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Table 7 Major themes identified by physicians and nurses for patients’ engagement in care plan

From: Patient experiences of engagement with care plans and healthcare professionals’ perceptions of that engagement

+ Category: Access + Category: Knowledge
Subcategory: Subcategory:
 - Establish rapport and interaction with a health professional: ▪ Patient preferences and values
Quotations: Quotations:
 - “Creating an environment of the mutual report will facilitate the communication between patients and healthcare providers.”  - “therapeutic communication and trust.”  - “speaking patients’ mother language will foster the interaction.” - “Identify and acknowledge patients values about his/her willingness to be involved or not, and how to share information with them.” - “The concept of family-centered decision making interact with patients’ autonomy.” - “Knowledge of male custody.”
▪ Understand health care condition/problem: ▪ Concepts combine a patients’ knowledge, skills, and ability
Quotations: Quotations:
 - “Involve patients and their family in family meetings.”  - “providing medical reports”  - “Explain and update patients about any improvement or deterioration in his/her health.” - “The patients telling us, I do not want to know more, contact my family.” - “Our patients have recurrent brain strokes, and another neurological disease, etc. moreover, this constrains their ability to optimize their engagement.”
▪ Eliminate barriers:
Quotations:
 - “Reduce nurse to patient ratio to provide more time for interaction and engagement.”  - “Enhance expatriate physicians and nurses Arabic language to make patients’ engagement more interactive.”
+ Category: Education and empowerment + Category: Self-management
Subcategory: Subcategory:
 ▪ Self-motivation and respect differences Quotations: - “Patients request to restore their functional activities.” - “Enabling patients with the skills to manage their daily activities.”
Quotations:
 - “Engagement reflected by high satisfaction.”  - “Patients’ engagement motivates them to adhere to the care plan.”  - “Self-monitoring and understanding.”  - “Respect differences in age, gender and education levels.”
 ▪ Self-direction of daily care activities
Quotations:
 - “Involve patients in rehabilitation programs.”  - “Empower patients to be self-dependents.”
 ▪ Emotional support:
Quotations:
 - “Emotional and intellectual support for patients to manage their disabilities.”  - “Play the role of patients advocate.” - “Respect.”
 ▪ Dedication to and adherence to care plan:
Quotations:
 - “Involve patients in the care plan.”  - “Patients should participate in the formatting of the care plan.”
+ Category: Facility
Subcategory:
Quotations
 - “Access to the available opportunities to engage in patients’ healthy activities.”  - Provide the patients with the Supportive environments to comply with healthy behaviors.
“Conduct campaigns about patient’s engagement”.