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Structure and content in consultations with patients undergoing surgery for colorectal cancer
Sahlgrenska University Hospital, Gothenburg, Sweden.
University of Gothenburg, Sweden .
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälsa och samhälle. Linköpings universitet, Filosofiska fakulteten. University of Gothenburg, Sweden . (Center for Dementia Research (CEDER))ORCID-id: 0000-0002-3033-9879
University of Gothenburg, Sweden .
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2013 (Engelska)Ingår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 17, nr 6, s. 820-826Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

PURPOSE:

To explore the structure and content of pre-planned consultations as part of the care and treatment of patients undergoing surgery for colorectal cancer.

METHODS:

The study was based on 50 transcripts of audio-recorded pre-planned consultations between seven patients and 36 healthcare professionals from the time of diagnosis, pre-operative consultation, discharge consultation and pathology report in a colorectal unit.

RESULTS:

The spread of consultation time between professions was considerable. Total mean consultation time for patients during the care process (7 consultations/patient) was 111 min (range 83-191). The mean consultation time for surgeons was 18 min (7-40), anaesthesiologists 12 min (5-18) and nurses 14 min (5-49). Patients took up 40% of the word space, healthcare professionals used 59% and significant others 1%. Word space changed in such a way that the patient became more active towards the final consultation. Neither during the diagnosis consultation nor during the pre-operative consultation did the patients meet the operating surgeon. Six major subjects emerged: general health, diagnosis, surgical procedure, pre-operative preparations, recovery and treatment and follow-up.

CONCLUSIONS:

There is a need for clearer structure in the consultations. Most consultations lacked a clear introduction to the subject of the conversation. The study makes it possible to develop methods and structure for supporting conversations in which the patient is given space to help with the difficult issues present after undergoing surgery for colorectal cancer. The study also contributes to providing knowledge of how to organise surgical consultations in order to optimise person-centeredness, teamwork and clinical efficiency.

 

Ort, förlag, år, upplaga, sidor
Elsevier, 2013. Vol. 17, nr 6, s. 820-826
Nyckelord [en]
Colorectal cancer, Surgery, ERAS, Communication analysis, Consultations, Person-centred care, Partnership, Teamwork
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Identifikatorer
URN: urn:nbn:se:liu:diva-102979DOI: 10.1016/j.ejon.2013.07.002ISI: 000328715900020PubMedID: 24012188OAI: oai:DiVA.org:liu-102979DiVA, id: diva2:685629
Anmärkning

Funding Agencies|Gothenburg Centre for Person-centred Care (GPCC) at the University of Gothenburg||

Tillgänglig från: 2014-01-09 Skapad: 2014-01-09 Senast uppdaterad: 2017-12-06Bibliografiskt granskad

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Hydén, Lars-Christer

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European Journal of Oncology Nursing
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