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Patients' perceptions of self-determination as expressed in the context of care
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- Nordgren, Stina (author)
- Högskolan i Halmstad,Sektionen för hälsa och samhälle (HOS),School of Social and Health Sciences, Halmstad University, Halmstad, Sweden, School of the Health Care Programme, Sodra Vardskolan, Halmstad, Sweden, Åsgårdsvagen 14 A, SE-30241 Halmstad, Sweden
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- Fridlund, Bengt (author)
- Högskolan i Halmstad,Sektionen för hälsa och samhälle (HOS)
- (creator_code:org_t)
- Oxford : Blackwell Scientific, 2001
- 2001
- English.
- In: Journal of Advanced Nursing. - Oxford : Blackwell Scientific. - 0309-2402 .- 1365-2648. ; 35:1, s. 117-125
- Journal article (peer-reviewed)
Abstract
Subject headings
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- Aim The aim of this study was to describe patients' perceptions of how self-determination finds expression in the context of care. Background Self-determination is an important concept within health care as well as an important patient right. New legislation on patient rights in Sweden and Europe is aimed at increased patient self-determination. Design and method Data were collected through semi-structured, tape-recorded interviews with 17 strategically chosen patients within somatic care and analysed using a method inspired by phenomenography. Results The analysis found three descriptive categories of the informants' perceptions: trusting, accepting and a feeling of powerlessness. The patients expressed a great sense of trust and confidence in the care provided and they accepted the health care procedures. At the same time, they expressed a feeling of powerlessness because of not being part of decision-making, as well as lacking knowledge and information about treatment strategies. The patients wished to have the right of more self-determination but lacked the strength and knowledge to be able to influence their own care. Conclusions Patients' perceptions of self-determination suggest that, in their encounters with the professional care, knowledge is expressed as power. The feeling of a lack of self-determination can be reduced by help and support from a nurse who allocates time for communication in order to learn the patient's needs and reach a mutual understanding.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- SAMHÄLLSVETENSKAP -- Ekonomi och näringsliv (hsv//swe)
- SOCIAL SCIENCES -- Economics and Business (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Autonomy
- Communication
- Knowledge
- Patients
- Perceptions
- Rights
- Phenomenography
- Power
- professional
- Qualitative method
- Self-determination
- MEDICINE
- MEDICIN
- NATURAL SCIENCES
- Nursing
Publication and Content Type
- ref (subject category)
- art (subject category)
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