Patientdelaktighet vid bedsiderapport- uppnås detta på den kirurgiska vårdavdelningen? : En fokuserad etnografisk studie

Sammanfattning: Background: Society demands increased patient participation in healthcare. One strategy to achieve patient participation during hospital stay in a surgical ward is implementation of handover at the patient’s bedside. The literature discusses the meaning of the concept patient participation, it is therefore important to study if patient participation can be achieved through bedside handover on the clinical ward.Aim: To explore how the bedside handover in nursing was performed on a surgical ward from the patient’s perspective focusing and participation.Method: A qualitative descriptive design with focused observations and informal interviews. A total of 23 observations were done, the analysis was inspired by ethnographic method.Results: Five themes emerged from the analysis: A calm atmosphere, Conditions for participation, To create a sense of “us”, Conversation on equal ground and at last Integrity and secrecy. The patients were active participants during the bedside handovers, they contributed with information and asked questions. The medical vocabulary was simplified and adapted to the patient’s ability. During the interviews the patients stated that the bedside handover created a sense of security and control. The observations showed though, that the patients were not asked to participate nor were they prepared for the report beforehand.Conclusion: This study shows that bedside handover gives the patient a sense of participation in his or her own care and creates a feeling of security and control. The result also shows a need for improvement regarding information, preparation and the opportunity to decline bedside handover, which offers potential to improve the bedside handover’s ability to increase patient participation.