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Patients' experiences of communication and involvement in decision-making about atrial fibrillation treatment in consultations with nurses and physicians
Karolinska Inst, Dept Learning Informat Management & Eth LIME, Tomtebodavagen 18a, S-17177 Stockholm, Sweden.;Sophiahemmet Univ, Stockholm, Sweden..
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology.
Jonkoping Acad Qual Improvement & Leadership Hlth, Sch Hlth Sci, Jonkoping, Sweden.;Reg Jonkoping Cty, Ryhov Cty Hosp, Jonkoping, Sweden..
Jonkoping Univ, Dept Nursing Sci, Sch Hlth Sci, Jonkoping, Sweden.;Linkoping Univ Hosp, Dept Clin Neurophysiol, Linkoping, Sweden.;Bergen Univ Coll, Inst Nursing, Fac Hlth & Social Sci, Bergen, Norway..
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2016 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 3, 535-546 p.Article in journal (Refereed) Published
Abstract [en]

Background: Insights in consultations across patient interactions with physicians and nurses are of vital importance for strengthening the patients' involvement in the treatment decision-making process. The experience of involvement and communication in decision-making from the patients' perspective has been sparsely explored.

Objective: To examine how patients describe involvement in and communication about decision-making regarding treatment in consultations with nurses and physicians.

Method: Twenty-two patients with atrial fibrillation (AF), aged 37-90 years, were interviewed directly after their consultations with nurses and physicians in outpatient AF clinics in six Swedish hospitals.

Results: In consultations with nurses, the patients felt involved when obtaining clarifications about AF as a disease and its treatment and when preparing for and building up confidence in decision-making. In consultations with physicians, the patients felt involved when they could cooperate in decision-making, when acquiring knowledge, and when they felt that they were being understood. One shared category was found in consultations with both nurses and physicians, and the patients felt involved when they had a sense of trust and felt secure during and between consultations.

Conclusions: Patients with AF stated that they would need to acquire knowledge and build up confidence and ability in order to be effectively involved in the decision-making about treatment. Despite not being actively involved in decision-making, patients felt involved through experiencing supportive and confirming communication.

Practice implications: Attention must be given to the relationship with the patient to create the conditions for patient involvement in the consultation. This can be achieved through supportive communication attempting to create a feeling of clarity and building confidence. This will support involvement in decision-making concerning AF treatment and feelings of being understood and of trust in physicians and/or nurses.

Place, publisher, year, edition, pages
2016. Vol. 30, no 3, 535-546 p.
Keyword [en]
atrial fibrillation, communication, decision-making, patient involvement, participation, consultation
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-305532DOI: 10.1111/scs.12276ISI: 000383803300012PubMedID: 26709843OAI: oai:DiVA.org:uu-305532DiVA: diva2:1040192
Available from: 2016-10-26 Created: 2016-10-19 Last updated: 2016-10-26Bibliographically approved

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Muhli, Ulla Hellström
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