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M odels, phases and cases of patient participation in decision‐making in surgical treatment in N orway: A qualitative study
Author(s) -
Heggland LivHelen,
Mikkelsen Aslaug,
Hausken Kjell
Publication year - 2013
Publication title -
nursing and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.563
H-Index - 47
eISSN - 1442-2018
pISSN - 1441-0745
DOI - 10.1111/j.1442-2018.2012.00716.x
Subject(s) - paternalism , health professionals , patient participation , exploratory research , qualitative research , nursing , health care , medicine , healthcare system , psychology , sociology , political science , social science , anthropology , law
This study improves our understanding of patients' participation in hospital treatment‐decision processes. We explored the degree of patient participation perceived by both patients and healthcare professionals in four phases of the decision process: information dissemination, formulation of options, integration of information, and control within four models of interactions between healthcare professionals and patients: the paternalistic model, the shared model, the informed model, and the non‐paternalistic model. The analysis was based on 18 in‐depth, exploratory interviews with patients and healthcare professionals in six surgical units in Norway. Knowledge about how patients and healthcare professionals interact in the surgical‐decision process is important for developing systems and arenas for patient participation in practice, and for a climate and culture to further support the implementation.