Patient and community nurse interaction during decision making
Research type
Research Study
Full title
A focused ethnography to explore how the interaction between the person with long-term conditions in the home setting and the community nurse contributes to patient engagement in decision making.
IRAS ID
310838
Contact name
Helen Aveyard
Contact email
Sponsor organisation
Oxford Brookes University
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
The focus of this study is to explore the way in which decisions about treatment are made between the patient with long-term conditions and the community nurse within the home setting. Engaging patients in making decisions about their treatment has been found to increase the effectiveness of care including improving people’s healthcare knowledge and self-confidence as well as their involvement with and satisfaction with care (Health Foundation, 2012). Yet little is known about the process that takes place during the decision-making interaction within the person’s home (Mcgarry, 2010, Millard et al, 2005). The aim of the study is to understand the way in which the interaction between the person with long-term conditions in the home setting and the community nurse contributes to patient engagement in decision making. This will inform and strengthen community nurses approaches to supporting patients to engage in the decision making process.
This qualitative study would take place within a community nursing service within one Community NHS Trust. Informed consent would be obtained from participants. Participants would include patients over 18 years with one or more long term conditions under the care of the District Nursing or Specialist Community Nursing services and band5, 6 or 7 community nurses who are currently in a clinical role within the district nursing or specialist community nursing teams. The interaction between the community nurse and patient during the decision making process would be observed within the home setting and each participant would be interviewed either at the person’s home or virtually depending on the participants preference, following on from the observation.REC name
North of Scotland Research Ethics Committee 2
REC reference
22/NS/0108
Date of REC Opinion
13 Sep 2022
REC opinion
Further Information Favourable Opinion