Multiprofessional Views on Older Patients' Participation in Care Planning Meetings in a Hospital Context

Care planning meetings (CPMs; sometimes referred to as family meetings) for older patients involve group decision-making between the multidisciplinary team, the older person and their family. However, service user participation is challenged by the inequity of knowledge and power between participant...

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Published inPractice (Birmingham, England) Vol. 25; no. 2; pp. 121 - 138
Main Authors Donnelly, Sarah Marie, Carter-Anand, Janet, Cahill, Suzanne, Gilligan, Robert, Mehigan, Brenda, O'Neill, Desmond
Format Journal Article
LanguageEnglish
Published Routledge 01.04.2013
Subjects
Aged
care planning meetings
Cognition
Cognitive impairment
Communication
Communication strategies
Cooperation
Decision Making
Health Care Services
Hospitals
Inequality
Knowledge
Participation
Patient centredness
Patient participation
Patient satisfaction
Patients
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Summary:Care planning meetings (CPMs; sometimes referred to as family meetings) for older patients involve group decision-making between the multidisciplinary team, the older person and their family. However, service user participation is challenged by the inequity of knowledge and power between participants, together with organisational and resource pressures for timely discharge. The effective use and perhaps, potential misuse of communication strategies within CPMs is of ethical concern to all participants. Habermas' essential critique of participatory communication provides insight as to how older people's involvement can be either enabled or blocked by healthcare professionals (HCPs) depending on their use of communication strategies. Seven discipline-specific mini-focus groups provided an opportunity for HCPs to reflect on the participation of patients over 65 and their families in CPMs. Findings explore HCPs' understanding of older patients involvement based on key dimensions of communicative participation, namely, mutuality, inclusiveness, patient centredness and clear outcomes. Whilst the benefits of collaborative decision-making were confirmed, legitimate concerns as to the quality of participatory practices, limited attention to group work processes and the exclusion of older patients with cognitive impairment were identified.
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ISSN:0950-3153
1742-4909
DOI:10.1080/09503153.2013.786695