Previous research shows that there are several challenges when the patient perspective is to permeate clinical practice. The present study is part of a larger research project in Sweden where researchers together in cooperation with a geriatric ward are developing forms for care based on the lifeworld perspective with the patient’s story in focus. The hierarchical structure of the health care sector along with the exposure of the patient role means that in many situations, the patient is assigned a passive role in care – especially the older ones. By tradition, the round is the time for crucial decisions that concern the patient’s care. Also in other ways, the round mirrors the hierarchical care structure. Thus, the studied phenomenon is as follows: How nurses experience patient involvement in care with a specific focus on the round. The preliminary results of the study show that through his/her approach, the nurse can either support patient participation or confirm prevailing hierarchical traditions where the patient is subordinated. Patients’ lived experiences of being involved in care will be described in a future study. In extent, the study can contribute to new knowledge about the phenomenon, Patient involvement in care with a specific focus on the round, both from a nurse and patient perspective, as well as give an insight to the use of phenomenological lifeworld research in a cooperation project between clinical caregivers and researchers.