Green, J and Jester, R and McKinley, R and Pooler, A (2013) Nurse-patient consultations in primary care: do patients disclose their concerns? Journal of Wound Care, 22 (10). 534 - 539. ISSN 0969-0700

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Abstract

OBJECTIVE: To quantify the extent to which patients disclose their concerns to community nurses during wound care consultations. METHOD: Using an 'observation checklist' based on themes and subthemes that were identified in a previous study of the same patients, 20 wound care consultations were observed. The non-participant observer completed the checklist and made field notes regarding the context and nature of interactions. RESULTS: Patient participants had 160 opportunities to raise concerns regarding previously-identified pain, exudate and odour, yet they did not do so on 64 (40%) occasions. They had 28, 32 and 84 opportunities to raise emotional, wound care and daily living issues, respectively, and they did not on 16 (56%), 3 (9%) and 32 (38%) occasions. Overall, patients did not raise 38% of their concerns. Of the concerns that were raised, 8% were either not acknowledged or were disregarded by their community nurse. CONCLUSION: If these data are representative, this has profound implications for person-centred care and shared decision-making models of care, which are predicated on patients articulating their needs. They also have implications for the development of practitioners' communication and consulting skills.

Item Type: Article
Uncontrolled Keywords: venous leg ulcers; community; nursing consultations; patient centered care; observation interviews
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine and Health Sciences > Primary Care Health Sciences
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Depositing User: Symplectic
Date Deposited: 13 Jul 2015 10:30
Last Modified: 23 May 2016 11:14
URI: http://eprints.keele.ac.uk/id/eprint/691

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