A Concept Analysis of Patient Participation in Intermediate Care

作者：Kvael Linda Aimee Hartford^*; Debesay Jonas; Langaas Anne; Bye Asta; Bergland Astrid

来源：Patient Education and Counseling, 2018, 101(8): 1337-1350.

DOI：10.1016/j.pec.2018.03.005

• Patient participation
• intermediate care
• concept analysis
• user involvement
• holistic care
• shared decision-making
• geriatric rehabilitation
• skilled nursing facility
• interdisciplinary teamwork

Objective: Although the concept of patient participation has been discussed for a number of years, there is still no clear definition of what constitutes the multidimensional concept, and the application of the concept in an intermediate care (IC) context lacks clarity. Therefore this paper seeks to identify and explore the attributes of the concept, to elaborate ways of understanding the concept of patient participation for geriatric patients in the context of IC.
Methods: Walker and Avant's model of Concept analysis [1] based on a literature review.
Results: Patient participation in the context of IC can be defined as a dynamic process emphasizing the person as a whole, focusing on the establishment of multiple alliances that facilitate individualized information and knowledge exchange, and ensuring a reciprocal engagement in activities within flexible and interactive/dynamic organizational structures.
Conclusion: Patient participation in IC means involving patients and their relatives in holistic interdisciplinary collaborative decision-making. The results highlight the complexity of patient participation and contribute to a greater understanding of the influence of organizational structure and management.
Practical implications: The present study may provide a practical framework for researchers, policy makers and health professionals to facilitate patient participation in IC services.

• 出版日期2018-8