Holmqvist Kajsa Lidström, James Inger
Faculty of Medicine and Health, University Health Care Research Center Örebro University Örebro Sweden.
Faculty of Medicine and Health, School of Health Sciences Örebro University Örebro Sweden.
Nurs Open. 2019 Jun 12;6(3):1171-1179. doi: 10.1002/nop2.302. eCollection 2019 Jul.
The aim of this study was to describe how nurses and occupational therapists in municipal care of older people define and implement patient participation in their daily work.
This study had a cross-sectional design. Data were collected using an online questionnaire.
The questionnaire had both closed and open-ended questions. One-hundred and fourteen nurses and occupational therapists responded. Data were analysed with descriptive statistics and thematic analysis.
Two main themes were identified as follows: "The professionals' perspective at the centre - Patient participation to enhance compliance" and "The patients' perspective at the centre - Patient participation as an ongoing process." The themes covered a continuum. On one extreme, patient participation was equated with making the patient comply with what the professionals wanted to do. On the other extreme, all power was transferred to the patient. The first theme was restricted to the decision-making process. The second theme covered the entire care or, rehabilitation, process.
本研究旨在描述市政老年护理机构中的护士和职业治疗师如何在日常工作中界定和实施患者参与。
本研究采用横断面设计。通过在线问卷收集数据。
问卷包含封闭式和开放式问题。114名护士和职业治疗师进行了回复。采用描述性统计和主题分析对数据进行分析。
确定了两个主要主题，如下所示：“以专业人员视角为中心——通过患者参与提高依从性”和“以患者视角为中心——患者参与是一个持续的过程”。这些主题涵盖了一个连续体。在一个极端情况下，患者参与等同于让患者服从专业人员想要做的事情。在另一个极端情况下，所有权力都转移给了患者。第一个主题仅限于决策过程。第二个主题涵盖了整个护理或康复过程。
