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Communication between patients with obstructive sleep apnoea syndrome and healthcare personnel during the initial visit to a continuous positive airway pressure clinic
Communication between patients with obstructive sleep apnoea syndrome and healthcare personnel during the initial visit to a continuous positive airway pressure clinic
- Source :
- Journal of Clinical Nursing. 26:568-577
- Publication Year :
- 2016
- Publisher :
- Wiley, 2016.
-
Abstract
- To describe facilitators and barriers from a patient perspective in communications between patients with obstructive sleep apnoea syndrome and healthcare personnel during the first meeting when continuous positive airway pressure is initiated.Adherence to continuous positive airway pressure treatment tends to be poor, especially at the initial phase of treatment. Communication between the patient and healthcare personnel has not been studied from the patient perspective, as either a barrier or facilitator for adherence.A descriptive design using qualitative content analysis was used. Interviews with 25 patients with obstructive sleep apnoea syndrome took place after their initial visit at four continuous positive airway pressure clinics. A deductive analysis based on The 4 Habits Model (i.e. emphasise the importance of investing in the beginning of the consultation, elicit the patient's perspective, demonstrate empathy and invest in the end of the consultation) was conducted.Building confidence (i.e. structure building, information transfer, commitment) or hindering confidence (i.e. organisational insufficiency, stress behaviour, interaction deficit) was associated with investing in the beginning. Motivating (i.e. situational insight, knowledge transfer, practical training) or demotivating (i.e. expectations, dominance and power asymmetry, barriers) was associated with eliciting the patient's perspective. Building hope (i.e. awareness, sensitivity, demonstration of understanding) or hindering hope (i.e. unprepared, uncommitted, incomprehension) was associated with showing empathy. Agreement (i.e. confirmation, responsibilities, comprehensive information) or disagreement (i.e. structural obscurity, irresponsibility, absent-mindedness) was associated with investing in the end.Understanding of facilitators and barriers, as described by patients, can be used to improve contextual conditions and communication skills among healthcare personnel.A patient-centred communication technique should be used in relation to all stages of The 4 Habits Model to facilitate shared decision-making and improve adherence to continuous positive airway pressure treatment.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
03 medical and health sciences
0302 clinical medicine
Patient Education as Topic
Initial visit
Health care
Humans
Medicine
030212 general & internal medicine
Continuous positive airway pressure
General Nursing
Obstructive sleep apnoea syndrome
Sweden
Physician-Patient Relations
Sleep Apnea, Obstructive
Continuous Positive Airway Pressure
business.industry
Perspective (graphical)
General Medicine
Middle Aged
medicine.disease
Obstructive sleep apnea
Patient Satisfaction
Emergency medicine
Physical therapy
Female
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 09621067
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Nursing
- Accession number :
- edsair.doi.dedup.....bf01aae1b71e7bef9d44193d010dd31b
- Full Text :
- https://doi.org/10.1111/jocn.13592