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Perceptions of the medical relevance of patients` stories of painful and adverse life experiences: a focus group study among Norwegian General Practitioners

PURPOSE: Adverse life experiences increase the risk of health problems. Little is known about General Practitioners’ (GPs') thoughts, clinical concepts, and work patterns related to eliciting, including, or excluding their patients’ stories of painful and adverse life experiences. We wanted to...

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Autores principales: Rønneberg, Marianne, Mjølstad, Bente Prytz, Hvas, Lotte, Getz, Linn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9397424/
https://www.ncbi.nlm.nih.gov/pubmed/35983640
http://dx.doi.org/10.1080/17482631.2022.2108560
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author Rønneberg, Marianne
Mjølstad, Bente Prytz
Hvas, Lotte
Getz, Linn
author_facet Rønneberg, Marianne
Mjølstad, Bente Prytz
Hvas, Lotte
Getz, Linn
author_sort Rønneberg, Marianne
collection PubMed
description PURPOSE: Adverse life experiences increase the risk of health problems. Little is known about General Practitioners’ (GPs') thoughts, clinical concepts, and work patterns related to eliciting, including, or excluding their patients’ stories of painful and adverse life experiences. We wanted to explore GPs’ perceptions of the medical relevance of stories of painful and adverse life experiences, and to focus on what hinders or facilitates working with such stories. METHOD: Eighteen Norwegian GPs participated in three focus group interviews. The interviews were analysed using reflexive thematic analysis. RESULTS: The participating GPs’ views on the clinical relevance of patients’ painful and adverse experiences varied considerably. Our analysis revealed two distinct stances: a confident-accepting stance, and an ambivalent-conditional stance. GPs encountered barriers to exploring such stories: scepticism on behalf of the medical discipline; scepticism on behalf of the patients; and, uncertainty regarding how to address stories of painful and adverse experiences in consultations. Work with painful stories was best facilitated when GPs manifested personal openness and prepared availability, within the context of a doctor-patient relationship based on trust. CONCLUSIONS: Clearer processes for handling biographical information and life experiences that affect patients’ health are needed to facilitate the work of primary care physicians.
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spelling pubmed-93974242022-08-24 Perceptions of the medical relevance of patients` stories of painful and adverse life experiences: a focus group study among Norwegian General Practitioners Rønneberg, Marianne Mjølstad, Bente Prytz Hvas, Lotte Getz, Linn Int J Qual Stud Health Well-being Empirical Studies PURPOSE: Adverse life experiences increase the risk of health problems. Little is known about General Practitioners’ (GPs') thoughts, clinical concepts, and work patterns related to eliciting, including, or excluding their patients’ stories of painful and adverse life experiences. We wanted to explore GPs’ perceptions of the medical relevance of stories of painful and adverse life experiences, and to focus on what hinders or facilitates working with such stories. METHOD: Eighteen Norwegian GPs participated in three focus group interviews. The interviews were analysed using reflexive thematic analysis. RESULTS: The participating GPs’ views on the clinical relevance of patients’ painful and adverse experiences varied considerably. Our analysis revealed two distinct stances: a confident-accepting stance, and an ambivalent-conditional stance. GPs encountered barriers to exploring such stories: scepticism on behalf of the medical discipline; scepticism on behalf of the patients; and, uncertainty regarding how to address stories of painful and adverse experiences in consultations. Work with painful stories was best facilitated when GPs manifested personal openness and prepared availability, within the context of a doctor-patient relationship based on trust. CONCLUSIONS: Clearer processes for handling biographical information and life experiences that affect patients’ health are needed to facilitate the work of primary care physicians. Taylor & Francis 2022-08-18 /pmc/articles/PMC9397424/ /pubmed/35983640 http://dx.doi.org/10.1080/17482631.2022.2108560 Text en © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Empirical Studies
Rønneberg, Marianne
Mjølstad, Bente Prytz
Hvas, Lotte
Getz, Linn
Perceptions of the medical relevance of patients` stories of painful and adverse life experiences: a focus group study among Norwegian General Practitioners
title Perceptions of the medical relevance of patients` stories of painful and adverse life experiences: a focus group study among Norwegian General Practitioners
title_full Perceptions of the medical relevance of patients` stories of painful and adverse life experiences: a focus group study among Norwegian General Practitioners
title_fullStr Perceptions of the medical relevance of patients` stories of painful and adverse life experiences: a focus group study among Norwegian General Practitioners
title_full_unstemmed Perceptions of the medical relevance of patients` stories of painful and adverse life experiences: a focus group study among Norwegian General Practitioners
title_short Perceptions of the medical relevance of patients` stories of painful and adverse life experiences: a focus group study among Norwegian General Practitioners
title_sort perceptions of the medical relevance of patients` stories of painful and adverse life experiences: a focus group study among norwegian general practitioners
topic Empirical Studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9397424/
https://www.ncbi.nlm.nih.gov/pubmed/35983640
http://dx.doi.org/10.1080/17482631.2022.2108560
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