Experiences with a structured conversation tool: a qualitative study on feasibility in general practice in Norway.
To study the feasibility of a structured conversation tool (ICIT) in Norwegian general practice. A structured conversation tool with elements from Cognitive Behavioral Therapy (CBT) was developed for use at the encounter in general practice to increase patient's self-coping ability and the GPs manag...
| Publicado en: | Scandinavian Journal of Primary Health Care Vol. 40; no. 2; pp. 190 - 197 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jun2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158633143&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158633143 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02813432 BDB jtl: Scandinavian Journal of Primary Health Care issn: 02813432 maglogo: Y pubinfo: dt: Jun2022 vid: 40 iid: 2 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 158633143 156937378 158633143 158633143 10.1080/02813432.2022.2076396 158633143 ppf: 190 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Experiences with a structured conversation tool: a qualitative study on feasibility in general practice in Norway. aug: au: Abrahamsen, Cathrine Lindbaek, Morten Werner, Erik L. affil: MD, PhD student, Department of General Practice, University of Oslo, Oslo, Norway sug: subj: Family Practice Norway Conversation Physician-Patient Relations Questionnaires Utilization Physician Attitudes Evaluation Work Experiences Evaluation Medically Unexplained Symptoms Therapy Referral and Consultation Sick Leave Evaluation Human Qualitative Studies Norway Pilot Studies Physicians, Family Psychosocial Factors Medically Unexplained Symptoms Psychosocial Factors Coping Burnout, Professional Clinical Competence Recovery Accountability Job Satisfaction Patient Care Job Re-Entry Self Care Communication Skills Audiorecording Thematic Analysis ab: To study the feasibility of a structured conversation tool (ICIT) in Norwegian general practice. A structured conversation tool with elements from Cognitive Behavioral Therapy (CBT) was developed for use at the encounter in general practice to increase patient's self-coping ability and the GPs management and sick leave assessment in patients with MUPS. Eight GPs received training and used the ICIT on 49 patients with MUPS. The physicians were gathered into two focus groups. The interviews were recorded on tape, transcribed, and analyzed with systematic text condensation. The aim of our study was to examine any benefit and the feasibility of the ICIT in general practice. The physicians found the ICIT helpful to sort out, clarify and concretize the patients' issues. They felt less fatigued as patients took on a greater responsibility for their own recovery and reported a greater satisfaction and better management with the patients. A salutogenic approach gave the physicians greater insight into their patients' lives and their issues, opening for new treatment options and aiding in recovery. By focusing on the patient's potential capabilities despite their medical condition, some physicians experienced that patients on sick leave returned to work quicker. The GPs in this study reported that the ICIT was helpful in consultations with patients due to unspecific medical conditions and facilitated a sense of competence for the physician. GPs need communication skill training for integrated treatment and sick leave assessment for patients with Medically Unexplained Physical Symptoms (MUPS). •The GPs experienced that the structured conversation tool was beneficial in structuring, clarifying, and substantiating the patient's problems. •The GPs experienced a greater insight into their patients and their issues, opening new treatment options and aiding in recovery. •The GPs experienced patients' quicker recovery and returns to work by starting immediate treatment using the conversation tool. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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