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Can participation in documentation influence experiences of involvement in care decision-making?
Östergötlands Läns Landsting, Heart and Medicine Center, Department of Gastroentorology.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Anaesthesiology and Surgery.
2013 (English)In: Open Nursing Journal, ISSN 1874-4346, Vol. 7, no 1, 66-72 p.Article in journal (Refereed) Published
Abstract [en]


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


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.


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.


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.


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.

Place, publisher, year, edition, pages
Bentham Open , 2013. Vol. 7, no 1, 66-72 p.
Keyword [en]
Care decision-making, empowerment, knowledge, nursing documentation, participation, well-being.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-95900DOI: 10.2174/1874434620130516002PubMedID: 23802031OAI: diva2:639417
Available from: 2013-08-07 Created: 2013-08-07 Last updated: 2014-11-21Bibliographically approved

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Hollman-Frisman, Gunilla
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Department of GastroentorologyDivision of Nursing ScienceFaculty of Health SciencesDepartment of Anaesthesiology and Surgery
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