Managing Uncertainty During the Communication of Diagnostic Test Information Between Patients and Clinicians in Australian Emergency Care
Bibliographic Data
| ID | 4635991 |
|---|---|
| Authors | Melissa Miao (0000-0002-4113-0149, Macquarie University, Sydney, NSW, Australia, corresponding author), Maria R Dahm (0000-0001-8067-4600, Macquarie University, Sydney, NSW, Australia), Julie Li (0000-0002-8881-5962, Macquarie University, Sydney, NSW, Australia), Judith Thomas (0000-0002-0715-9124, Macquarie University, Sydney, NSW, Australia), Andrew Georgiou (0000-0002-7619-3668, Macquarie University, Sydney, NSW, Australia) |
| Year | 2020 |
| Volume | 30 |
| Issue | 8 |
| Pages | 1287-1300 |
| Publication date | 2020-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1049732320913037 |
| PMID | 32249721 |
| OpenAlex | W3014493500 |
| Language | EN |
| Citations received | 8 |
| References cited | 43 |
We sought (a) an inductive understanding of patient and clinician perspectives and experiences of the communication of diagnostic test information and (b) a normative understanding of the management of uncertainty that occurs during the clinical encounter in emergency care. Between 2016 and 2018, 58 interviews were conducted with patients and nursing, medical, and managerial staff. Interview data were sequentially analyzed through an inductive thematic analysis, then a normative theory of uncertainty management. Themes of "Ideals," "Service Efficiency," and "Managing Uncertainty" were inductively identified as influencing the communication of diagnostic test information. A normative theory of uncertainty management highlighted (a) how these themes reflected the interaction's sociocultural context, encapsulated various criteria by which clinicians and patients evaluated the appropriateness and effectiveness of their communication, and represented competing goals during the clinical encounter, and (b) how systemic tensions between themes accounted for when diagnostic test information communication occurred, was deferred or avoided
Epistemology · Normative · Qualitative research · Sociocultural evolution · Sociology · Thematic analysis · Applied Psychology · Clinical Reasoning and Diagnostic Skills · Medical Malpractice and Liability Issues · Medicine · Nursing · Patient-Provider Communication in Healthcare · Psychology
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Handbook of Social Studies in Health and Medicine
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Theory Comparison
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Sociology of diagnosis
Reconceptualizing uncertainty in illness
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Using thematic analysis in psychology
Visualising uncertainty
Critical Analysis of Strategies for Determining Rigor in Qualitative Inquiry
The doctor-patient relationship as a toolkit for uncertain clinical decisions
Tolerance of uncertainty
Developments in Health Communication in the 21st Century
Some Explorations in Initial Interaction and Beyond
| Unique citing works | 8 |
|---|---|
| Citations per year | 1,6 |
| Citation span | 2021 - 2026 (6) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 7 |