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Clinical Nursing Research
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Negotiated and Nonnegotiated Nurse-Patient Interactions

Enhancing Perceptions of Empowerment

Susan Jo Roberts

Northeastern University

Helene J. Krouse

Consultant, Ormond Beach, Florida

Paula Michaud

Boston College School of Nursing

Ninety-eight students with upper respiratory symptoms participated in a study to determine differences in patient perceptions of two types of nurse-patient interactive styles. Subjects participated in either an actively negotiated process of decision making (n = 53) or a nonnegotiated approach (n = 45) with a nurse. Findings revealed that subjects in the negotiated group perceived significantly greater feelings of control and power in the nurse-patient relationship than did the nonnegotiated group. No significant correlations were found between motivation and patient perceptions of the interaction. Study results demonstrate that nurses can engage in an active negotiation process with patients and strongly influence feelings of control in decision making.

Clinical Nursing Research, Vol. 4, No. 1, 67-77 (1995)
DOI: 10.1177/105477389500400107


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