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How and why clinicians avoid communicating prognosis

An Australian case series

Erschienen am 18.01.2011, Auflage: 1/2011
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Bibliografische Daten
ISBN/EAN: 9783843384834
Sprache: Englisch
Umfang: 148 S.
Format (T/L/B): 0.9 x 22 x 15 cm
Einband: kartoniertes Buch

Beschreibung

Prognosis communication is a significant area of patient dissatisfaction, and one of the most difficult aspects of health care clinicians'' roles. The aim of this research was to investigate how prognosis is communicated between medical, nursing and allied health clinicians. A case series method was utilised, sampling patients with haematological malignancies in an acute care setting. Multidisciplinary clincians and patient records provided the data, which were then thematically analysed. Three major findings were revealed: 1. the term prognosis conjures the concept of death; 2. clinicians aren''t prepared to discuss prognosis, even with each other, and 3. there is a prescribed pathway for patients, related to clinicians expectations. These findings lead to the conclusion that both the psychosocial and scientific spheres of prognosis can be valued in communication and decision-making by clinicians, and that prognosis communication is better understood as regular discussion, rather than a singular concept. The research informs the field of prognosis communication, patient decision-making, and pre- service health education.

Autorenportrait

Kasia lectures at the University of Canberra with qualifications in clinical nursing, higher education and research. Research interests include prognosis and interdisciplinary communication, policy analysis, transboundary nurse practitioners, and clinical education models. Researching structures which impede nursing care is her passion.