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Dimensions of client control.

K E Dennis

    Nursing Research
    |May 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Patients gain a sense of control during hospitalization through understanding their role, making decisions, and managing their environment. Cognitive control over treatments and lifestyle implications is crucial for patient well-being.

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    Area of Science:

    • Health Psychology
    • Patient Experience Research

    Background:

    • Patient hospitalization can be a stressful experience, impacting their sense of agency.
    • Understanding factors that promote a patient's sense of control is vital for improving care and outcomes.

    Purpose of the Study:

    • To identify patient activities that foster a sense of control during hospitalization.
    • To characterize individuals who experience control through different means.

    Main Methods:

    • Utilized Q methodology with a descriptive design.
    • Employed a Client Control Q Set, Health Opinion Survey (HOS), demographic data, and semi-structured interviews.
    • Conducted Q factor analysis on data from 60 medical-surgical inpatients.

    Main Results:

    Related Experiment Videos

    • Identified three dimensions of patient control: fulfilling the patient role, shared decision-making, and managing interpersonal/environmental factors.
    • A common theme was the importance of cognitive control over medical treatments and lifestyle changes.
    • Patients with cancer predominantly desired involvement in decision-making.

    Conclusions:

    • Patient control during hospitalization is multi-dimensional, encompassing role enactment, participation in decisions, and environmental management.
    • Cognitive control and understanding treatment implications are central to patient empowerment.
    • Further research is needed to fully characterize patient subgroups and their control preferences.