Larsson Inga E, Sahlsten Monika J M, Segesten Kerstin, Plos Kaety A E
Department of Nursing, Health and Culture, University West, 461 86 Trollhättan, Sweden.
Nurs Res Pract. 2011;2011:534060. doi: 10.1155/2011/534060. Epub 2011 Apr 27.
Patient participation is an important basis for nursing care and medical treatment and is a legal right in many Western countries. Studies have established that patients consider participation to be both obvious and important, but there are also findings showing the opposite and patients often prefer a passive recipient role. Knowledge of what may influence patients' participation is thus of great importance. The aim was to identify incidents and nurses' behaviours that influence patients' participation in nursing care based on patients' experiences from inpatient somatic care. The Critical Incident Technique (CIT) was employed. Interviews were performed with patients (n = 17), recruited from somatic inpatient care at an internal medical clinic in West Sweden. This study provided a picture of incidents, nurses' behaviours that stimulate or inhibit patients' participation, and patient reactions on nurses' behaviours. Incidents took place during medical ward round, nursing ward round, information session, nursing documentation, drug administration, and meal.
患者参与是护理和医疗的重要基础，在许多西方国家是一项法定权利。研究表明，患者认为参与既显而易见又很重要，但也有研究结果显示情况相反，患者通常更喜欢被动接受的角色。因此，了解可能影响患者参与的因素非常重要。目的是根据患者在住院躯体护理中的经历，确定影响患者参与护理的事件和护士行为。采用了关键事件技术（CIT）。对从瑞典西部一家内科诊所的躯体住院护理中招募的患者（n = 17）进行了访谈。本研究描绘了事件、促进或抑制患者参与的护士行为以及患者对护士行为的反应。事件发生在医疗查房、护理查房、信息交流会、护理记录、给药和用餐期间。
