Andersson Åsa, Vilhelmsson Mattias, Fomichov Victoria, Lindhoff Larsson Anna, Björnsson Bergthor, Sandström Per, Drott Jenny
Department of Surgery and Department of Clinical and Experimental Medicine, County Council of Östergötland, Linköping University, Linköping, Sweden.
Department of Surgery, Regional Hospital of Växjö, Växjö, Sweden.
Scand J Caring Sci. 2021 Mar;35(1):96-103. doi: 10.1111/scs.12823. Epub 2020 Jan 31.
All professions in surgical care have a responsibility to include patients in their health care. By Swedish law, all care should be done in dialogue with the patient. The essential part of health care is the meeting between patient and healthcare professional. In the interaction, a decision can be made, and needs can be identified to a safer care. Previous studies on patient participation have focussed on patients' perspectives in surgical care, but there is a paucity of studies about the personnel's perspective of estimated patient involvement in surgical care.
The aim of this study was to identify and describe healthcare personnel's view and behaviour regarding patient involvement in surgical care.
A quantitative study with various professions was conducted. A validated questionnaire was used, remaining questions grouped under following areas: patient involvement, acute phase, hospital time, discharge phase and questions on employment and workplace.
A total of 140 questionnaires were sent out to a surgical clinic in Sweden, and 102 questionnaires were answered. All professionals stated that clear information is an important part of patient involvement in surgical care. Statistically significant differences existed between the professions in the subscale information. Physicians rated their information higher than the Registered Nurses (p = 0.005) and the practical nurses did (p = 0.001). Hindrances to involving patients were lack of time and other priority tasks.
Professionals in surgical care graded information to be the most important thing for patient involvement. Participation in important decisions, including the possibility to express personal views and ask questions, is important factors for patient involvement. Barriers against patient involvement are lack of time and prioritisation of other work activities.
外科护理领域的所有专业人员都有责任让患者参与其医疗保健过程。根据瑞典法律，所有护理工作都应与患者进行沟通。医疗保健的核心部分是患者与医护人员之间的交流。在这种互动中，可以做出决策，并确定更安全护理所需的需求。先前关于患者参与的研究主要集中在患者在外科护理中的观点，但关于医护人员对患者在外科护理中参与程度的看法的研究却很少。
本研究的目的是确定并描述医护人员对患者参与外科护理的看法和行为。
对不同专业人员进行了一项定量研究。使用了一份经过验证的问卷，其余问题分为以下几个方面：患者参与、急性期、住院时间、出院阶段以及关于就业和工作场所的问题。
总共向瑞典一家外科诊所发放了140份问卷，回收了102份。所有专业人员都表示，清晰的信息是患者参与外科护理的重要组成部分。在信息子量表方面，不同专业之间存在统计学上的显著差异。医生对自己提供信息的评价高于注册护士（p = 0.005）和实习护士（p = 0.001）。让患者参与的障碍包括时间不足和其他优先任务。
外科护理专业人员认为信息是患者参与最重要的因素。参与重要决策，包括表达个人观点和提问的可能性，是患者参与的重要因素。阻碍患者参与的因素是时间不足和其他工作活动的优先级。
