Patients' experiences of communication and involvement in decision‐making about atrial fibrillation treatment in consultations with nurses and physicians

Abstract

Attention must be given to the relationship with the patient to create the conditions for patient involvement in the consultation. This can be achieved through supportive communication attempting to create a feeling of clarity and building confidence. This will support involvement in decision-making concerning AF treatment and feelings of being understood and of trust in physicians and/or nurses.

Management of newly diagnosed atrial fibrillation in an outpatient clinic setting—patient's perspectives and experiences

“…It is crucial that patient involvement requires patient education as well as attention to interpersonal aspects in the consultation situation (White, Garbez, Carroll, Brinker, & Howie‐Esquivel, ). Active patient involvement relates to how patients are able to prepare before decision‐making, how they receive information during consultation which can improve their understanding of their own situation, and how they are able to attend follow‐up consultations with healthcare professionals (Siouta et al., ). In our study, patients were not so much involved in their care.…”

“…A Swedish study shows that patients need a sense of trust in the care they receive as well as to feel secure in patient‐centred communication, which can be created by a patient involving approach during consultations (Siouta et al., ). Patient‐centred care empowers patients and respects patient values, preferences and needs (Kirchhof et al., ).…”

From telling to sharing to silence: A longitudinal ethnography of professional‐patient communication about oral chemotherapy for colorectal cancer

“…In this study, in the early stage following cancer diagnosis, the care at all stages of the treatment journey. [7][8][9]15,24 As patients became more familiar with their treatment regimen, nication and is reflective of current oncology research. [34][35][36][37] At the end of treatment, patients felt they faced an uncertain future because regular communication with their healthcare professional team had come to an end.…”

“…17,18 Current research about oral chemotherapy medication-taking practice has tended to focus on adherence to the regimen and subsequent implications for patients [19][20][21][22][23] with limited consideration on the role of concordance between patients and healthcare professionals. 14,15,[24][25][26][27] Much of past research on healthcare professional-patient communication about medications has also involved an examination of communication at a single point in time. 9,28,29 There has been no known published research that has examined the changing dynamics This paper seeks to address these gaps in the literature by using a longitudinal methodology to examine the specific experiences of communication for patients taking oral chemotherapy and by considering to what extent concordance is important during consultations.…”

Cardiologists’ experiences and perceptions of patient involvement and communication related to shared decision-making regarding atrial fibrillation treatment

“…Siouta et al showed that shared decision-making requires supportive communication aimed at building confidence and developing a sense of clarity, a feeling of being understood, and a feeling of trust (Siouta et al 2015). It is important to problematize the patients' own understanding of their situation.…”