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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

1
Nursing and Physiotherapy Department, University of Balearic Islands, 07122 Palma de Mallorca, Spain
2
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)
View Full-Text   |   Download PDF [654 KB, uploaded 29 December 2017]   |  

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. View Full-Text
Keywords: decision making; interprofessional relations; nurse-patient relations; Foucault decision making; interprofessional relations; nurse-patient relations; Foucault
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MDPI and ACS Style

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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