Patients’ decisional control over care: a cross‐national comparison from both the patients’ and nurses’ points of view

Papastavrou, Evridiki; Efstathiou, Georgios; Tsangari, Haritini; Karlou, Chryssoula; Patiraki, Elisabeth; Jarošová, Darja; Balogh, Zoltán; Merkouris, Anastasios; Suhonen, Riitta

doi:10.1111/scs.12218

Cited by 21 publications

(36 citation statements)

References 52 publications

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“…We also know that many of today's nurses are not sufficiently trained in fundamental care delivery (MacMillan, ) or how to effectively involve patients in their own care (Huisman‐de Waal, Feo, Vermeulen, & Heinen, ). Although nurses stress the importance of person‐centred care where patients can participate (Bolster & Manias, ; Tobiano, Bucknall, Marshall, Guinane, & Chaboyer, ), difficulties are apparent from research demonstrating that nurses overestimate the patient‐centredness of their care, as compared to the patients’ experiences (Papastavrou et al, ; Suhonen et al, ). In a study by Jangland, Teodorsson, Molander, and Muntlin Athlin () on the patients’ perspective of care delivery in surgical hospital wards, it was found that the high‐tempo culture leads to patients not receiving optimal physical or emotional support.…”

Section: Introductionmentioning

confidence: 99%

Exploring person‐centred fundamental nursing care in hospital wards: A multi‐site ethnography

Belle¹,

Giesen²,

Conroy

et al. 2019

Journal of Clinical Nursing

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Objective:To explore how nurses in hospitals enact person-centred fundamental care delivery.Background: Effective person-centred care is at the heart of fundamental nursing care, but it is deemed to be challenging in acute health care as there is a strong biomedical focus and most nurses are not trained in person-centred fundamental care delivery. We therefore need to know if and how nurses currently incorporate a person-centred approach during fundamental care.Design: Focused ethnography approach.Methods: Observations of 30 nurses on three different wards in two Dutch hospitals during their morning shift. Data were collected through passive observations and analysed using framework analysis based on the fundamentals of care framework.The COREQ guideline was used for reporting.Results: Some nurses successfully integrate physical, psychosocial and relational elements of care in patient interactions. However, most nurses were observed to be mainly focused on physical care and did not take the time at their patients' bedside to care for their psychosocial and relational needs. Many had a task-focused way of working and communicating, seldom incorporating patients' needs and experiences or discussing care planning, and often disturbing each other. Conclusions:This study demonstrates that although some nurses manage to do so, person-centred fundamental care delivery remains a challenge in hospitals, as most nurses have a task-focused approach and therefore do not manage to integrate the physical, relational and physical elements of care. For further improvement, attention needs to be paid to integrated fundamental care and clinical reasoning skills.Relevance to clinical practice: Although most nurses have a compassionate approach, this study shows that nurses do not incorporate psychosocial care or encourage patient participation when helping patients with their physical fundamental care needs, even though there seems to be sufficient opportunity for them to do so.

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Section: Introductionmentioning

confidence: 99%

Exploring person‐centred fundamental nursing care in hospital wards: A multi‐site ethnography

Belle¹,

Giesen²,

Conroy

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…3 The patient is a specialist in his/herself and a valuable resource, but they do not always feel like an equal partner in their own healthcare. 4 They are entitled to, and responsible for, decisions that concern their own lives. The nurse can both facilitate the healing process and support the patient in increasing the feeling of well-being that can lead to an improved quality of life.…”

Section: Introductionmentioning

confidence: 99%

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

Rn¹

2019

Journal of the EWMA (JEWMA)

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“…2010; Papastavrou et al, 2016). The concept of participation needs to be understood in specific clinical and interactive settings (Kvangarsnes, Torheim, Hole, & Öhlund, 2013).…”

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confidence: 99%

Perceptions of patient participation in symptom management: A qualitative study with cancer patients, doctors, and nurses

Chen

Cohen

Livingston

et al. 2018

Journal of Advanced Nursing

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Patients’ decisional control over care: a cross‐national comparison from both the patients’ and nurses’ points of view

Abstract: The disparities between patients' and nurses' perceptions on patients' decisional control over their care should be taken into consideration as a potential cause of patient dissatisfaction with nursing care.

Cited by 21 publications

References 52 publications

Exploring person‐centred fundamental nursing care in hospital wards: A multi‐site ethnography

Exploring person‐centred fundamental nursing care in hospital wards: A multi‐site ethnography

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

Perceptions of patient participation in symptom management: A qualitative study with cancer patients, doctors, and nurses

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