How patient participation is constructed in mental healthcare

A grounded theory study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Aim
The aim of the study was to explore how patient participation is constructed in social interaction processes between nurses, other health professionals and service users, and which structures provide a framework for the participation of service users in a psychiatric context?

Methodological design
Ten tape‐recorded interviews of nurses and observations of interactions between nurses, other health professionals and service users reflected differing constructed views of patient participation. Charmaz's interpretation of the grounded theory method was used, and the data were analysed using constant comparative analysis.

Ethical issues and approval
The study was designed in accordance with the ethical principles of the Helsinki Declaration (1) and Danish law (2). Each study participant in the two psychiatric departments gave informed consent after verbal and written information.

Findings
The articulation of patient participation emphasises the challenge between, on the one side, orientations of ethical care, and, on the other, paternalism and biomedicine. The core category was generated from four inter‐related categories: (i) taking care of the individual needs; (ii) the service user as expert; and (iii) biomedicine, and (iv) paternalism, and their 13 subcategories.

Conclusions
This study illuminates the meaning of patient participation in a psychiatric context based on social interaction between nurses, other health professionals and service users. This can contribute to dealing with the challenges of incorporating patient participation as an ideology in all service users in a psychiatric context and is therefore important knowledge for health professionals.
OriginalsprogEngelsk
ArtikelnummerArticle ID: SCS12581 Internal Article ID: 15232667
TidsskriftScandinavian Journal of Caring Sciences
Vol/bind32
Udgave nummer4
Sider (fra-til)1359-1370
ISSN0283-9318
DOI
StatusUdgivet - maj 2018

Bibliografisk note

Important note from the Publisher regarding the attached version of the document: "This is the peer reviewed version of the following article: 'Scand J Caring Sci; 2018; 32; 1359–1370 How patient participation is constructed in mental health care: a grounded theory study' , which has been published in final form at https://doi.org/10.1111/scs.12581. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions."

Citer dette

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abstract = "AimThe aim of the study was to explore how patient participation is constructed in social interaction processes between nurses, other health professionals and service users, and which structures provide a framework for the participation of service users in a psychiatric context?Methodological designTen tape‐recorded interviews of nurses and observations of interactions between nurses, other health professionals and service users reflected differing constructed views of patient participation. Charmaz's interpretation of the grounded theory method was used, and the data were analysed using constant comparative analysis.Ethical issues and approvalThe study was designed in accordance with the ethical principles of the Helsinki Declaration (1) and Danish law (2). Each study participant in the two psychiatric departments gave informed consent after verbal and written information.FindingsThe articulation of patient participation emphasises the challenge between, on the one side, orientations of ethical care, and, on the other, paternalism and biomedicine. The core category was generated from four inter‐related categories: (i) taking care of the individual needs; (ii) the service user as expert; and (iii) biomedicine, and (iv) paternalism, and their 13 subcategories.ConclusionsThis study illuminates the meaning of patient participation in a psychiatric context based on social interaction between nurses, other health professionals and service users. This can contribute to dealing with the challenges of incorporating patient participation as an ideology in all service users in a psychiatric context and is therefore important knowledge for health professionals.",
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How patient participation is constructed in mental healthcare : A grounded theory study. / Jørgensen, Kim; Rendtorff, Jacob Dahl; Holen, Mari.

I: Scandinavian Journal of Caring Sciences, Bind 32, Nr. 4, Article ID: SCS12581 Internal Article ID: 15232667, 05.2018, s. 1359-1370.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - How patient participation is constructed in mental healthcare

T2 - A grounded theory study

AU - Jørgensen, Kim

AU - Rendtorff, Jacob Dahl

AU - Holen, Mari

N1 - Important note from the Publisher regarding the attached version of the document: "This is the peer reviewed version of the following article: 'Scand J Caring Sci; 2018; 32; 1359–1370 How patient participation is constructed in mental health care: a grounded theory study' , which has been published in final form at https://doi.org/10.1111/scs.12581. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions."

PY - 2018/5

Y1 - 2018/5

N2 - AimThe aim of the study was to explore how patient participation is constructed in social interaction processes between nurses, other health professionals and service users, and which structures provide a framework for the participation of service users in a psychiatric context?Methodological designTen tape‐recorded interviews of nurses and observations of interactions between nurses, other health professionals and service users reflected differing constructed views of patient participation. Charmaz's interpretation of the grounded theory method was used, and the data were analysed using constant comparative analysis.Ethical issues and approvalThe study was designed in accordance with the ethical principles of the Helsinki Declaration (1) and Danish law (2). Each study participant in the two psychiatric departments gave informed consent after verbal and written information.FindingsThe articulation of patient participation emphasises the challenge between, on the one side, orientations of ethical care, and, on the other, paternalism and biomedicine. The core category was generated from four inter‐related categories: (i) taking care of the individual needs; (ii) the service user as expert; and (iii) biomedicine, and (iv) paternalism, and their 13 subcategories.ConclusionsThis study illuminates the meaning of patient participation in a psychiatric context based on social interaction between nurses, other health professionals and service users. This can contribute to dealing with the challenges of incorporating patient participation as an ideology in all service users in a psychiatric context and is therefore important knowledge for health professionals.

AB - AimThe aim of the study was to explore how patient participation is constructed in social interaction processes between nurses, other health professionals and service users, and which structures provide a framework for the participation of service users in a psychiatric context?Methodological designTen tape‐recorded interviews of nurses and observations of interactions between nurses, other health professionals and service users reflected differing constructed views of patient participation. Charmaz's interpretation of the grounded theory method was used, and the data were analysed using constant comparative analysis.Ethical issues and approvalThe study was designed in accordance with the ethical principles of the Helsinki Declaration (1) and Danish law (2). Each study participant in the two psychiatric departments gave informed consent after verbal and written information.FindingsThe articulation of patient participation emphasises the challenge between, on the one side, orientations of ethical care, and, on the other, paternalism and biomedicine. The core category was generated from four inter‐related categories: (i) taking care of the individual needs; (ii) the service user as expert; and (iii) biomedicine, and (iv) paternalism, and their 13 subcategories.ConclusionsThis study illuminates the meaning of patient participation in a psychiatric context based on social interaction between nurses, other health professionals and service users. This can contribute to dealing with the challenges of incorporating patient participation as an ideology in all service users in a psychiatric context and is therefore important knowledge for health professionals.

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DO - 10.1111/scs.12581

M3 - Journal article

VL - 32

SP - 1359

EP - 1370

JO - Scandinavian Journal of Caring Sciences

JF - Scandinavian Journal of Caring Sciences

SN - 0283-9318

IS - 4

M1 - Article ID: SCS12581 Internal Article ID: 15232667

ER -