Norwegian University of Science and Technology, Norway.
Health (London). 2024 Mar;28(2):313-330. doi: 10.1177/13634593221127819. Epub 2022 Oct 13.
This article explores healthcare professionals' experiences of their work with patient communication in standardised cancer patient pathways (CPPs). The theoretical and methodological framework for this study is institutional ethnography. Data were collected through semi-structured interviews with 72 healthcare professionals, including general practitioners, specialist physicians and other hospital staff, in five Norwegian hospitals. The study reveals four aspects of communication work that illuminate how the CPP policy mediates the way healthcare professionals interact with patients through communicating continuity, communicating (by dodging) the dreaded C-word, communicating patient participation, and communicating the relevance of time. Healthcare professionals' balancing of their different experiential realities run as a common thread through the four aspects of communication work identified in this study. The CPP policy, with its explicit focus on transparency, speed, and time frames creates challenges in an already delicate situation.
本文探讨了医疗保健专业人员在标准化癌症患者路径 (CPP) 中与患者沟通方面的工作经验。本研究的理论和方法框架是制度民族志。数据通过对 72 名医疗保健专业人员（包括全科医生、专科医生和其他医院工作人员）在挪威五家医院进行半结构化访谈收集。研究揭示了沟通工作的四个方面，阐明了 CPP 政策如何通过沟通的连续性、回避可怕的 C 字、沟通患者参与以及沟通时间的相关性来调解医疗保健专业人员与患者互动的方式。医疗保健专业人员平衡不同体验现实的情况贯穿于本研究确定的沟通工作的四个方面。CPP 政策明确关注透明度、速度和时间框架，在已经微妙的情况下带来了挑战。
