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Hindrance for patient participation in nursing care
Sahlgrenska Academy at Göteborg University, Institute of Nursing, Health Care Pedagogics, Göteborg, Sweden ;Granvägen 12, SE-468 30 Vargön, Sweden.
University West, Department of Nursing.
Sahlgrenska Academy at Göteborg University, Institute of Nursing, Health Care Pedagogics, Göteborg, Sweden.
Department of Health and Welfare, Stockholm, Sweden.
2005 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 19, no 3, p. 223-229Article in journal (Refereed) Published
Abstract [en]

The study’s rationale: Patients’ influence in health care through participation, freedom of choice and information, is laid down in laws, national and local directives. In nursing care situations, the degree to which a patient participates depends on the nursing staff. Accordingly, hindrances for patient’s participation during nursing care is an important question for the nursing profession. Aims and objectives: The aim was to focus on Swedish Registered Nurses opinion of hindrances for patient participation in nursing care and to uncover the informants’ perspectives in depth. Methodological design and justification: The study was limited to inpatient somatic care and has a qualitative approach. Data were collected through seven focus group interviews with 31 Registered Nurses from five hospitals. An analysis of the tape-recorded interview material was made, combining elements of content analysis with aspects of the Grounded Theory approach. Ethical issues and approval: The ethics of scientific work was followed. The participants gave informed consent. Verbal and written information was given as a guarantee that all information would be treated confidentially outside the focus group. Formal approval by ethical committee was not required according to national and local directives. Results: Hindrance for patient participation in nursing care comprised three themes: Competence, Influence of significant others and Organization and work environment, and their seven underlying subthemes. Conclusions: The study clarified factors, which individually or combined may be hindrance for patient participation in nursing practice. Professional nurses must be able to find a balance for their patients’ participation in nursing care activities through identification and coping with the hindrances. The three themes and seven subthemes here identified, can be used in patient care and its’ evaluation, like also quality assurance of care and work organization and in nursing education. For further development replication studies are needed, like additional studies of patients and significant others. © 2005 Nordic College of Caring Sciences.

Place, publisher, year, edition, pages
2005. Vol. 19, no 3, p. 223-229
Keywords [en]
article; controlled study; data analysis; female; health care; hospital patient; human; male; medical ethics; nurse patient relationship; nursing; patient participation; work environment; adaptive behavior; attitude to health; clinical competence; education; general hospital; health personnel attitude; information processing; legal aspect; methodology; needs assessment; nursing care; nursing methodology research; nursing staff; organization; organization and management; paternalism; patient education; patient participation; psychological aspect; qualitative research; questionnaire; social support; standard; Sweden; trust; university hospital; workplace, Adaptation, Psychological; Attitude of Health Personnel; Clinical Competence; Focus Groups; Health Knowledge, Attitudes, Practice; Hospitals, General; Hospitals, University; Humans; Needs Assessment; Nurse-Patient Relations; Nursing Care; Nursing Methodology Research; Nursing Staff, Hospital; Organizational Culture; Paternalism; Patient Education; Patient Participation; Qualitative Research; Questionnaires; Social Support; Sweden; Trust; Workplace
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-13877DOI: 10.1111/j.1471-6712.2005.00336.xScopus ID: 2-s2.0-27244435384OAI: oai:DiVA.org:hv-13877DiVA, id: diva2:1317566
Available from: 2019-05-23 Created: 2019-05-23 Last updated: 2019-05-23Bibliographically approved

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Larsson, Inga

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