How hospitalized older adults share concerns during daily rounds

Autor: Elizabeth Stephens, Kristen E. Pecanac, Emily LeSage
Rok vydání: 2021
Předmět:
Zdroj: Patient Education and Counseling. 104:1652-1658
ISSN: 0738-3991
DOI: 10.1016/j.pec.2020.11.037
Popis: In order to deliver patient-centered care, providers need to elicit and address patient concerns during a hospital stay. Patients have the opportunity to share concerns with providers daily during morning rounds. The purpose of this analysis was to determine how patients raise their concerns during daily rounds with providers. Eleven conversations between providers and older adult patients (age 65 or older) during daily rounds were audio recorded. Data collection occurred in the ICU and on a medical floor of one hospital. Data were analyzed using conversation analysis, a qualitative method, which focuses on the sequence of actions of utterances (not just what is said but how and when it is said). Preliminary analysis shows that, as expected, patients often communicated concerns after providers invited patients to ask questions or share how they were feeling. However, at times patients also took the opportunity to reorient the conversation from the physician’s agenda or concerns to the patient’s own concerns. Patient concerns included physiological issues such as distressing symptoms not yet discussed, but they often involved concerns about when they would go home or if it was expected that they would not return home, where they would go. These findings show that patients are able to communicate their concerns to providers, even when not elicited. Nevertheless, providers may want to address the developing plan for the patient’s discharge daily to demonstrate that they recognize it is a common concern and to help patients understand why uncertainty regarding discharge may exist in their situation.
Databáze: OpenAIRE
Externí odkaz: