The impact of an intervention to improve patient participation in a surgical care unit: A quasi-experimental study

International Journal of Nursing Studies

Volumn 49, Issue 5, 2012, Pages 528-538

  Jangland, Eva ^a   Carlsson, Maria ^b   Lundgren, Ewa ^a   Gunningberg, Lena ^b,c  

^a UPPSALA UNIVERSITY   (Sweden)

^b UPPSALA UNIVERSITY   (Sweden)

^c UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Intervention study; Patient participation; Patient centred care; Quality of care; Surgical care unit

Indexed keywords

ARTICLE; HEALTH CARE QUALITY; HOSPITAL DEPARTMENT; HUMAN; LENGTH OF STAY; ORGANIZATION AND MANAGEMENT; PATIENT PARTICIPATION;

HUMANS; LENGTH OF STAY; PATIENT PARTICIPATION; QUALITY OF HEALTH CARE; SURGERY DEPARTMENT, HOSPITAL;

EID: 84860227239     PISSN: 00207489     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijnurstu.2011.10.024     Document Type: Article

References (40)

1. Batalden P.B., Davidoff F. What is " quality improvement" and how can it transform health care?. Quality and Safety in Health Care 2007, 16(1):2-3.
2. Beaver K., Campbell M., Craven O., Jones D., Luker K., Susnerwala S. Colorectal cancer patient' attitudes towards involvement in decision making. Health Expectations 2009, 12:27-37.
3. Bolster D., Manias E. Person-centred interactions between nurses and patients during medication activities in an acute hospital setting: qualitative observations and interview study. International Journal of Nursing Studies 2010, 47(2):154-165.
4. Codex. Regler och riktlinjer för forskning [Rules and guidelines for research]. Available at: (accessed on 10.06.10) [in Swedish]. http://www.codex.uu.se/.
5. Doherty C., Doherty W. Patients' preferences for involvement in clinical decision-making within secondary care and the factors that influence their preferences. Journal of Nursing Management 2005, 13:119-127.
6. Donabedian A. The quality of care. How can it be assessed?. Journal of the American Medical Association 1988, 260(12):1743-1748.
7. Edwards C. A proposal that patients be considered honorary members of the healthcare team. Journal of Clinical Nursing 2002, 11:340-348.
8. Eldh, A., 2006. Patient participation-what it is and what it is not. Doctoral Thesis. örebro Studies in Caring Sciences, örebro University, Department of Health Sciences, örebro, Sweden.
9. Feldman-Stewart D., Brundage M.D., Tishelman C. A conceptual framework for patient-professional communication: an application to the cancer context. Psycho-oncology 2005, 14(10):801-809.
10. Florin, J., 2006. Patient participation in clinical decision making in nursing-collaborative effort between patients and nurses. Doctoral Thesis. örebro Studies in Caring Sciences, örebro University, Department of Health Sciences, örebro, Sweden.
11. Fröjd C., Leo Swenne C., Rubertsson C., Gunningberg L., Wadensten B. Patient information and participation still in need of improvement. Evaluation of patients' perception of quality of care. Journal of Nursing Management 2011, 19(2):226-236.
12. Griffin S.J., Kinmonth A.-L., Veltman M.W.M., Gillard S., Grant J., Stewart M. Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: a systematic review of trials. Annals of Family Medicine 2004, 2(6):595-608.
13. Henderson A., Zernike W. A study of the impact of discharge information for surgical patients. Journal of Advanced Nursing 2001, 35(3):435-441.
14. Höglund A., Winblad U., Arnetz A., Arnets J. Patient participation during hospitalization for myocardial infarction: perceptions among patients and personal. Scandinavian Journal of Caring Sciences 2010, 24(3):482-489.
15. Institute for Healthcare Improvement (IHI) Patient-centered Care 2009, IHI, Cambridge, MA, Available at: http://www.ihi.org/IHI/Topics/PatientCenteredCare/ (accessed on 16.11.10).
16. Jangland E., Gunningberg L., Carlsson M. Patients' and relatives' complaints about encounters and communication in health care: evidence for quality improvement. Patient Education and Counseling 2009, 75(2):199-204.
17. Jangland E., Larsson J., Gunningberg L. Surgical nurses' different understandings of their interactions with patients: a phenomenographic study. Scandinavian Journal of Caring Sciences 2010, (online publication). 10.1111/j.1471-6712.2010.00860.x.
18. Joint Commission National Patient Safety Goals (NPSGs) 2010, Available at: http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/ (accessed on 17.11.10).
19. Kazdin A.E. Research Design in Clinical Psychology 2003, Allyn & Bacon, Boston. 4th edition.
20. Kinnersley P., Edwards A., Hood K., Cadbury N., Owen D., Butow P., Butler C. Interventions before consultations for helping patients address their information needs. Cochrane Database Systematic Reviews 2007, 3.
21. Kitson A., Rycroft-Malone J., Harvey G., McCormack B., Seers K., Titchen A. Evaluating the successful implementation of evidence into practice using the PARISH framework: theoretical and practical challenges. Implementation Science 2008, 7(31):1.
22. KUPPIT, Version 2007. Administration and support by ImproveIT, Halmstad, Sweden. Available at: (in Swedish). http://www.improveit.se/.
23. Lewin S., Skea Z., Entwistle V.A., Zwarensteine M., Dick J. Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database of Systematic Reviews 2009, 4. 2001, Art. No.: CD003267 (edited [no change to conclusions], published in Issue 1, 2009). 10.1002/14651858.CD003267.
24. Muntlin å., Gunningberg L., Carlsson M. Patients' perception of quality of care at an emergency department and identification of areas for quality improvement. Journal of Clinical Nursing 2006, 15(8):1045-1056.
25. Rycroft-Malone J., Seers K., Titchen A., Harvey G., Kitson A., McCormack B. What counts as evidence in evidence-based practice?. Journal of Advanced Nursing 2004, 47(1):81-90.
26. Sahlsten M., Larsson I., Plos K., Lindecrona C. Hindrance for patient participation in nursing care. Scandinavian Journal of Caring Sciences 2005, 19:223-229.
27. Sahlsten M., Larsson I., Sjöström B., Plos K. An analysis of the concept of patient participation. Nursing Forum 2008, 43(1):2-11.
28. Say R., Murtagh M., Thomson R. Patients' preferences for involvement in medical decision making: a narrative review. Patient Education and Counseling 2006, 60:102-114.
29. Scott-Smith J.L., Greenhouse P.K. Transforming care at the bedside: patient-controlled liberalized diet. Journal of Interprofessional Care 2007, 21(2):179-188.
30. Sehgal N., Fox M., Vidyarthi A., Sharpe B., Gearhart S., Bookwalter T., Barker J., Alldredge B., Blegen M., Wachter R.A. Multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience. Journal of General Internal Medicine 2008, 23(12):2053-2057.
31. Sehgal N., Green A., Vidyarthi A., Blegan M., Wachter R. Patients' whiteboards as a communication tool in the hospital setting: a survey of practices and recommendations. Journal of Hospital Medicine 2010, 5(4):234-239.
32. Simi S., Patoia L. The importance of being patient. Journal of Ambulatory Care Management 2010, 33(3):257-264.
33. SOSFS, 2005. God Vård. Om ledningssystem för kvalitet och patient säker vård i hälso- och sjukvården (Good Care. System for Quality and Patient Safety in Health Care), National Board of Health and Welfare, Stockholm (in Swedish).
34. SOSFS, 2010. Din skyldighet att informera och göra patienten delaktig - handbok för vårdgivare, verksamhetschefer och personal [Your Obligation to Inform and Involve the Patient-Handbook for Caregivers, Heads of Departments and Staff]. National Board of Health and Welfare, Stockholm (in Swedish).
35. Taylor J., Rutherford P. The pursuit of genuine partnerships with patients and family members: the challenge and opportunity for executive leaders. Frontiers of Health Services Management 2010, 26(4):3-14.
36. Timonen L., Sihvonen M. Patient participation in bedside reporting on surgical wards. Journal of Clinical Nursing 2000, 9:542-548.
37. Wilde B., 1994. Quality of Care: Models, Instruments and Empirical Results among the Elderly. Doctoral Thesis. University of Gothenburg, Gothenburg, Sweden.
38. Wilde B., Larsson G., Larsson M., Starrin B. Quality of care. Development of a patient-centred questionnaire based on a grounded theory model. Scandinavian Journal of Caring Sciences 1994, 8:39-48.
39. Wilde Larsson B., Larsson G. Development of a short form of the Quality from the Patient's Perspective (QPP) questionnaire. Journal of Clinical Nursing 2002, 11:681-687.
40. Wilde Larsson B., Larsson G., Wickman Chantereau M., Stael von Holstein K. International comparison of patients' views on quality of care. International Journal of Health Care Quality Assurance 2005, 18(1):62-73.