obstacle to many patients’ involvement in their care and treatment. Involving the patient at a round creates opportunities for improved communication, teamwork, and reduced hierarchy.31 Creating opportunities within the healthcare organisation for professionals to work toward a person-centred approach by educating nurses in communication strategies will promote participation.26 Discussing person-centred care at all levels of the organisation as a measure of patient safety30 can be a winning concept for increased participation and opportunities. The importance of partnership and competent staff in creating security, and therefore patient participation, is important.39 An educational, supportive working model with reflection and supervision is a prerequisite for nurses to implement new approaches for increased patient participation.37 CONCLUSION Person-centred care requires a new mindset to let the patient play a more active role. There are many factors that influence the opportunity for patient participation in daily care, from the healthcare organisation in the ward and its leadership to the work environment for nurses in the healthcare sector. Both verbal and non-verbal communication between patients and nurses are as important as communication between all healthcare professionals. However, the fear that nurses feel when overriding rules or adjusting routines to allow patients to participate can hinder person-centred care from being fully implemented. This student essay can make a difference by helping to elucidate the fact that in-depth research is needed within a specific area of orthopaedic patient care. It also shows the importance of taking a critical approach when evaluating published studies. Equally important is the fact that care must rest on the best scientific research available. Wounds are treated in all fields of healthcare, especially in orthopaedic care. It is not only surgical wounds but also hardto-heal wounds after trauma and infections. Diabetic foot ulcers also occur. Those in need of wound healing are both young and old. Because wounds and people vary greatly, it is even more important to find working methods that involve the patient in an optimal and natural way. The wound healing process often requires patient involvement. They need to know when to contact their healthcare team if something is not right with the healing process. m AUTHORS AIM TITLE METHODS RESULTS QUALITY/ YEAR TYPE OF COUNTRY STUDY. Framework for the review, including quality control. Tobiano, Bucknall, Marshall, Guinane, Chaboyer 2015 Australia To explore nurses’ views on patient participation in nursing care. The objectives of this study were to investigate nurses’ understanding of patient participation, and the barriers and facilitators to it. Nurses’ view of patient participating in nursing care Interpretive study In-depth semistructured interviews were conducted and analysed using content analysis. Five categories emerged I/K from the nurses’ views. Nurses play a crucial role in promoting patient participation. Nurses felt limited by rules, perceptions of maintaining safety, and patient characteristics when attempting to enact participation. journal of the european wound management association 2019 vol 20 no 1 55 AUTHORS AIM TITLE METHODS RESULTS QUALITY/ YEAR TYPE OF COUNTRY STUDY Table 4/1. Framework for the review, including quality control. Svanström, Andersson, Rosén, Berglund 2016 Sverige Sharp, McAllister, Broadbent 2016 Australia Abdelhadi, DrachZahavy 2011 Israel Alharbi, Carlström, Ekman, Jarneborn, Olsson 2014 Sweden To describe experiences of implementing a process based on a learning support model designed to increase patient involvement and autonomy in care. To examine and understand the unique and particular experiences of a group of former patients’ participating in personcentred care. To test a model that suggests the ward’s climate of service facilitates nurses’ patient-centred care behaviours through its effect on nurses’ engagement. To investigate whether patients did in fact perceive the intentions of partnership in the new care model 1 year after its implementation. Moving from theory to