The Open Nursing Journal

ISSN: 1874-4346 ― Volume 14, 2020

Exploring the Meaning of Coproduction as Described by Patients After Spinal Surgery Interventions

Christina Petersson1, *, Paul Batalden2, Peter Fritzell3, Sanna Borst4, Berith Hedberg5
1 Department of Nursing, School of Health and Welfare, Jönköping University, Sweden. IMPROVE research group, at the Academy for Improvement of Health and Welfare, Jönköping University, Sweden
2 Dartmouth Institute, Geisel School of Medicine at Dartmouth, US. Senior Fellow, Institute for Healthcare Improvement; Adjunct Professor, Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Sweden; Chair, Improvement Science Development Group, The Health Foundation, UK
3 Futurum Academy for Health and Care, Region Jönköping County, Jönköping, Sweden; Department of Orthopedic Surgery, Capio St Göran, Stockholm, Sweden
4 Department of Radiology at the Region County of Jönköping, Sweden
5 IMPROVE research group at the Academy for Improvement of Health and Welfare, Jönköping University, Sweden; Futurum, Academy for Health and Care, Region Jönköping County, Jönköping, Sweden



In the procedures of surgical pathways it is important to create opportunities for developing active forms of engagement and extending the patients’ health maintenance knowledge, which is essential in nursing. One way is to understand more about the concept of coproduction.


The purpose was to use experiences from spinal surgery patients’ narratives to explore the conceptual model of healthcare service coproduction.


A prospective qualitative explorative approach was performed and analyzed in two phases with inductive and deductive content analysis of data retrieved from five focus group interviews of 25 patients with experiences from spinal surgery interventions.


The findings indicate that mutual trust and respect, as well as guidance given in dialogue, are two important domains. An illustration of how to apply the conceptual model of healthcare service coproduction was revealed in the descriptions of the three core concepts co-planning, co-execution and civil discourse.


This study highlights what is needed to reach coproduction in healthcare services concerning patients with spinal disorders. Development of care plans that focuses on co-planning and co-execution is recommended which are structured and customizable for each patient situation to make coproduction to occur.

Keywords: Coproduction, Focus-group interviews, Healthcare service, Qualitative methods, Spinal surgery, Common spine.

Article Information

Identifiers and Pagination:

Year: 2019
Volume: 13
First Page: 85
Last Page: 91
Publisher Id: TONURSJ-13-85
DOI: 10.2174/1874434601913010085

Article History:

Received Date: 9/11/2018
Revision Received Date: 28/01/2019
Acceptance Date: 15/02/2019
Electronic publication date: 15/03/2019
Collection year: 2019

© 2019 Petersson et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: ( This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Nursing, School of Health and Welfare, Jönköping University, Sweden; IMPROVE research group, at the Academy for Improvement of Health and Welfare, Jönköping University, Sweden; Tel: +4636101969; E-mail:


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