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Older patients’ participation in team meetings—A phenomenological study from the nurses’ perspective

Although the importance of patient participation is acknowledged in today’s healthcare, many challenges remain before patient participation can become an integral part of care provision. The ward round has traditionally been the forum for crucial decisions about patient care, but often with limited...

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Autores principales: Lindberg, Elisabeth, Persson, Eva, Hörberg, Ulrica, Ekebergh, Margaretha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3873639/
https://www.ncbi.nlm.nih.gov/pubmed/24369777
http://dx.doi.org/10.3402/qhw.v8i0.21908
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author Lindberg, Elisabeth
Persson, Eva
Hörberg, Ulrica
Ekebergh, Margaretha
author_facet Lindberg, Elisabeth
Persson, Eva
Hörberg, Ulrica
Ekebergh, Margaretha
author_sort Lindberg, Elisabeth
collection PubMed
description Although the importance of patient participation is acknowledged in today’s healthcare, many challenges remain before patient participation can become an integral part of care provision. The ward round has traditionally been the forum for crucial decisions about patient care, but often with limited possibilities for patient participation. As part of the process of improving patient participation, the round in the present study has been replaced by a team meeting (TM) to which the patient has been invited. The aim of this study is to highlight nurses’ experiences of older patients’ participation in TMs. The research process was guided by the principles of phenomenological reflective life world research. Data were collected in a Swedish hospital, in a ward specializing in older patients. Nine nurses, who had invited and planned for a patient to participate in TMs and/or had experienced TMs in which patients participated, were interviewed. The essential meaning of patient participation in the TM, as experienced by the nurses, is that patient participation can be supported by a safe relationship in which the patient can make his or her voice heard. Participation is challenged by the patients’ vulnerability and by the subordinated role assigned to the patient. The essential meaning is further described by its constituents: “the need for a guide,” “patient participation challenged by structures,” and “creating space for the whole human being.” In conclusion, the nurse plays a core role in guiding the patient in an unfamiliar situation. The meaning of patient participation in the TM needs to be discussed by professionals so that the patient perspective is present.
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spelling pubmed-38736392013-12-27 Older patients’ participation in team meetings—A phenomenological study from the nurses’ perspective Lindberg, Elisabeth Persson, Eva Hörberg, Ulrica Ekebergh, Margaretha Int J Qual Stud Health Well-being Empirical Study Although the importance of patient participation is acknowledged in today’s healthcare, many challenges remain before patient participation can become an integral part of care provision. The ward round has traditionally been the forum for crucial decisions about patient care, but often with limited possibilities for patient participation. As part of the process of improving patient participation, the round in the present study has been replaced by a team meeting (TM) to which the patient has been invited. The aim of this study is to highlight nurses’ experiences of older patients’ participation in TMs. The research process was guided by the principles of phenomenological reflective life world research. Data were collected in a Swedish hospital, in a ward specializing in older patients. Nine nurses, who had invited and planned for a patient to participate in TMs and/or had experienced TMs in which patients participated, were interviewed. The essential meaning of patient participation in the TM, as experienced by the nurses, is that patient participation can be supported by a safe relationship in which the patient can make his or her voice heard. Participation is challenged by the patients’ vulnerability and by the subordinated role assigned to the patient. The essential meaning is further described by its constituents: “the need for a guide,” “patient participation challenged by structures,” and “creating space for the whole human being.” In conclusion, the nurse plays a core role in guiding the patient in an unfamiliar situation. The meaning of patient participation in the TM needs to be discussed by professionals so that the patient perspective is present. Co-Action Publishing 2013-12-20 /pmc/articles/PMC3873639/ /pubmed/24369777 http://dx.doi.org/10.3402/qhw.v8i0.21908 Text en © 2013 E. Lindberg et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Empirical Study
Lindberg, Elisabeth
Persson, Eva
Hörberg, Ulrica
Ekebergh, Margaretha
Older patients’ participation in team meetings—A phenomenological study from the nurses’ perspective
title Older patients’ participation in team meetings—A phenomenological study from the nurses’ perspective
title_full Older patients’ participation in team meetings—A phenomenological study from the nurses’ perspective
title_fullStr Older patients’ participation in team meetings—A phenomenological study from the nurses’ perspective
title_full_unstemmed Older patients’ participation in team meetings—A phenomenological study from the nurses’ perspective
title_short Older patients’ participation in team meetings—A phenomenological study from the nurses’ perspective
title_sort older patients’ participation in team meetings—a phenomenological study from the nurses’ perspective
topic Empirical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3873639/
https://www.ncbi.nlm.nih.gov/pubmed/24369777
http://dx.doi.org/10.3402/qhw.v8i0.21908
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