Factors Influencing a Patient's Participation and Decision-Making in Surgical Nursing: a Study in Finland and India

Abstract

Relevance of the study: There are some influencing factors that may influence the patient for participation and decision-making in surgical treatment. Influencing factors of the patient also influence their feelings, moods, and situations for decision-making. It can be many types of influencing factors that are a barrier to making decisions and participations by patients and nurses in surgical nursing. So, it is important to analyze “what factors may influence a patient’s participation and decision making. There are few studies regarding patient influencing factors and patient participation, but those studies did not compare into two nations in Finland and India. Aim of the study: The purpose of my thesis is to assess and evaluate the factors which are influencing a patient’s participations and decision-making in surgical nursing. Objective of the study: 1. To describe the factors influence a patient’s participation and decision making using the literature. 2. To compare biological and psychological factors influencing a patient’s participation and decision making in surgical nursing in Finland and India. 3. To access the social cultural, environmental and political economic factors influencing a patient’s participation and decision making. 4. To evaluate which factors more influencing a patient’s participation and decision making in surgical nursing. Method: A quantitative method used to collect the survey results. 34 Indian nurses and 31 Finnish nurses was participated in the survey. Collected data from pre questionaries’ and Webropol 3.0 (Suomi) survey. Conclusions: The main results from five classifications of variables developed that influence a patient’s participation in decision making. These factors are Biological, E.g. age and sex, Psychological, e.g. Religious life, beliefs, understanding, social culture, e.g. ethics, culture differences, philosophy, religion Environmental, e.g. including natural resources, Home environment, atmosphere and Political economical, E.g. Income, job, insurance policies etc. Patients may play an important role in improving him/her health and can contribute him/her participation in decision-making together in their health care and with health professionals. Nevertheless, there is a lack exact of information including communication about the task to which patients go up against such a participation. In order to stimulate patient participation in decision-making first we need to assess to figure out what factor influencing his/her participation in decision-making and how we can promote for patient's good participation. Changing the way of counselling, giving education to patient and nurse’s education may be good progress in the participation and can get a positive response from the patient in participation. A country health policy, quality assure human health may make better patient health and helpful to remove influence factors. Scope of the thesis: The paper structured with 58 numeric numbers pages, 7 table, 13 figures, 75 sources of references.