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Value discrepancies between nurses and patients: A survey study.

Abstract：

BACKGROUND:Patient-centeredness, respect for patient autonomy, and shared decision-making have now made it to center stage in discussions on quality of care. Knowing what actually counts in care and how it should be accomplished from the patients' and nurses' perspective seems crucial. AIM:To explore how patients and their nurses perceive the importance and enactment of values in their healthcare. RESEARCH DESIGN:An observational, cross-sectional study using a self-developed questionnaire, consisting of 15 items related to seven values (e.g. uniqueness, autonomy, professionalism, compassion, responsiveness, partnership, and empowerment) as described in the taxonomy of Bastemeijer et al. PARTICIPANTS AND RESEARCH CONTEXT:The survey was completed by 384 patients and 81 nurses. Participants were recruited on eight internal medicine wards of a 1000-bed university hospital in Belgium. ETHICAL CONSIDERATIONS:This study was approved by the ethical committee of the Ghent University Hospital (B670201836799). FINDINGS:(1) Patients and nurses prioritize values of care differently; (2) nurses report not being able to enact the values they prioritize in actual practice as much as one would like to; and (3) there is a gap in experienced delivery of a comprehensible explanation of all treatment options, a conversation based on equality, making shared decisions, and being non-judgmental between nurses and patients. DISCUSSION:Our findings challenge nurses' overemphasis on professional compassion and uniqueness while arguing for increased attention on authentic shared decision-making and empowerment. The first step to a patient-centered culture truly involving patients in their healthcare is communication and information provision, rather than focusing on tangible and normative constructs. CONCLUSION:Our findings revealed differences in prioritization and actual enactment of values in care between patients and nurses. This was especially so for values related to communication, provision of complete unbiased information, and shared decision-making. Nurses should prioritize providing comprehensible information and using conversations based on equality to make decision together with patients.

journal_name

Nurs Ethics

journal_title

Nursing ethics

authors

Van Humbeeck L,Malfait S,Holvoet E,Vogelaers D,De Pauw M,Van Den Noortgate N,Van Biesen W

doi

10.1177/0969733020906595

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

1044-1055

issue

eissn

0969-7330

issn

1477-0989

journal_volume

pub_type

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Value discrepancies between nurses and patients: A survey study.