Table 7 Major themes identified by physicians and nurses for patients’ engagement in care plan

Subcategory:

Subcategory:

 - Establish rapport and interaction with a health professional:

▪ Patient preferences and values

Quotations:

Quotations:

 - “Creating an environment of the mutual report will facilitate the communication between patients and healthcare providers.”

 - “therapeutic communication and trust.”

 - “speaking patients’ mother language will foster the interaction.”

- “Identify and acknowledge patients values about his/her willingness to be involved or not, and how to share information with them.”

- “The concept of family-centered decision making interact with patients’ autonomy.”

- “Knowledge of male custody.”

▪ Understand health care condition/problem:

▪ Concepts combine a patients’ knowledge, skills, and ability

Quotations:

Quotations:

 - “Involve patients and their family in family meetings.”

 - “providing medical reports”

 - “Explain and update patients about any improvement or deterioration in his/her health.”

- “The patients telling us, I do not want to know more, contact my family.”

- “Our patients have recurrent brain strokes, and another neurological disease, etc. moreover, this constrains their ability to optimize their engagement.”

▪ Eliminate barriers:

Quotations:

 - “Reduce nurse to patient ratio to provide more time for interaction and engagement.”

 - “Enhance expatriate physicians and nurses Arabic language to make patients’ engagement more interactive.”

+ Category: Education and empowerment

+ Category: Self-management

Subcategory:

Subcategory:

 ▪ Self-motivation and respect differences

Quotations:

- “Patients request to restore their functional activities.”

- “Enabling patients with the skills to manage their daily activities.”

Quotations:

 - “Engagement reflected by high satisfaction.”

 - “Patients’ engagement motivates them to adhere to the care plan.”

 - “Self-monitoring and understanding.”

 - “Respect differences in age, gender and education levels.”

 ▪ Self-direction of daily care activities

Quotations:

 - “Involve patients in rehabilitation programs.”

 - “Empower patients to be self-dependents.”

 ▪ Emotional support:

Quotations:

 - “Emotional and intellectual support for patients to manage their disabilities.”

 - “Play the role of patients advocate.”

- “Respect.”

 ▪ Dedication to and adherence to care plan:

Quotations:

 - “Involve patients in the care plan.”

 - “Patients should participate in the formatting of the care plan.”