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Int. J. Environ. Res. Public Health 2018, 15(1), 49; doi:10.3390/ijerph15010049

Impact of Interprofessional Relationships from Nurses’ Perspective on the Decision-Making Capacity of Patients in a Clinical Setting

Nursing and Physiotherapy Department, University of Balearic Islands, 07122 Palma de Mallorca, Spain
Emergency Care Service 061, 07014 Palma de Mallorca, Spain
Author to whom correspondence should be addressed.
Received: 8 November 2017 / Revised: 12 December 2017 / Accepted: 27 December 2017 / Published: 29 December 2017
(This article belongs to the Special Issue Healthcare Quality and Patient Satisfaction)
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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. View Full-Text
Keywords: decision making; interprofessional relations; nurse-patient relations; Foucault decision making; interprofessional relations; nurse-patient relations; Foucault

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Molina-Mula, J.; Gallo-Estrada, J.; Perelló-Campaner, C. Impact of Interprofessional Relationships from Nurses’ Perspective on the Decision-Making Capacity of Patients in a Clinical Setting. Int. J. Environ. Res. Public Health 2018, 15, 49.

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Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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