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  • Patient engagement in clinical communication: An exploratory study

    Author(s)
    Chaboyer, Wendy
    McMurray, Anne
    Marshall, Andrea
    Gillespie, Brigid
    Roberts, Shelley
    Hutchinson, Alison M
    Botti, Mari
    McTier, Lauren
    Rawson, Helen
    Bucknall, Tracey
    Griffith University Author(s)
    Chaboyer, Wendy
    McMurray, Anne M.
    Gillespie, Brigid M.
    Roberts, Shelley J.
    Marshall, Andrea
    Year published
    2016
    Metadata
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    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 ...
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    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.
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    Journal Title
    Scandinavian Journal of Caring Sciences
    Volume
    30
    DOI
    https://doi.org/10.1111/scs.12279
    Subject
    Nursing
    Acute care
    Publication URI
    http://hdl.handle.net/10072/99717
    Collection
    • Journal articles

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