Getting airtime: Exploring how patients shape the stories they tell health practitioners.
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| Title: | Getting airtime: Exploring how patients shape the stories they tell health practitioners. |
|---|---|
| Authors: | Koopman, Wilma J., LaDonna, Kori A., Anne Kinsella, Elizabeth, Venance, Shannon L., Watling, Christopher J. |
| Source: | Medical Education. Oct2021, Vol. 55 Issue 10, p1142-1151. 10p. |
| Subjects: | Medical quality control, Physician-patient relations, Grounded theory, Research methodology, Professional employee training, Patient-centered care, Interviewing, Patient satisfaction, Patients' attitudes, Descriptive statistics |
| Abstract: | Introduction: Effective communication during health encounters is known to decrease patient complaints, increase patient adherence and optimise health outcomes. While the aim of patient‐centred care is to find common ground, health practitioners tend to drive the encounter, often interrupting patients within the first minute of the clinical conversation. Optimal care for people with chronic illnesses requires individuals to interact with health practitioners regarding their health concerns, but given these constraints, we know little about how patients strategise conversations with their care providers. This understanding may further our efforts to educate health practitioners and trainees to learn and practice patient‐centred care. Methods: A constructivist grounded theory approach with iterative data collection and analysis was used to explore the processes patients use to present and shape their stories for interactions with health practitioners. Twenty‐one patients (n = 16 female; 5 male) representing a variety of chronic illnesses participated in semi‐structured interviews. Using the constant comparative method of analysis, salient themes were ascertained. Results: Patients engage in extensive strategic preparations for productive health encounters. From the data, we identified four related elements comprising patients' process of planning, preparing, and strategising for health encounters: deciding to go, organising to get airtime, rehearsing a game plan, and anticipating external forces. By focusing on the extensive preparatory work patients engage in, our study expands the dimensions of how we understand illness‐related work. Assembling personal health information, gathering disease information and achieving equanimity represent the dimensions of this 'health interaction work'. Conclusion: The work patients engage in for health encounters is noteworthy yet often invisible. And work that is unseen may also be undervalued. Acknowledging, illuminating and valuing patients' preparatory work for health encounters add to how we understand patient‐centred care, and this offers new targets for us to effectively teach and deliver it. The authors explore the notion of 'health interaction work' – the extensive preparatory work in which patients engage to prepare to tell their stories to health practitioners ‐ and its implications for education. [ABSTRACT FROM AUTHOR] |
| Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 152558490 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Getting airtime: Exploring how patients shape the stories they tell health practitioners. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Koopman%2C+Wilma+J%2E%22">Koopman, Wilma J.</searchLink><br /><searchLink fieldCode="AR" term="%22LaDonna%2C+Kori+A%2E%22">LaDonna, Kori A.</searchLink><br /><searchLink fieldCode="AR" term="%22Anne+Kinsella%2C+Elizabeth%22">Anne Kinsella, Elizabeth</searchLink><br /><searchLink fieldCode="AR" term="%22Venance%2C+Shannon+L%2E%22">Venance, Shannon L.</searchLink><br /><searchLink fieldCode="AR" term="%22Watling%2C+Christopher+J%2E%22">Watling, Christopher J.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Medical+Education%22">Medical Education</searchLink>. Oct2021, Vol. 55 Issue 10, p1142-1151. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Medical+quality+control%22">Medical quality control</searchLink><br /><searchLink fieldCode="DE" term="%22Physician-patient+relations%22">Physician-patient relations</searchLink><br /><searchLink fieldCode="DE" term="%22Grounded+theory%22">Grounded theory</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Professional+employee+training%22">Professional employee training</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+satisfaction%22">Patient satisfaction</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Introduction: Effective communication during health encounters is known to decrease patient complaints, increase patient adherence and optimise health outcomes. While the aim of patient‐centred care is to find common ground, health practitioners tend to drive the encounter, often interrupting patients within the first minute of the clinical conversation. Optimal care for people with chronic illnesses requires individuals to interact with health practitioners regarding their health concerns, but given these constraints, we know little about how patients strategise conversations with their care providers. This understanding may further our efforts to educate health practitioners and trainees to learn and practice patient‐centred care. Methods: A constructivist grounded theory approach with iterative data collection and analysis was used to explore the processes patients use to present and shape their stories for interactions with health practitioners. Twenty‐one patients (n = 16 female; 5 male) representing a variety of chronic illnesses participated in semi‐structured interviews. Using the constant comparative method of analysis, salient themes were ascertained. Results: Patients engage in extensive strategic preparations for productive health encounters. From the data, we identified four related elements comprising patients' process of planning, preparing, and strategising for health encounters: deciding to go, organising to get airtime, rehearsing a game plan, and anticipating external forces. By focusing on the extensive preparatory work patients engage in, our study expands the dimensions of how we understand illness‐related work. Assembling personal health information, gathering disease information and achieving equanimity represent the dimensions of this 'health interaction work'. Conclusion: The work patients engage in for health encounters is noteworthy yet often invisible. And work that is unseen may also be undervalued. Acknowledging, illuminating and valuing patients' preparatory work for health encounters add to how we understand patient‐centred care, and this offers new targets for us to effectively teach and deliver it. The authors explore the notion of 'health interaction work' – the extensive preparatory work in which patients engage to prepare to tell their stories to health practitioners ‐ and its implications for education. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/medu.14561 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 1142 Subjects: – SubjectFull: Medical quality control Type: general – SubjectFull: Physician-patient relations Type: general – SubjectFull: Grounded theory Type: general – SubjectFull: Research methodology Type: general – SubjectFull: Professional employee training Type: general – SubjectFull: Patient-centered care Type: general – SubjectFull: Interviewing Type: general – SubjectFull: Patient satisfaction Type: general – SubjectFull: Patients' attitudes Type: general – SubjectFull: Descriptive statistics Type: general Titles: – TitleFull: Getting airtime: Exploring how patients shape the stories they tell health practitioners. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Koopman, Wilma J. – PersonEntity: Name: NameFull: LaDonna, Kori A. – PersonEntity: Name: NameFull: Anne Kinsella, Elizabeth – PersonEntity: Name: NameFull: Venance, Shannon L. – PersonEntity: Name: NameFull: Watling, Christopher J. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 03080110 Numbering: – Type: volume Value: 55 – Type: issue Value: 10 Titles: – TitleFull: Medical Education Type: main |
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