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Defining patient communication needs during hospitalization to improve patient experience and health literacy

BACKGROUND: In order to play an active role in their health care, patients need information and motivation. Current delivery systems limit patients’ involvement because they do not routinely provide them with enough details of their own clinical results, conditions and other important clinical data....

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Autores principales: Marca-Frances, Guillem, Frigola-Reig, Joan, Menéndez-Signorini, Jesica A., Compte-Pujol, Marc, Massana-Morera, Eulàlia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035644/
https://www.ncbi.nlm.nih.gov/pubmed/32085777
http://dx.doi.org/10.1186/s12913-020-4991-3
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author Marca-Frances, Guillem
Frigola-Reig, Joan
Menéndez-Signorini, Jesica A.
Compte-Pujol, Marc
Massana-Morera, Eulàlia
author_facet Marca-Frances, Guillem
Frigola-Reig, Joan
Menéndez-Signorini, Jesica A.
Compte-Pujol, Marc
Massana-Morera, Eulàlia
author_sort Marca-Frances, Guillem
collection PubMed
description BACKGROUND: In order to play an active role in their health care, patients need information and motivation. Current delivery systems limit patients’ involvement because they do not routinely provide them with enough details of their own clinical results, conditions and other important clinical data. The purpose of this study was to identify, from the perspective of patients, which topics matter the most, who should be communicating them, and when and how should they be provided. METHODS: We conducted a qualitative, phenomenological study analysing the content of subjective experiences, feelings and behaviours. We organized two focus groups with 13 participants and 15 in-depth interviews. Transcripts of the focus groups and interviews were checked for accuracy and then entered into Atlas ti™ v7.5.13 qualitative software. Two independent researchers performed a qualitative inductive content analysis to classify the data in two levels: themes and categories. RESULTS: The qualitative analysis provided 377 units of meaning synthesized into 22 categories and six themes: hospitalization procedure, Health Literacy relating to the patient’s condition, information content, satisfaction, professional-patient relationship, and patient proactivity. Patients described which information they wished for, when they needed it, and who would provide it, usually related to actions such as admission, discharge or diagnostic tests. Oral information was more difficult to comprehend than the written kind, as patients can check written information several times if needed. Nurses were the most available professionals, and patients found easier to relate to them and ask them questions. Moreover, patients identified physicians as those professionals responsible for providing clinical information. CONCLUSIONS: Our results showed that patients suffered from poor Health Literacy regarding their personal condition, as they were unable to describe the symptoms, the type of tests being performed or their results, and some of them also had difficulties in naming the specific disease or comorbidities they had. During the hospitalization process, patients were in good shape to come with doubts and actively asked for more information. Healthcare organizations and professionals were offered the chance to ensure the correct communication and comprehension to their patients.
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spelling pubmed-70356442020-02-27 Defining patient communication needs during hospitalization to improve patient experience and health literacy Marca-Frances, Guillem Frigola-Reig, Joan Menéndez-Signorini, Jesica A. Compte-Pujol, Marc Massana-Morera, Eulàlia BMC Health Serv Res Research Article BACKGROUND: In order to play an active role in their health care, patients need information and motivation. Current delivery systems limit patients’ involvement because they do not routinely provide them with enough details of their own clinical results, conditions and other important clinical data. The purpose of this study was to identify, from the perspective of patients, which topics matter the most, who should be communicating them, and when and how should they be provided. METHODS: We conducted a qualitative, phenomenological study analysing the content of subjective experiences, feelings and behaviours. We organized two focus groups with 13 participants and 15 in-depth interviews. Transcripts of the focus groups and interviews were checked for accuracy and then entered into Atlas ti™ v7.5.13 qualitative software. Two independent researchers performed a qualitative inductive content analysis to classify the data in two levels: themes and categories. RESULTS: The qualitative analysis provided 377 units of meaning synthesized into 22 categories and six themes: hospitalization procedure, Health Literacy relating to the patient’s condition, information content, satisfaction, professional-patient relationship, and patient proactivity. Patients described which information they wished for, when they needed it, and who would provide it, usually related to actions such as admission, discharge or diagnostic tests. Oral information was more difficult to comprehend than the written kind, as patients can check written information several times if needed. Nurses were the most available professionals, and patients found easier to relate to them and ask them questions. Moreover, patients identified physicians as those professionals responsible for providing clinical information. CONCLUSIONS: Our results showed that patients suffered from poor Health Literacy regarding their personal condition, as they were unable to describe the symptoms, the type of tests being performed or their results, and some of them also had difficulties in naming the specific disease or comorbidities they had. During the hospitalization process, patients were in good shape to come with doubts and actively asked for more information. Healthcare organizations and professionals were offered the chance to ensure the correct communication and comprehension to their patients. BioMed Central 2020-02-21 /pmc/articles/PMC7035644/ /pubmed/32085777 http://dx.doi.org/10.1186/s12913-020-4991-3 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Marca-Frances, Guillem
Frigola-Reig, Joan
Menéndez-Signorini, Jesica A.
Compte-Pujol, Marc
Massana-Morera, Eulàlia
Defining patient communication needs during hospitalization to improve patient experience and health literacy
title Defining patient communication needs during hospitalization to improve patient experience and health literacy
title_full Defining patient communication needs during hospitalization to improve patient experience and health literacy
title_fullStr Defining patient communication needs during hospitalization to improve patient experience and health literacy
title_full_unstemmed Defining patient communication needs during hospitalization to improve patient experience and health literacy
title_short Defining patient communication needs during hospitalization to improve patient experience and health literacy
title_sort defining patient communication needs during hospitalization to improve patient experience and health literacy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035644/
https://www.ncbi.nlm.nih.gov/pubmed/32085777
http://dx.doi.org/10.1186/s12913-020-4991-3
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