Managing Uncertainty During the Communication of Diagnostic Test Information Between Patients and Clinicians in Australian Emergency Care

Dados Bibliográficos

ID4635991
AutoresMelissa Miao (0000-0002-4113-0149, Macquarie University, Sydney, NSW, Australia, autor correspondente), 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)
Ano2020
Volume30
Fascículo8
Páginas1287-1300
Data de publicação2020-07-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoQualitative Health Research (JOURNAL)
Identificadores do periódicoISSN: 1049-7323 • E-ISSN: 1552-7557
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732320913037
PMID32249721
OpenAlexW3014493500
IdiomaEN
Citações recebidas8
Referências citadas43

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