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Communication durin...
Communication during the initial visit to a CPAP clinic : Practitioners' experiences of facilitators and barriers when talking to patients with obstructive sleep apnea
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- Broström, Anders (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,HHJ. ADULT,Region Östergötland, Neurofysiologiska kliniken US,Jonkoping Univ, Sweden
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- Fridlund, Bengt (författare)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Ctr Interprofess Collaborat Emergency Care CICE,Centre for Interprofessional Collaboration within Emergency care (CICE), Linnaeus University, Växjö, Sweden,Linnaeus Univ, Sweden
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- Fossum, Bjöörn (författare)
- Sophiahemmet Högskola,Sophiahemmet Univ, Sweden; Soder Sjukhuset, Sweden
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- Pakpour, Amir H. (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran,Jonkoping Univ, Sweden; Qazvin Univ Med Sci, Iran
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- Nilsen, Per (författare)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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- Ulander, Martin (författare)
- Linköpings universitet,Avdelningen för neurobiologi,Medicinska fakulteten,Region Östergötland, Neurofysiologiska kliniken US
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(creator_code:org_t)
- 2020-12-13
- 2021
- Engelska.
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Ingår i: Journal of Sleep Research. - : John Wiley & Sons. - 0962-1105 .- 1365-2869. ; 30:4
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Abstract
Ämnesord
Stäng
- Adherence to continuous positive airway pressure treatment for obstructive sleep apnea tends to be poor. Communication influences adherence but has not previously been investigated from a practitioner perspective, although shared decision-making is known to be of great importance. The aim was to describe how practitioners experience communication with patients with obstructive sleep apnea during the initial visit at a continuous positive airway pressure treatment clinic, with focus on facilitators and barriers related to the 4 Habits Model, a communication model comprised of four types of interrelated skills to make encounters more patient-centred: investing in the beginning; exploring the patient perspective; showing empathy; and investing in the end. A descriptive design with qualitative content analysis was used. A deductive analysis was carried out based on interviews with 24 strategically selected practitioners from seven continuous positive airway pressure treatment clinics. The 4 Habits Model was used as a framework for identifying facilitators and barriers to communication. Investments in the beginning was described as creating contact, showing the agenda and being adaptive, while explore the patient perspective included showing awareness, being explorative and creating a participating climate. Show empathy consisted of showing openness, being confirmative and creating acceptance, while showing a structured follow-up plan, being open minded and invitational and creating motivation to build on were descriptions of invest in the end. Awareness of potential facilitators and barriers for patient-centred communication during the beginning, middle and end of a continuous positive airway pressure treatment consultation can be used to improve contextual conditions and personal communication competences among practitioners working with continuous positive airway pressure treatment initiation.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)
Nyckelord
- adherence
- communication
- continuous positive airway pressure
- obstructive sleep apnea
- shared decision‐
- making
- Vårdvetenskap
- Caring Science
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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