Negotiated care--fundamental to nursing practice

Area of Science:

• Nursing Practice
• Healthcare Management
• Patient-Centered Care

Background:

• Negotiation is an integral, yet often unrecognized, aspect of nursing.
• Understanding negotiation's role is vital for advancing nursing practice and patient care.

Purpose of the Study:

• To highlight the centrality of negotiation in nursing practice.
• To illustrate the concept and application of negotiated care.
• To explore factors influencing successful negotiation in nursing.

Main Methods:

• The paper uses three illustrative examples to demonstrate negotiated care.
• Analysis of negotiation dynamics in nurse-manager/clinician, interdisciplinary, and nurse-patient interactions.

Main Results:

• Negotiated care occurs across diverse healthcare contexts, including nurse leadership, interdisciplinary teams, and patient interactions.
• Successful negotiation hinges on nurses' confidence, articulation of knowledge, and commitment to therapeutic practice.

Conclusions:

• Negotiation is fundamental to achieving quality patient care in nursing.
• Reframing negotiation as 'negotiated care' better reflects its specialist nature and role.
• Increased recognition of negotiation can empower nurses and enhance patient outcomes.