Co-Producing Evidence-Based Care: Nurses' and Patients' Lived Experiences in Long-Term Condition Management.
Jude Ominyi, Andrew Clifton, Uchenna Chima
PMID 40762408WHAT IT FOUND
Nurses and patients in long-term condition care described co-producing care as relational work.
Trust, time, and respect for lived experience mattered, while short appointments and target chasing made shared decisions harder.
Key findings
01Participants described co-producing care as weaving together clinical guidelines, professional judgement, and patients' lived experience rather than applying evidence as a fixed prescription.
02Trust, empathy, and feeling heard were described as preconditions for shared decision-making, and without them co-production felt shallow or performative.
03Time pressure was a frequently cited barrier to relational care, and patients said feeling rushed discouraged them from raising complex issues.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study included 11 nurses and 9 patients from one geographical area, so the findings are context-bound and should not be generalised to all long-term condition services. This is a qualitative study of experiences, not a test of whether co-producing care improves symptoms, self-management, hospital use, or other patient outcomes. Participants were nurses and patients selected for experience of collaborative care planning, and interviews were conducted in English, so other groups may be underrepresented. The analysis focused on individual and relational accounts, so broader social determinants and organisational structures may not be fully captured.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not read these themes as proof that co-producing care improves long-term condition outcomes. The study reports experiences from a small, single-region sample and does not measure patient results or test an intervention.