Context Factors Facilitating and Hindering Patient Participation in Dialysis Care: A Focus Group Study With Patients and Staff.
context
dialysis care
facilitation
focus group
implementation
patient participation
qualitative
Journal
Worldviews on evidence-based nursing
ISSN: 1741-6787
Titre abrégé: Worldviews Evid Based Nurs
Pays: United States
ID NLM: 101185267
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
accepted:
01
01
2020
pubmed:
23
7
2020
medline:
16
7
2021
entrez:
23
7
2020
Statut:
ppublish
Résumé
Safe health care of good quality depends on structured and unceasing efforts to progress, promoting strategies tailored to the context, including elements such as patients' preferences. Although patient participation is a common concept in health care, there is yet limited understanding of the factors that facilitate and hinder it in a healthcare context. This paper identifies what patients and health professionals depict in terms of enablers and barriers for patient participation in dialysis care. An explorative qualitative design was applied with seven focus group discussions with patients, staff, and managers across different types of hospitals, with the texts analyzed with content analysis. The dialysis context represents three key elements-people, resources, and interactions-that can both enable and hinder patient participation. Both barriers and facilitators for patient participation were found to reside at individual, team, and organizational levels, with a greater number of enabling factors implied by both patients and staff. While the dialysis context comprises opportunities for progress in favor of patient participation, a shared understanding of the concept is needed, along with how contextual factors can facilitate conditions for participation by patient preferences. In addition, the most favorable strategy for implementing person-centered care is not yet known, but to facilitate patient participation from a patient perspective, creating opportunities to enable staff and patients to share a common understanding is needed, along with tools to facilitate a dialogue on patient participation.
Sections du résumé
BACKGROUND
BACKGROUND
Safe health care of good quality depends on structured and unceasing efforts to progress, promoting strategies tailored to the context, including elements such as patients' preferences. Although patient participation is a common concept in health care, there is yet limited understanding of the factors that facilitate and hinder it in a healthcare context.
AIMS
OBJECTIVE
This paper identifies what patients and health professionals depict in terms of enablers and barriers for patient participation in dialysis care.
METHODS
METHODS
An explorative qualitative design was applied with seven focus group discussions with patients, staff, and managers across different types of hospitals, with the texts analyzed with content analysis.
RESULTS
RESULTS
The dialysis context represents three key elements-people, resources, and interactions-that can both enable and hinder patient participation. Both barriers and facilitators for patient participation were found to reside at individual, team, and organizational levels, with a greater number of enabling factors implied by both patients and staff.
LINKING EVIDENCE TO ACTION
CONCLUSIONS
While the dialysis context comprises opportunities for progress in favor of patient participation, a shared understanding of the concept is needed, along with how contextual factors can facilitate conditions for participation by patient preferences. In addition, the most favorable strategy for implementing person-centered care is not yet known, but to facilitate patient participation from a patient perspective, creating opportunities to enable staff and patients to share a common understanding is needed, along with tools to facilitate a dialogue on patient participation.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
457-464Subventions
Organisme : Forskningsrådet i Sydöstra Sverige
ID : FORSS-751311
Informations de copyright
© 2020 The Authors. Worldviews on Evidence-Based Nursing published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International.
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