develop their skills. The work environment affects both the nurses’ commitment and motivation, especially in times when a full workload is carried.40 DISCUSSION Open communication between everyone on the patient’s team (including the patient themselves) is an essential success factor in achieving a person-centred approach. The review of work routines is required to increase active participation by the patient. The nurses felt bound to rules and regulations. Nurses should not fear scrutiny if rules are overridden or routines changed when the patient participates more actively.26,27 Orthopaedics was a criterion included in our database searches. Unfortunately, this term did not provide any relevant hits together with or without the wound healing process. This finding reveals that patient involvement in orthopaedic nursing care could be interesting to study. The literature review method was chosen for this bachelor’s thesis to obtain more knowledge about the field of patient-centred care and to facilitate planning of follow-up studies at a later stage. Literature review with a systematic approach gives readers the opportunity to decide whether the conclusions are credible. This literature review has both strengths and weaknesses. One of the strengths was that nine of the 15 selected articles were written after 2013, which should increase the reliability of the results obtained. A possible weakness is that this review was written by only one author which, due to a lack of collaboration, may limit processing of the collected material and the opportunity to include all papers in the review. One’s understanding can also affect and shape the outcome. It is difficult to generalise the results presented in this paper, but it can be used as a basis for discussion in one’s healthcare unit. Writing a review also requires different biases to be considered. For example, the studies discussed in these articles were performed in different countries, six from Sweden, five from Australia, one from Canada, USA, and Ireland, and one from Israel. Thus, further discussion could be conducted about whether the healthcare systems in these countries differs and how any differences may affect the results. The concept of person-centred care is based on the patient being an equal partner. This partnership is only achieved if the patient is invited to participate and is given the opportunity to influence their own care. The intention is not for the staff to create something for the patient. Instead the staff should identify and strengthen the resources that exist in the patient.19 Participation, the patient’s autonomy, communication, and the role of the nurse are the basis for person-centred care, which in turn leads to patient involvement. There may be different perceptions between the patient and the nurse regarding the extent of participation, and this may be the reason why the patient sometimes feels dissatisfied with the nursing care received.4 54 journal of the european wound management association 2019 vol 20 no 1 Science, Practice and Education The department’s routines and the nurse’s attitude, communication, and sometimes controlling function reduce the patient’s ability to participate.26,41 Existing routines and the absence of them can both impede a patient’s willingness to participate.26,41,42 Short care times and a shortage of experienced staff can make it difficult to provide individualized care as it is easier to follow standard routines. Today’s rounds system can also prevent patient participation.31 The difficulty of nurses handling confidentiality and sharing confidential information during bedside conversation was highlighted in several articles.28, 30,41 At the same time, conducting bedside conversation provides opportunity to amend any inaccuracies in the patient information.30 This could be remedied by providing more private rooms in the healthcare units and changing work methods. Lack of experienced staff, continuity, and a large workload can lead to less patient participation.36,39 One study also observed that time restrictions limit the possibility of patient participation, which ultimately affects patient safety.42 The same study also showed that the patient’s respect for authority can serve as an