Patient Expectations During Health Care Encounters Theory: A Grounded Theory Study

2.00
Hdl Handle:
http://hdl.handle.net/10755/159182
Type:
Presentation
Title:
Patient Expectations During Health Care Encounters Theory: A Grounded Theory Study
Abstract:
Patient Expectations During Health Care Encounters Theory: A Grounded Theory Study
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Clementi, Pamela, PhD Nursing
P.I. Institution Name:Loyola University Medical Center
Contact Address:Nursing, 4708 Ryehill Dr, Joliet, IL, 60431, USA
The experiences of patients during encounters with health care providers were explored using Grounded Theory methodology. Participants included 18 males and females, 21 years of age or older who attended an appointment for treatment related to coronary artery disease, congestive heart failure, or cardiomyopathy. Saturation of the categories was achieved with 18 interviews. Data collection took place in the heart failure clinic associated with a large Midwestern Medical Center or in the patient's home. Data were gathered by means of semi-structured oral interviews. This study was guided by both ethical and legal considerations. Initially data analysis focused on isolating patients perceptions of feeling listened to in the patient-provider encounter, however, it was discovered that the data describing patients perceptions of feeling listened to was imbedded within a network of categories. The data were reanalyzed using grounded theory methods to capture the theoretical nature of the data. A substantive theory, Patient Expectations During Health Care Encounters Theory, emerged from analysis of these data. The core category, Being Treated With Respect. The categories and subcategories describe participants perception of the congruence between their expectations of how they believe they should be treated as patients in health professional encounters compared to their actual experiences. This theory consists of two taxonomies, the first six categories are present when the patient feels like he or she is being treated with respect with the decision to continue healthcare at the current location. The second taxonomy consists of six categories that exist when the patient does not feel like he or she was treated with respect resulting in a decision to discontinue healthcare at the current location. The study identifies areas that need to be addressed in education, practice, administration and makes recommendations for improvement in these areas, as well, describes needs for future research studies.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePatient Expectations During Health Care Encounters Theory: A Grounded Theory Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159182-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Patient Expectations During Health Care Encounters Theory: A Grounded Theory Study</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Clementi, Pamela, PhD Nursing</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Loyola University Medical Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Nursing, 4708 Ryehill Dr, Joliet, IL, 60431, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">pcleme1@lumc.edu</td></tr><tr><td colspan="2" class="item-abstract">The experiences of patients during encounters with health care providers were explored using Grounded Theory methodology. Participants included 18 males and females, 21 years of age or older who attended an appointment for treatment related to coronary artery disease, congestive heart failure, or cardiomyopathy. Saturation of the categories was achieved with 18 interviews. Data collection took place in the heart failure clinic associated with a large Midwestern Medical Center or in the patient's home. Data were gathered by means of semi-structured oral interviews. This study was guided by both ethical and legal considerations. Initially data analysis focused on isolating patients perceptions of feeling listened to in the patient-provider encounter, however, it was discovered that the data describing patients perceptions of feeling listened to was imbedded within a network of categories. The data were reanalyzed using grounded theory methods to capture the theoretical nature of the data. A substantive theory, Patient Expectations During Health Care Encounters Theory, emerged from analysis of these data. The core category, Being Treated With Respect. The categories and subcategories describe participants perception of the congruence between their expectations of how they believe they should be treated as patients in health professional encounters compared to their actual experiences. This theory consists of two taxonomies, the first six categories are present when the patient feels like he or she is being treated with respect with the decision to continue healthcare at the current location. The second taxonomy consists of six categories that exist when the patient does not feel like he or she was treated with respect resulting in a decision to discontinue healthcare at the current location. The study identifies areas that need to be addressed in education, practice, administration and makes recommendations for improvement in these areas, as well, describes needs for future research studies.</td></tr></table>en_GB
dc.date.available2011-10-26T21:46:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:46:59Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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