Patient participation in electronic nursing documentation: An interview study among home-care patients.
Health Expect
; 25(4): 1508-1516, 2022 08.
Article
in English
| MEDLINE | ID: covidwho-1961575
ABSTRACT
BACKGROUND:
Patients are increasingly expected to take an active role in their own care. Participation in nursing documentation can support patients to take this active role since it provides opportunities to express care needs and preferences. Yet, patient participation in electronic nursing documentation is not self-evident.OBJECTIVE:
To explore how home-care patients perceive their participation in electronic nursing documentation.METHODS:
Semi-structured interviews were conducted with 21 home-care patients. Interview transcripts were analysed in an iterative process based on the principles of reflexive inductive thematic analysis.RESULTS:
We identified a typology with four patient types 'high need, high ability', 'high need, low ability', 'low need, high ability' and 'low need, low ability'. Several patients felt a need for participation because of their personal interest in health information. Others did not feel such a need since they trusted nurses to document the information that is important. Patients' ability to participate increased when they could read the documentation and when nurses helped them by talking about the documentation. Barriers to patients' ability to participate were having no electronic devices or lacking digital skills, a lack of support from nurses and the poor usability of electronic patient portals.CONCLUSION:
Patient participation in electronic nursing documentation varies between patients since home-care patients differ in their need and ability to participate. Nurses should tailor their encouragement of patient participation to individual patients' needs and abilities. Furthermore, they should be aware of their own role and help patients to participate in the documentation. PATIENT OR PUBLIC CONTRIBUTION Home-care patients were involved in the interviews.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Patient Participation
/
Home Care Services
Type of study:
Qualitative research
Limits:
Humans
Language:
English
Journal:
Health Expect
Journal subject:
Health Services Research
/
Public Health
Year:
2022
Document Type:
Article
Affiliation country:
Hex.13492
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