RESEARCH ARTICLE


Can Participation in Documentation Influence Experiences of Involvement in Care Decision-Making?



Hanna Vestala1, Gunilla Hollman Frisman*, 2, 3
1 Department of Gastroenterology, County Council of Östergötland, 581 85 Linköping, Sweden
2 Division of Nursing Science, Department of Medicine and Health, Faculty of Health Sciences, Linköping University, 581 85 Linköping, Sweden
3 Anaesthetics, Operations and Specialty Surgery Centre, County Council of Östergötland, 581 85 Linköping, Sweden


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© Vestala and Frisman; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Division of Nursing Science, Department of Medicine and Health, Faculty of Health Sciences, Linköping University, 581 85 Linköping, Sweden, Anaesthetics, Operations and Specialty Surgery Centre, County Council of Östergötland, 581 85 Linköping, Sweden; Tel: 0046 72 216 70 60; Fax : 0046 13 123285; E-mail: Gunilla.Hollman.Frisman@liu.se


Abstract

Introduction:

Patients have the right to influence the care they receive, but their wish to participate in care decision-making is unclear.

Aim:

This study investigates whether participation in nursing documentation influences patient participation in care decision-making, mastery, self-esteem, empowerment and depressive feelings among adult in-patients with chronic disease.

Materials and Methodology:

Adult patients (n=39) with chronic diseases were randomized. The intervention group participated in nursing documentation. Upon departure, patients filled in questionnaires about participation in care decision-making, mastery, self-esteem, empowerment and depressive feelings.

Results:

The majority of the patients preferred a collaborative or passive role regarding care decision-making. Lack of knowledge was one reason for non-participation. Having been diagnosed more than five years previously meant stronger empowerment.

Conclusion:

It is a challenge for nurses to find strategies to assess patients’ wishes regarding participation in care decision-making. Nurses must support patients’ knowledge of their disease and empowerment.

Keywords: Care decision-making, empowerment, knowledge, nursing documentation, participation, well-being.