Evidence map›Paper›PMID 40974071›Full record

ArticleJournal of advanced nursing2026

Patient Participation in Decision-Making During Nursing Care: A Relational Autonomy Perspective.

Yin Wang, Lissette Avilés, Colin Chandler

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Beyond one-size-fits-all: mapping information-seeking and decision-making pathways in cancer care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Yin WangSchool of Health in Social Science, The University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0009-0001-2554-0551
Lissette AvilésSchool of Health in Social Science, The University of Edinburgh, Edinburgh, UK.
Colin ChandlerSchool of Health in Social Science, The University of Edinburgh, Edinburgh, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo explore patient participation in decision-making during nursing care experienced by patients with chronic diseases, family members and nurses.

designFocused ethnography.

methodsThis study included an 8-month fieldwork in a Chinese hospital. Fieldnotes from 90 h of participant observation and 30 semi-structured interviews (10 nurses, 13 patients, three family members, and four with both patients and family members present) were analysed using reflexive thematic analysis.

resultsPatient participation in decision-making was facilitated in the form of co-determination, 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-making.

conclusionA relational autonomy framework was identified to understand patient participation in decision-making within nursing care. While patient participation is encouraged and autonomy is respected in some situations, paternalistic approaches still persist in clinical practice. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Enhancing nurses' awareness of involving patients and family members in decision-making 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-making in nursing care. IMPACT: This research provided insight into the experiences of chronically ill patients, family members and nurses regarding patient participation in decision-making during inpatient nursing care within a non-Western context. Interpersonal dynamics are highlighted as a key element influencing patient participation. REPORTING

methodsThe study is reported using the COREQ checklist. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

Decision MakingFamilyNurse-Patient RelationsNursing CareNursing Staff, HospitalPatient ParticipationRelational AutonomyAdultAgedChinaChronic DiseaseFemaleHumansMaleMiddle AgedPersonal Autonomydecision‐makingpatient autonomypatient engagementpatient involvementpatient participationrelational autonomy

Identifiers

PMID40974071
PMCPMC13176680

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.