Patients' Participation as It Appears in the Nursing Documentation, When Care Is Ruled by Standardized Care Plans

Abstract

This study aimed to describe inpatients with myocardial infarction and their participation in care as documented in the nursing records when standardized care plans are used in care. The use of standardized care plans not only has increased the quality of medical treatment but has also overlooked patients' opportunities to participate in their own care. There is a lack of knowledge about how standardized care plans influence patients' participation in nursing care. Data were collected from thirteen patients' records with diagnoses of myocardial infarction. Participation in the decision-making process and participation associated with “sharing with others” were searched for in the analysis. The analytical process was guided by content analysis. The findings were grouped into two categories: patients' intermediary participation and patients' active participation. The main results indicated that patients' intermediary participation depended on healthcare professionals' power to rule the nursing care situation.

Prevalence and quality of clinical pathways in Swedish intensive care units: a national survey

“…The involvement of patients and relatives when developing CPs is a pre‐requisite to creating high‐quality documents and should thus be extended. Because CPs are decided in advance, healthcare professionals must integrate the individual patient's preferences when applying the CP in the clinical situation . There is a need for further research about the developing and clinical application of CPs within the ICU context.…”

Standardised care plans for in hospital stroke care improve documentation of health care assessments

“…To maximise adherence to basic evidence‐based care, it would seem that SCPs have to be user‐friendly and flexible, while still upholding standardisation, if they are to be suited to individual patients' needs and desires (Andreae et al . , Ebben et al . , Otterman et al .…”

“…Thus, the individual patient's desires and needs might become secondary to the procedures specified in the SCP (Andreae et al . ).…”

The Existence of Advocacy among Nurses Within Nursing Documentation in Malaysia: An Exploratory Study

“…These understandings portray that these respondents acknowledged the significance of ensuring that the patients' needs and rights are fulfilled. Battie and Steelman (14), for instance, explain that all the above values can be achieved through the nurses' ability to speak up on behalf of the patient in situations when issues regarding safety arise. Speaking up needs to be conducted in a respectful, yet assertive manner that promotes high quality care from the entire team.…”

“…Cindy's excerpt could portray an indication that she is aware and understands that the care that she provides to patients is parallel to Malaysia Nursing Board's acts and policies. These responses explain how advocacy is concerned with the capability of a nurse to speak up on behalf of the patient in situations when there are safety concerns (14). Battie and Steelman (14) further argue that the role of nurses is to verify that the correct patient is present, the correct procedure is performed and that it occurs at the correct site.…”