The Nurse Bring The Patient

The Nurse Bring The Patient

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Int J Environ Res Public Health

v.17(3); 2020 Feb

PMC7036952

Published online 2020 Jan 29. doi: 10.3390/ijerph17030835
Nursing and Physiotherapy Department, Universitat de les Illes Balears, 07122 Palma, Spain; se.biu@ollag.j
* Correspondence: se.biu@anilom.susej
Received 2019 Dec 26; Accepted 2020 Jan 26.
Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/ ).
Keywords: nurse-patient relationship, decision making, personal autonomy, quality of health care, nurse’s role
Analysing the type of relationship of the nurse with the patient allows establishing strategies to improve the quality of care and the degree of satisfaction of both.
Knowing the impact of the nurse-patient relationship on the autonomy of patients allows to increase their capacity in decision-making.
Evidence of limitations in nurse-patient relationships leads to a change in the patient-centred healthcare model.
Nursing records show an absence of the patient’s autonomy in decisions making about their care. In the interviews, it is evidenced in nurses of more experience and age, a greater degree of participation of the patients.
Nurses prefer a submissive patient, who assumes care without discussion and respecting the work of the nurse.
The patient is labelled, both in the nursing records and in the interviews, as a good or bad patient according to the relationship with the nurse.
Implementing new ways to understand the management of health organizations that favour the relationship between members of the healthcare team with the patient, improve the decision-making capacity of the patient in the clinical setting.
Promoting a good relationship between the nurse and the patient, based on real respect for their decisions, would lead to a less tense in the nurse practice and with fewer limitations in communication and autonomy of the patient.
Until now, the nursing records in the different studies had not provided information on the quality of care and patient autonomy. Although these are a complex source of information, its analysis can provide great richness in the written discourse of nurses.
According to the results obtained, the educational model of the nurses should be modified, directed more towards a patient-centered model.
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Articles from International Journal of Environmental Research and Public Health are provided here courtesy of Multidisciplinary Digital Publishing Institute (MDPI)
1. Hallet C.E., Austin L., Caress A., Luker K.A. Community nurses’ perceptions of patient “compliance” in wound care: A discourse analysis. JAN. 2000; 32 :115–123. doi: 10.1046/j.1365-2648.2000.01407.x. [ PubMed ] [ CrossRef ] [ Google Scholar ] [ Ref list ]
2. DeWolf Bosek M.S., Jannette J., Rambur B. Attitudes of nurses toward patient-directed dying: A pilot study. JONA’s Healthc. Law Ethics Regul. 2013; 15 :135–139. doi: 10.1097/NHL.0000000000000017. [ PubMed ] [ CrossRef ] [ Google Scholar ] [ Ref list ]
3. Sharp S., McAllister M., Broadbent M. The vital blend of clinical competence and compassion: How patients experience person-centred care. Contemp. Nurse. 2015; 52 :300–312. doi: 10.1080/10376178.2015.1020981. [ PubMed ] [ CrossRef ] [ Google Scholar ] [ Ref list ]
4. Fahlberg B. “No education about me without me”: A shared decision-making approach to patient education. Nursing. 2015; 45 :15–16. doi: 10.1097/01.NURSE.0000459549.75744.3a. [ PubMed ] [ CrossRef ] [ Google Scholar ] [ Ref list ]
5. Fellowes D., Wilkinson S., Moore P. Entrenamiento en habilidades comunicativas para los profesionales con pacientes con cáncer, sus familias y cuidadores [ Training in communication skills for professionals with cancer patients, their families and caregivers ] La Bibl. Cochrane Plus. 2008; 2 :1–19. [ Google Scholar ] [ Ref list ]
6. George T.P. How nurses can encourage shared decision making. Nursing. 2013; 43 :65–66. doi: 10.1097/01.NURSE.0000431767.44118.c3. [ PubMed ] [ CrossRef ] [ Google Scholar ] [ Ref list ]
7. Davison I., Cooke S. How nurses’ attitudes and actions can influence shared care. J. Ren. Care. 2015; 41 :96–103. doi: 10.1111/jorc.12105. [ PubMed ] [ CrossRef ] [ Google Scholar ] [ Ref list ]
8. Gray T.F. How Can I Change My Patients’ Treatment Decision Making by Becoming a Nurse Scientist? Clin. J. Oncol. Nurs. 2017; 21 :263. doi: 10.1188/17.CJON.263. [ PubMed ] [ CrossRef ] [ Google Scholar ] [ Ref list ]
9. Griscti O., Aston M., Warner G., Martin-Misener R., McLeod D. Power and resistance within the hospital’s hierarchical system: The experiences of chronically ill patients. J. Clin. Nurs. 2017; 26 :238–247. doi: 10.1111/jocn.13382. [ PubMed ] [ CrossRef ] [ Google Scholar ] [ Ref list ]
10. Sherner T. Making Treatment Decisions Together. ONS Connect. 2016; 31 :16–20. [ PubMed ] [ Google Scholar ] [ Ref list ]
11. Cahill J. Patient participation: A review of the literature. JAN. 1998; 7 :119–128. doi: 10.1111/j.1365-2702.1998.00132.x. [ PubMed ] [ CrossRef ] [ Google Scholar ] [ Ref list ]
12. Truglio-Londrigan M. The Patient Experience with Shared Decision Making: A Qualitative Descriptive Study. J. Infus. Nurs. 2015; 38 :407–418. doi: 10.1097/NAN.0000000000000136. [ PubMed ] [ CrossRef ] [ Google Scholar ] [ Ref list ]
13. Arroyo-Arellano F. La Investigación y la bioética. [Research and Bioethics] 1st ed. Edimec; Quito, Ecuador: 2014. pp. 34–212. [ Google Scholar ] [ Ref list ]
14. Kleiman S., Frederickson K., Lundy T. Using an electric model to educate students about cultural influences on the nurse-patient relationship. Nurs. Educ. Perspect. 2004; 25 :249–253. [ PubMed ] [ Google Scholar ] [ Ref list ]
15. Grffith R., Tengnah C. Shared decision-making: Nurses must respect autonomy over paternalism. Br. J. Community Nurs. 2013; 18 :303–306. doi: 10.12968/bjcn.2013.18.6.303. [ PubMed ] [ CrossRef ] [ Google Scholar ] [ Ref list ]
16. Phillips G. Nurses are best placed to ensure the ethical application of DNRs. Nurs. Etand. 2016; 30 :31. doi: 10.7748/ns.30.37.31.s37. [ PubMed ] [ CrossRef ] [ Google Scholar ] [ Ref list ]
17. Griffith R. Understanding the Code: Acting in a patient’s best interests. Br. J. Community Nurs. 2015; 20 :458–461. doi: 10.12968/bjcn.2015.20.9.458. [ PubMed ] [ CrossRef ] [ Google Scholar ] [ Ref list ]
18. Fahlberg B., Foronda C., Baptiste D. Cultural humility: The key to patient/family partnerships for making difficult decisions. Nursing. 2016; 46 :14–16. doi: 10.1097/01.NURSE.0
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