Nurses' Opinions of Patient Involvement in Relation to Patient-centered Care During Bedside Handovers.
10.1016/j.anr.2017.08.001
- Author:
Lee KHUAN
1
;
Muhamad HANAFIAH JUNI
Author Information
1. Department of Nursing and Rehabilitation, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia. chewhan4694@yahoo.com
- Publication Type:Original Article
- Keywords:
focus groups;
patient-centered care;
patient handover;
patient involvement
- MeSH:
Delivery of Health Care;
Education, Nursing;
Focus Groups;
Foster Home Care;
Hospitals, Public;
Humans;
Nurses;
Nursing;
Patient Handoff;
Patient Participation*;
Patient-Centered Care*;
Patients' Rooms
- From:Asian Nursing Research
2017;11(3):216-222
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Advocates for societal change and consumerism have been instrumental in popularizing patient involvement in various aspects of health care. Patient involvement in bedside handovers during shift changes should facilitate patient-centered care. This study's purpose was to explore Malaysian nurses' opinions about patient involvement during bedside handovers, and whether patient involvement during bedside handovers reflected patient-centered care. METHODS: A qualitative study with four focus-group discussions was conducted with 20 registered nurses from general wards in a Malaysian public hospital. Semi-structured interviews were used to elicit participants' opinions. NVivo 10 software was used for data management and content analysis was used to analyze the data. RESULTS: Several participants used inconsistent methods to involve patients in bedside handovers and others did not involve the patients at all. The participants' interpretations of the concept of patient-centered care were ambiguous; they claimed that patient involvement during bedside handovers was impractical and, therefore, not reflective of patient-centered care. Some nurses' subjective views of patient involvement as impractical during bedside handovers were manifested in their deliberate exclusion of patients from the handover process. CONCLUSIONS: Changes in patient involvement and nursing practices congruent with patient-centered care require that nurse educators in hospital settings reform nursing education to focus on fostering of communication skills needed to function in nurse-patient partnerships. Guidelines for patient involvement consistent with patient-centered values should be developed using ward nurses' subjective views and introduced to all registered nurses in practice.
