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“Delivering knowledge and advice”: Healthcare providers’ experiences of their interaction with patients’ management of rheumatoid arthritis
School of Health Sciences, Jönköping University, Jönköping, Sweden.
Spenshult Hosp, Ctr Res & Dev, Oskarstrom, Sweden .
School of Health Sciences, Jönköping University, Jönköping, Sweden.
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
2011 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 4, article id 8473Article in journal (Refereed) Published
Abstract [en]

Rheumatic diseases are often chronic and involve a lifetime of suffering. The focus of rheumatology care is to support patients to manage their lives and master their disease. Healthcare providers and patients have different views on the consequences of living with rheumatic diseases and patients are reporting unmet healthcare needs. There is a need to integrate providers’ perspective to develop the quality of rheumatology care. The aim was to explore healthcare providers’ experiences of their interaction with patients in their management of RA. Interviews with 18 providers from different clinical settings were analysed in accordance with the grounded theory method. A core category; Delivering knowledge and advice was found to be the most important task and involved providing the patient with information about the disease and appropriate forms of treatment. Healthcare providers’ attitudes and patients’ responses influenced the outcome of the delivery of knowledge and advice and three dimensions emerged; completed delivery, adjusted delivery and failed delivery. There were differences in the providers’ experiences in their interaction with patients as well as in reflections on their role as the delivering part. There could be difficulties in the interaction when patients’ expectations and preferences were not taken into account when giving advice. These findings highlight the importance of developing rheumatology care, as no provider or patient benefits if the delivery of knowledge and advice becomes a failed delivery. The healthcare organization must acknowledge the difficulties involved in the interaction with patients in their management of RA and find methods to develop a more person-centred approach to care.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2011. Vol. 6, no 4, article id 8473
Keywords [en]
grounded theory, healthcare provider, interaction, nursing, patient interaction, rheumatoid arthritis
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-16845DOI: 10.3402/qhw.v6i4.8473ISI: 000297856100011PubMedID: 22053161Scopus ID: 2-s2.0-84856453914OAI: oai:DiVA.org:hh-16845DiVA, id: diva2:471126
Available from: 2012-01-01 Created: 2012-01-01 Last updated: 2020-05-06Bibliographically approved

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Bergman, StefanFridlund, BengtArvidsson, Barbro

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