Hawkins Rachel L, Bull Eleanor
Manchester Metropolitan University, UK.
The University of Sheffield, UK.
Health Psychol Open. 2024 May 22;11:20551029241257782. doi: 10.1177/20551029241257782. eCollection 2024 Jan-Dec.
This qualitative study conceptualised effective communication behaviours of healthcare professionals (gastroenterologists, surgeons, nurses, and general practitioners) and explored communication barriers and facilitators from the perspective of adults with Inflammatory Bowel Disease (IBD). Seventeen qualitative interviews were conducted with people living with IBD in the UK or USA ( = 17) and their spouses ( = 4). An inductive content analysis was firstly applied to participants' accounts to define which healthcare professionals' behaviours and skills were perceived as essential for effective communication. An inductive reflexive thematic analysis elucidated themes of perceived barriers and facilitators experienced when communicating with their IBD healthcare professionals. Thirty-three provider communication behaviours were grouped into nine healthcare professional skills. Five themes encompassed 11 barriers and facilitators: professionals' knowledge and behaviour, unequal power, patient navigation skills, time constraints and demand, and continuity and collaboration of care. For patients and some spouses, enhancing communication in IBD services means increasing patient, family, and health professional knowledge, encouraging collaborative partnership working, and promoting healthcare professional skills to communicate effectively within the reality of time restraints.
这项定性研究对医疗保健专业人员(胃肠病学家、外科医生、护士和全科医生)的有效沟通行为进行了概念化,并从炎症性肠病(IBD)成年患者的角度探讨了沟通障碍和促进因素。对英国或美国的17名IBD患者(n = 17)及其配偶(n = 4)进行了17次定性访谈。首先对参与者的叙述进行归纳式内容分析,以确定哪些医疗保健专业人员的行为和技能被认为对有效沟通至关重要。归纳式反思主题分析阐明了与IBD医疗保健专业人员沟通时所经历的感知障碍和促进因素的主题。33种提供者沟通行为被归纳为9种医疗保健专业技能。五个主题涵盖了11个障碍和促进因素:专业人员的知识和行为、权力不平等问题、患者引导技能、时间限制和需求以及护理的连续性和协作性。对于患者和一些配偶而言,改善IBD服务中的沟通意味着增加患者、家庭和医疗保健专业人员的知识,鼓励建立合作性伙伴关系,并在时间限制的现实情况下提升医疗保健专业人员的有效沟通技能。