RT Article T1 Patient involvement and institutional logics: A discussion paper JF Nursing philosophy VO 20 IS 2 SP 1 OP 8 A1 Beedholm, Kirsten A2 Frederiksen, Kirsten LA English YR 2019 UL https://ixtheo.de/Record/1925651444 AB The research into patient involvement is seldom concerned with the significance of cultural and structural factors. In this discussion paper, we illustrate our considerations on some of the challenges in implementing the ideal of patient involvement by showing how such factors take part in shaping the ways in which the intentions to involve patients are converted to practical interventions. The aim was to contribute to the approach dealing with contextual and structural factors of significance for patient involvement. With the idea of "institutional logics," borrowed from the Danish scholar, Erik Riiskjær, we first demonstrate, with examples from our own research, how patient involvement is interpreted differently within the different logics. Then, we show how the different interpretations of patient involvement meet and conflict in mutual competition as the ideals are sought to be converted to practical interventions. At last, we argue that an adequate theoretical model for the development in the future health care system should be expanded with a "patient logic." K1 health service K1 Hospital K1 Institutional logics K1 patient involvement DO 10.1111/nup.12234