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Title: Patient engagement in clinical communication: an exploratory study.
Epworth Authors: Botti, Mari
Other Authors: Chaboyer, Wendy
McMurray, Anne
Marshall, Andrea
Gillespie, Brigid
Roberts, Shelley
Hutchinson, Alison
McTier, Lauren
Rawson, Helen
Bucknall, Tracey
Keywords: Epworth HealthCare, Centre for Clinical Nursing Research, Victoria, Australia
Clinical Communication
Patient Engagement
Patient Participation
Patient-Centred Care
Person-Centred Care
Transitions in Care
Patient Education as Topic
Health Communication
Issue Date: Jan-2016
Publisher: Wiley Online Library
Citation: Scand J Caring Sci. 2016 Jan 13. [Epub ahead of print]
Abstract: AIM: Existing practice strategies for actively involving patients in care during hospitalisation are poorly understood. The aim of this study was to explore how healthcare professionals engaged patients in communication associated with care transitions. METHOD: An instrumental, collective case study approach was used to generate empirical data about patient transitions in care. A purposive sample of key stakeholders representing (i) patients and their families; (ii) hospital discharge planning team members; and (iii) healthcare professionals was recruited in five Australian health services. Individual and group semi-structured interviews were conducted to elicit detailed explanations of patient engagement in transition planning. Interviews lasted between 30 and 60 minutes and were digitally recorded and transcribed verbatim. Data collection and analysis were conducted simultaneously and continued until saturation was achieved. Thematic analysis was undertaken. RESULTS: Five themes emerged as follows: (i) organisational commitment to patient engagement; (ii) the influence of hierarchical culture and professional norms on patient engagement; (iii) condoning individual healthcare professionals' orientations and actions; (iv) understanding and negotiating patient preferences; and (v) enacting information sharing and communication strategies. Most themes illustrated how patient engagement was enabled; however, barriers also existed. CONCLUSION: Our findings show that strong organisational and professional commitment to patient-centred care throughout the organisation was a consistent feature of health services that actively engaged patients in clinical communication. Understanding patients' needs and preferences and having both formal and informal strategies to engage patients in clinical communication were important in how this involvement occurred.
DOI: 10.1111/scs.12279
PubMed URL:
ISSN: 1471-6712
Journal Title: Scandinavian Journal of Caring Sciences
Type: Journal Article
Affiliated Organisations: NHMRC Centre of Research Excellence in Nursing, Centre for Health Practice Innovation, Menzies Health Research Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.
Centre for Health Practice Innovation, Menzies Health Research Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.
Centre for Nursing Research Deakin University-Monash Health Partnership, Melbourne, Victoria, Australia.
School of Nursing and Midwifery, Deakin University, Melbourne, Victoria, Australia.
Deakin & Alfred Health Nursing Centre for Research, Melbourne, Victoria, Australia.
Type of Clinical Study or Trial: Exploratory Study
Appears in Collections:Health Administration

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