and professionals, there seem to be similarities about important requisites for patient participation.…”

Section: Discussionmentioning

confidence: 51%

“…However, some persons with SCI quickly understand what has happened to them and the consequences of their injury, whereas others require much more time to fully appreciate the trauma and to become receptive to new information [33,41]. In line with findings from some nursing studies [23,25], our informants stated that in the initial phase full patient participation could be difficult to achieve because of the patient's inability to grasp information. This necessitates that the information should be clearly stated and repeated.…”

Section: Discussionmentioning

confidence: 67%

“…Moreover, patient participation may also be limited by patient-related factors, such as the patients' health status, capabilities, and preferences [16,17,[23][24][25][26]. Specifically, in acute phases and in emergency care patients might be too ill or weak to participate [23,25], or unable to understand information [22].…”

Section: Introductionmentioning

confidence: 99%

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Patient participation from the perspective of staff members working in spinal cord injury rehabilitation

et al. 2018

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Study design Qualitative method, semi-structured interviews. Objectives The aims of this study were to explore the meaning of patient participation from the perspective of staff members working with spinal cord injury (SCI) rehabilitation, and what they saw as requisites for and constraints to patient participation. Setting Swedish spinal injury unit. Methods Interviews with 13 staff members at a spinal unit were conducted individually and analyzed by means of content analysis.Results One category describing patient participation emerged from the interviews: Patient -a team member. Four categories were extracted as requisites: Communication; information and knowledge; routines; respecting the patient as a unique person; and an open climate. Three categories of constraints were identified: Understaffing and new staff members; patients' inability to grasp information; and structures and fragmented responsibilities. Conclusions The informants were unanimous in stating that the patient is an integral and natural member of the rehabilitation team. Recognizing the person with SCI as a team member acknowledges and endorses the patient as a person with capabilities to participate in his or her rehabilitation. The patient as a person also means that he or she has unique needs and preferences, which the staff members must accommodate. This is also fundamental in a person-centered approach. Therefore, the viewpoints of the informants may be useful for other settings to enhance person centeredness and patient participation.

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 67%

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Patient participation from the perspective of staff members working in spinal cord injury rehabilitation

et al. 2018

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“…Professionals' abilities and willingness to facilitate patient participation were seen as a general problem (Frank et al, 2009a;Fig. 1.…”

Section: The Patient-nurse Relationship -Professional Dominance Restrmentioning

confidence: 99%

Challenges in achieving patient participation: A review of how patient participation is addressed in empirical studies

Angel¹,

Frederiksen²

2015

International Journal of Nursing Studies

108

131

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“…Consistent with other studies (Frank et al 2008;Lemonidou et al 2003), information was regarded as a prerequisite for patient participation and patient autonomy. Even if ICU-patients often hand themselves over to the care professional, the CP was conceived of as contributing to uniform information and thereby facilitating patient participation, a finding consistent with other studies (Barker et al 1999;Currie and Harvey, 2000;De Luc, 2000).…”

Section: Holistic Carementioning

confidence: 61%

Intensive care nurses’ conceptions of a critical pathway in caring for aortic-surgery patients: A phenomenographic study

Bjurling-Sjöberg

Engström

Lyckner

et al. 2013

Intensive and Critical Care Nursing

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Intensive care nurses' conceptions of a critical pathway in caring for aortic-surgery patients: a phenomenographic study. Intensive & Critical SUMMARYThe aim of the present study was to identify and describe intensive care nurses' different conceptions of a critical pathway in caring for patients that have undergone aortic-surgery.Individual semi-structured interviews with eight specialist registered nurses at a Swedish intensive care unit were conducted and phenomenographically analysed. Three descriptive categories, with a total of five sub-categories, constituted the outcome-space of how the pathway was conceived of in caring: as a guide open to individual patients needs (clinical judgment governs caring and patient autonomy governs caring), as an instrument to promote patient safety (a source of knowledge, a planning tool and a reference standard) and as a source of support for professional confidence.In accordance with current literature, the nurses in the present study identified a number of advantages in applying the pathway in caring even if they were also conscious that the use of a pathway can give rise to unreflective standardization. The nurses' conceptions indicate that the pathway prescribed for managing patients who have undergone aortic surgery is supportive and facilitates patient safety without jeopardizing respect for the patient's individual care needs. This insight may be used to influence a thoughtful dialogue about the practice of pathways in intensive care.

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Patient participation in emergency care – a phenomenographic analysis of caregivers’ conceptions

Abstract: Mutual participation is perceived occasionally and often unexpectedly, when the right circumstances occur, despite international and national guidelines that lay down the need for patient participation.

Cited by 31 publications

References 25 publications

Patient participation from the perspective of staff members working in spinal cord injury rehabilitation

Patient participation from the perspective of staff members working in spinal cord injury rehabilitation

Challenges in achieving patient participation: A review of how patient participation is addressed in empirical studies

Intensive care nurses’ conceptions of a critical pathway in caring for aortic-surgery patients: A phenomenographic study

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