Table of Contents
ISRN Nursing
Volume 2011 (2011), Article ID 707601, 7 pages
Research Article

Patients' Participation as It Appears in the Nursing Documentation, When Care Is Ruled by Standardized Care Plans

1Department of Medicine, Mälar Hospital, 631 88 Eskilstuna, Sweden
2Research and Development Center/Center for Clinical Research, Sörmland County Council, 632 20 Eskilstuna, Sweden
3Department of Health Care Sciences, Ersta Sköndal University, P.O. Box 11189, 100 61 Stockholm, Sweden
4School of Health, Care and Social Welfare, Mälardalen University, P.O. Box 325, 631 05 Eskilstuna, Sweden

Received 13 April 2011; Accepted 20 May 2011

Academic Editors: M. Miyashita and C. Winkelman

Copyright © 2011 Christina Andreae et al. 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.


This study aimed to describe inpatients with myocardial infarction and their participation in care as documented in the nursing records when standardized care plans are used in care. The use of standardized care plans not only has increased the quality of medical treatment but has also overlooked patients' opportunities to participate in their own care. There is a lack of knowledge about how standardized care plans influence patients' participation in nursing care. Data were collected from thirteen patients' records with diagnoses of myocardial infarction. Participation in the decision-making process and participation associated with “sharing with others” were searched for in the analysis. The analytical process was guided by content analysis. The findings were grouped into two categories: patients' intermediary participation and patients' active participation. The main results indicated that patients' intermediary participation depended on healthcare professionals' power to rule the nursing care situation.