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Patient participation in electronic nursing documentation: An interview study among home-care patients.
De Groot, Kim; Douma, Judith; Paans, Wolter; Francke, Anneke L.
  • De Groot K; Departement of Nursing Care and Elderly Care, Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands.
  • Douma J; Thebe Wijkverpleging (Home-Care Organisation), Tilburg, The Netherlands.
  • Paans W; Nursing Science, Programme in Clinical Health Sciences, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.
  • Francke AL; Research Group Nursing Diagnostics, Research Group Nursing Diagnostics, School of Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands.
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.
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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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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