client participation in care of disabled in victims of traffic accidents: a conceptual analysis

background patient participation in nursing has great application and values the humanarian values of patients. patient participation is an international golden standard in the modern nursing paradigm. despite the importance of patient participation and its routine use in professional care, this concept is not clear, especially in social and cultural context of iranian nursing. this study clarifies the meaning of patient participation and determines its critical attributes for victims of traffic accidents. materials and methods in this study the concept of patient participation was analyzed by using hybrid method in three stages as follows: (1) review of the literature, 103 related articles, available from the google scholar, pubmed, yahoo, and google databases until 2013 analyzed to identify relevant articles with keywords such as “participation in care”, “nursing”, “patient participation”, “victims of traffic accidents”; (2) the field stage, qualitative content analysis was used by interviewing 7 victims of traffic accidents and 3 in field nurses; and (3) in the final stage, an overall analysis done for the previous two stages. findings based on a review of the results of three stages four themes emerged from the concept analysis of participation by victims of traffic accidents as follows: “promoting a sense of responsibility”“, active engagement to return to normal, “providing the field”, and “patient empowerment to improve health”. the concept of traffic accident victims participation is a dynamic process that changes over time and can complement the work of nursing and care providers through facilitating, participation, understanding, and dedicated work. conclusion factors affecting patient participation in treatment decision-making are organizational. knowledge of the patient, and patient willingness to participate in health care that the patient desires are the most important factors in determining participation. in the meantime, this concept is a new and complex one within the context of our nursing, which requires further study of social and cultural context of health care.