the experience of health-related illness is therefore unique. The patient is always at the centre and it is important to build a relationship from the beginning to meet the patient’s needs. Travelbee and person-centred care are thus aligned on the need for the patient story. The nurse must be committed to taking the time to understand the needs of the patient. An important part of nursing care is effective communication to increase the interaction between nurse and patient.20 The key to following and finding meaning in the patient’s story is understanding both verbal and non-verbal communication.21 All people are unique and have the right to good health regardless of their abilities and resources. Therefore, it is essential to study the obstacles and opportunities that can affect the patient’s involvement from a nursing perspective in the field of orthopaedics. METHODS Student papers can make differences and contribute to the implementation of more in-depth research within the chosen area. To cover the current research field, online databases such as PubMed and Cinahl were used. Both qualitative and quantitative research were included in the content analysis22 to help answer the research question. Research articles in languages other than English 50 journal of the european wound management association 2019 vol 20 no 1 and Swedish were excluded due to translation issues. The search strategy did not impose any language limitations. Data Gathering The literature research began with a manual search strategy to obtain an understanding of the current area. The review question was identified using keywords and a combination of keywords with AND, OR, and NOT. The keywords Patient participation, Patient-centred care, Nurse-patient relations, Nurse’s role, and Orthopaedics were combined with Communication barriers and obstacles. The search was conducted with the consultation of an expert librarian, and papers published from 2007 to 2017 were collected. The search strategy and results of different phases and combinations of the systematic review are presented in Tables 1 and 2. Inclusion criteria were focused on articles where the survey group consisted of people over 18 years of age and when patient engagement was combined with orthopaedic care and nursing involvement. Unfortunately, orthopaedic care did not give any relevant results, so the search was broadened to acute care. Each phase of the systematic review was conducted by the author. The first step involved selecting the papers to include in the review. The second step was appraising the methodological quality of the included papers followed by extracting data from the papers. Finally, a synthesis of the papers was prepared for presenting the findings. These different steps were described in the literature by Caldwell.22 The articles were checked for quality using criteria developed on a scorecard as published previously.23,24 Fifteen papers met the quality criteria and were included in the final analysis. ANALYSIS To create the summary, the selected articles were tabulated to facilitate overview and formulate conclusions.22, 25 Data were classified, and significant information was marked in color to organise the data into groups. Then the similarities and differences were identified and grouped into different themes, categories, and codes.22,25 Two themes were identified: obstacles and opportunities for patient participation. Three categories were identified: communication between the nurse and patient, working methods Science, Practice and Education DATABASE KEYWORDS HITS ABSTRACTS ARTICLE(S) DATE AND COMBINATIONS READ INCLUDED PubMed Patient Participation and Patient-Centred Care 99 20 7 171129 AND Nurse-Patient Relations AND/OR Nurse’s Role PubMed Patient Participation AND Patient-Centred Care 88 10 0 171129 AND Nurse’s Role PubMed Patient Participation and Patient-Centred Care 25 4 1 171129 AND Nurse-Patient Relations AND/OR Nurse’s Role AND/OR Communication Barriers AND/ OR Hinders CIHNAL Participation and Orthopaedics and Patient 127 (126 10 (1 – same as 171205 unique) in Pubmed) CIHNAL Participation and Person-Centred and Patient 82 (80 10 (2 – same as