{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T04:36:03Z","timestamp":1790138163511,"version":"4.0.1"},"reference-count":81,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore patient participation in decision\u2010making during nursing care experienced by patients with chronic diseases, family members and nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Focused ethnography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included an 8\u2010month fieldwork in a Chinese hospital. Fieldnotes from 90\u2009h of participant observation and 30 semi\u2010structured interviews (10 nurses, 13 patients, three family members, and four with both patients and family members present) were analysed using reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patient participation in decision\u2010making was facilitated in the form of co\u2010determination, which respected patients' relational autonomy. However, participation required further development or was challenged in the form of unilateral determination, constraining relational autonomy. Interpersonal relationships among nurses, patients and family members played a significant role in promoting patient participation in decision\u2010making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A relational autonomy framework was identified to understand patient participation in decision\u2010making within nursing care. While patient participation is encouraged and autonomy is respected in some situations, paternalistic approaches still persist in clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Enhancing nurses' awareness of involving patients and family members in decision\u2010making is needed. The findings highlight the need for better integration and implementation of existing guidelines to support healthcare staff, patients and family members. They also point to the importance of developing culturally relevant frameworks to promote patient participation in decision\u2010making in nursing care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This research provided insight into the experiences of chronically ill patients, family members and nurses regarding patient participation in decision\u2010making during inpatient nursing care within a non\u2010Western context. Interpersonal dynamics are highlighted as a key element influencing patient participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Methods<\/jats:title>\n                    <jats:p>The study is reported using the COREQ checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70236","type":"journal-article","created":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T06:14:05Z","timestamp":1758348845000},"page":"6401-6415","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Patient Participation in Decision\u2010Making During Nursing Care: A Relational Autonomy Perspective"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2554-0551","authenticated-orcid":false,"given":"Yin","family":"Wang","sequence":"first","affiliation":[{"name":"School of Health in Social Science The University of Edinburgh  Edinburgh UK"},{"name":"School of Nursing Anhui Medical University  Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lissette","family":"Avil\u00e9s","sequence":"additional","affiliation":[{"name":"School of Health in Social Science The University of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin","family":"Chandler","sequence":"additional","affiliation":[{"name":"School of Health in Social Science The University of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643\u2010021\u201001873\u20105"},{"key":"e_1_2_13_3_1","unstructured":"Australian Commission on Safety and Quality in Health Care.2025.\u201cPartnering With Patients in Their Own Care.\u201dhttps:\/\/www.safetyandquality.gov.au\/standards\/nsqhs\u2010standards\/partnering\u2010consumers\u2010standard\/partnering\u2010patients\u2010their\u2010own\u2010care."},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10943\u2010022\u201001506\u20108"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs\u20102020\u2010012786"},{"key":"e_1_2_13_6_1","volume-title":"Symbolic Interactionism: Perspective and Method","author":"Blumer H.","year":"1986"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14087"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13358"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102648.1996.22517.x"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010023\u201001246\u20104"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010021\u201000597\u20100"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733013511362"},{"key":"e_1_2_13_14_1","volume-title":"The Foundations of Social Research: Meaning and Perspective in the Research Process","author":"Crotty M. 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