Impact of Interprofessional Relationships from Nurses' Perspective on the Decision-Making Capacity of Patients in a Clinical Setting
Interprofessional relationships may impact the decision making of patients in a clinical setting. The objective of this study was to analyse the decision-making capabilities of patients from nurses' perspectives of interprofessional relationships using Foucauldian ethics. This qualitative study...
Gespeichert in:
| Veröffentlicht in: | International journal of environmental research and public health 2017-12, Vol.15 (1), p.49 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 1 |
| container_start_page | 49 |
| container_title | International journal of environmental research and public health |
| container_volume | 15 |
| creator | Molina-Mula, Jesús Gallo-Estrada, Julia Perelló-Campaner, Catalina |
| description | Interprofessional relationships may impact the decision making of patients in a clinical setting. The objective of this study was to analyse the decision-making capabilities of patients from nurses' perspectives of interprofessional relationships using Foucauldian ethics. This qualitative study was based on poststructuralist Foucault references with in-depth interviews of nurses working in internal medicine and specialties in a general hospital. The patients constantly appeared in the definition of teamwork, but also as a passive element used by every professional to communicate with others. Nurses continue modelling a type of patient passivity, or what Foucault called passive subjectivity in relation to oneself, because the patient is guided and directed to take charge of a truth provided by professionals. Nurses must break the rigid design of sections or professional skills, and adopt a model of teamwork that meets the needs of the patient and increases their decision-making power. The quality of care will increase to the extent that professionals establish a relationship of equality with the patient, allowing the patient to make real decisions about their care. An egalitarian model of teamwork is beneficial to the patient, abandoning the idea of a team where the patient and family are constantly excluded from decisions about their care. |
| doi_str_mv | 10.3390/ijerph15010049 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5800148</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2002909483</sourcerecordid><originalsourceid>FETCH-LOGICAL-c418t-caa11e93ce30441429c3d1e4d0c253cf50a715fb0ef22b1b02711d721b13484e3</originalsourceid><addsrcrecordid>eNpdkctv1DAQhy0Eog-4ckSWONBLyoztZJMLUrUtdKUCFY-z5XgnXS9JHGynUu_84XjVh1pOHsnffJ7xj7E3CMdSNvDBbSlMGywBAVTzjO1jVUGhKsDnj-o9dhDjFkDWqmpesj3RiLqSSuyzv6thMjZx3_HVmLIr-I5idH40Pf9OvUm5jBs3Rd4FP_Cvc4gU3_NLCnEim9w1cT_ytCF-StbtGosv5rcbr_jSZLNLNzv3ZfbQmCJ3Izd82bvR2fzAD0opo6_Yi870kV7fnYfs16ezn8vz4uLb59Xy5KKwCutUWGMQqZGWJCiFSjRWrpHUGqwope1KMAssuxaoE6LFFsQCcb0Q2KJUtSJ5yD7eeqe5HWht80TB9HoKbjDhRnvj9NOb0W30lb_WZQ2Aqs6CoztB8H9mikkPLlrqezOSn6PGpha1ApQio-_-Q7d-DvlXoxYAooEm-zJ1fEvZ4GMM1D0Mg6B3AeunAeeGt49XeMDvE5X_ALrfpE0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2002909483</pqid></control><display><type>article</type><title>Impact of Interprofessional Relationships from Nurses' Perspective on the Decision-Making Capacity of Patients in a Clinical Setting</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Molina-Mula, Jesús ; Gallo-Estrada, Julia ; Perelló-Campaner, Catalina</creator><creatorcontrib>Molina-Mula, Jesús ; Gallo-Estrada, Julia ; Perelló-Campaner, Catalina</creatorcontrib><description>Interprofessional relationships may impact the decision making of patients in a clinical setting. The objective of this study was to analyse the decision-making capabilities of patients from nurses' perspectives of interprofessional relationships using Foucauldian ethics. This qualitative study was based on poststructuralist Foucault references with in-depth interviews of nurses working in internal medicine and specialties in a general hospital. The patients constantly appeared in the definition of teamwork, but also as a passive element used by every professional to communicate with others. Nurses continue modelling a type of patient passivity, or what Foucault called passive subjectivity in relation to oneself, because the patient is guided and directed to take charge of a truth provided by professionals. Nurses must break the rigid design of sections or professional skills, and adopt a model of teamwork that meets the needs of the patient and increases their decision-making power. The quality of care will increase to the extent that professionals establish a relationship of equality with the patient, allowing the patient to make real decisions about their care. An egalitarian model of teamwork is beneficial to the patient, abandoning the idea of a team where the patient and family are constantly excluded from decisions about their care.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph15010049</identifier><identifier>PMID: 29286342</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adult ; Attitude of Health Personnel ; Biopolitics ; Cooperative Behavior ; Decision Making ; Decisions ; Delivery of Health Care ; Ethics ; Female ; Foucault, Michel ; Humans ; Interprofessional Relations ; Interviews as Topic ; Male ; Medical personnel ; Middle Aged ; Nurses ; Nurses - psychology ; Patient Participation ; Patients ; Philosophers ; Professionals ; Qualitative Research ; Subjectivity ; Teamwork</subject><ispartof>International journal of environmental research and public health, 2017-12, Vol.15 (1), p.49</ispartof><rights>Copyright MDPI AG 2018</rights><rights>2017 by the authors. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-caa11e93ce30441429c3d1e4d0c253cf50a715fb0ef22b1b02711d721b13484e3</citedby><cites>FETCH-LOGICAL-c418t-caa11e93ce30441429c3d1e4d0c253cf50a715fb0ef22b1b02711d721b13484e3</cites><orcidid>0000-0002-5789-1313</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5800148/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5800148/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29286342$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Molina-Mula, Jesús</creatorcontrib><creatorcontrib>Gallo-Estrada, Julia</creatorcontrib><creatorcontrib>Perelló-Campaner, Catalina</creatorcontrib><title>Impact of Interprofessional Relationships from Nurses' Perspective on the Decision-Making Capacity of Patients in a Clinical Setting</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Interprofessional relationships may impact the decision making of patients in a clinical setting. The objective of this study was to analyse the decision-making capabilities of patients from nurses' perspectives of interprofessional relationships using Foucauldian ethics. This qualitative study was based on poststructuralist Foucault references with in-depth interviews of nurses working in internal medicine and specialties in a general hospital. The patients constantly appeared in the definition of teamwork, but also as a passive element used by every professional to communicate with others. Nurses continue modelling a type of patient passivity, or what Foucault called passive subjectivity in relation to oneself, because the patient is guided and directed to take charge of a truth provided by professionals. Nurses must break the rigid design of sections or professional skills, and adopt a model of teamwork that meets the needs of the patient and increases their decision-making power. The quality of care will increase to the extent that professionals establish a relationship of equality with the patient, allowing the patient to make real decisions about their care. An egalitarian model of teamwork is beneficial to the patient, abandoning the idea of a team where the patient and family are constantly excluded from decisions about their care.</description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Biopolitics</subject><subject>Cooperative Behavior</subject><subject>Decision Making</subject><subject>Decisions</subject><subject>Delivery of Health Care</subject><subject>Ethics</subject><subject>Female</subject><subject>Foucault, Michel</subject><subject>Humans</subject><subject>Interprofessional Relations</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Middle Aged</subject><subject>Nurses</subject><subject>Nurses - psychology</subject><subject>Patient Participation</subject><subject>Patients</subject><subject>Philosophers</subject><subject>Professionals</subject><subject>Qualitative Research</subject><subject>Subjectivity</subject><subject>Teamwork</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkctv1DAQhy0Eog-4ckSWONBLyoztZJMLUrUtdKUCFY-z5XgnXS9JHGynUu_84XjVh1pOHsnffJ7xj7E3CMdSNvDBbSlMGywBAVTzjO1jVUGhKsDnj-o9dhDjFkDWqmpesj3RiLqSSuyzv6thMjZx3_HVmLIr-I5idH40Pf9OvUm5jBs3Rd4FP_Cvc4gU3_NLCnEim9w1cT_ytCF-StbtGosv5rcbr_jSZLNLNzv3ZfbQmCJ3Izd82bvR2fzAD0opo6_Yi870kV7fnYfs16ezn8vz4uLb59Xy5KKwCutUWGMQqZGWJCiFSjRWrpHUGqwope1KMAssuxaoE6LFFsQCcb0Q2KJUtSJ5yD7eeqe5HWht80TB9HoKbjDhRnvj9NOb0W30lb_WZQ2Aqs6CoztB8H9mikkPLlrqezOSn6PGpha1ApQio-_-Q7d-DvlXoxYAooEm-zJ1fEvZ4GMM1D0Mg6B3AeunAeeGt49XeMDvE5X_ALrfpE0</recordid><startdate>20171229</startdate><enddate>20171229</enddate><creator>Molina-Mula, Jesús</creator><creator>Gallo-Estrada, Julia</creator><creator>Perelló-Campaner, Catalina</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5789-1313</orcidid></search><sort><creationdate>20171229</creationdate><title>Impact of Interprofessional Relationships from Nurses' Perspective on the Decision-Making Capacity of Patients in a Clinical Setting</title><author>Molina-Mula, Jesús ; Gallo-Estrada, Julia ; Perelló-Campaner, Catalina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-caa11e93ce30441429c3d1e4d0c253cf50a715fb0ef22b1b02711d721b13484e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Biopolitics</topic><topic>Cooperative Behavior</topic><topic>Decision Making</topic><topic>Decisions</topic><topic>Delivery of Health Care</topic><topic>Ethics</topic><topic>Female</topic><topic>Foucault, Michel</topic><topic>Humans</topic><topic>Interprofessional Relations</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Middle Aged</topic><topic>Nurses</topic><topic>Nurses - psychology</topic><topic>Patient Participation</topic><topic>Patients</topic><topic>Philosophers</topic><topic>Professionals</topic><topic>Qualitative Research</topic><topic>Subjectivity</topic><topic>Teamwork</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Molina-Mula, Jesús</creatorcontrib><creatorcontrib>Gallo-Estrada, Julia</creatorcontrib><creatorcontrib>Perelló-Campaner, Catalina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Molina-Mula, Jesús</au><au>Gallo-Estrada, Julia</au><au>Perelló-Campaner, Catalina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Interprofessional Relationships from Nurses' Perspective on the Decision-Making Capacity of Patients in a Clinical Setting</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2017-12-29</date><risdate>2017</risdate><volume>15</volume><issue>1</issue><spage>49</spage><pages>49-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Interprofessional relationships may impact the decision making of patients in a clinical setting. The objective of this study was to analyse the decision-making capabilities of patients from nurses' perspectives of interprofessional relationships using Foucauldian ethics. This qualitative study was based on poststructuralist Foucault references with in-depth interviews of nurses working in internal medicine and specialties in a general hospital. The patients constantly appeared in the definition of teamwork, but also as a passive element used by every professional to communicate with others. Nurses continue modelling a type of patient passivity, or what Foucault called passive subjectivity in relation to oneself, because the patient is guided and directed to take charge of a truth provided by professionals. Nurses must break the rigid design of sections or professional skills, and adopt a model of teamwork that meets the needs of the patient and increases their decision-making power. The quality of care will increase to the extent that professionals establish a relationship of equality with the patient, allowing the patient to make real decisions about their care. An egalitarian model of teamwork is beneficial to the patient, abandoning the idea of a team where the patient and family are constantly excluded from decisions about their care.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>29286342</pmid><doi>10.3390/ijerph15010049</doi><orcidid>https://orcid.org/0000-0002-5789-1313</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1660-4601 |
| ispartof | International journal of environmental research and public health, 2017-12, Vol.15 (1), p.49 |
| issn | 1660-4601 1661-7827 1660-4601 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5800148 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Attitude of Health Personnel Biopolitics Cooperative Behavior Decision Making Decisions Delivery of Health Care Ethics Female Foucault, Michel Humans Interprofessional Relations Interviews as Topic Male Medical personnel Middle Aged Nurses Nurses - psychology Patient Participation Patients Philosophers Professionals Qualitative Research Subjectivity Teamwork |
| title | Impact of Interprofessional Relationships from Nurses' Perspective on the Decision-Making Capacity of Patients in a Clinical Setting |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T22%3A03%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20Interprofessional%20Relationships%20from%20Nurses'%20Perspective%20on%20the%20Decision-Making%20Capacity%20of%20Patients%20in%20a%20Clinical%20Setting&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Molina-Mula,%20Jes%C3%BAs&rft.date=2017-12-29&rft.volume=15&rft.issue=1&rft.spage=49&rft.pages=49-&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph15010049&rft_dat=%3Cproquest_pubme%3E2002909483%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2002909483&rft_id=info:pmid/29286342&rfr_iscdi=true |