A qualitative study of nurse-patient communication and information provision during surgical pre-admission clinics

Roche, Dominic and Jones, Aled ORCID: https://orcid.org/0000-0002-2921-8236 2021. A qualitative study of nurse-patient communication and information provision during surgical pre-admission clinics. Health Expectations 24 (4) , pp. 1357-1386. 10.1111/hex.13270

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Abstract

Background Health-care service users are often being described as ‘co-producers’ with an active role in their care. However, there are challenges associated with this approach, including how standardization affects personalized care, and the ability of patients to retain high volumes of information. Objective Our study explores patient and nursing perspectives of information provision in the pre-admission element of an Enhanced Recovery After Surgery programme, an evidence-based approach implemented to improve the quality of surgical care. Our analysis has been informed by an evidence-based model developed by Grande et al Patient Educ Couns. 2014;95:281. Design/Setting and participants This was a qualitative study including observations of pre-admission clinics and semi-structured interviews across three surgical wards. Patients (n = 21) and registered nurses (n = 21) were purposively selected for interviews. Results Patients welcomed the opportunity for active involvement in their care. However, we also identified informational boundaries and how illness and treatment-related anxieties were barriers to patient engagement with the information provided. Discussion We recommend that to support a patient-centred and individualized approach to patient involvement the ‘information (giving) + activation’ element of Grande et al Patient Educ Couns. 2014;95:281 model be reconfigured to allow for ‘information (giving) + exploration +activation’. Conclusion Nurses need to feel empowered to adopt strategies that allow for different informational needs, rather than adopting a one-size-fits-all paternalistic approach. Patient contribution This study focused on patient involvement and we give thanks to all the patients who took part in interviews and those who allowed us to observe their care.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Additional Information:	This is an open access article under the terms of the Creative Commons Attribution License
Publisher:	Wiley
ISSN:	1369-6513
Date of First Compliant Deposit:	11 June 2021
Date of Acceptance:	15 April 2021
Last Modified:	03 May 2023 14:12
URI:	https://orca.cardiff.ac.uk/id/eprint/141875

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