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The patient’s first point of contact (PINPOINT) – protocol of a prospective multicenter study of communication and decision-making during patient assessments by primary care registered nurses
Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.ORCID-id: 0000-0002-9194-3244
Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.ORCID-id: 0000-0001-7067-2687
School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID-id: 0000-0002-4302-5529
Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Nivel (Netherlands Institute for Health Services Research), Utrecht, the Netherlands; Radboud Institute for Health Sciences, Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID-id: 0000-0002-1651-7544
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2023 (Engelska)Ingår i: BMC Primary Care, E-ISSN 2731-4553, Vol. 24, nr 1, artikel-id 249Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background

A major challenge for primary care is to set priorities and balance demands with available resources. The registered nurses in this study are practice nurses working in primary care offices, playing a large role in initial assessments. The overall objective of this research is to investigate practices of communication and decision-making during nurses’ initial assessment of patients’ health problems in primary care, examine working mechanisms in good practices and develop feasible solutions.

Methods

Project PINPOINT aims for a prospective multicenter study using various methods for data collection and analysis. A purposive sample of 150 patient‒nurse consultations, including 30 nurses and 150 patients, will be recruited at primary care centers in three different geographic areas of southwest Sweden. The study will report on outcomes of communication practices in relation to patient-reported expectations and experiences, communication processes and patient involvement, assessment and decision-making, related priorities and value conflicts with data from patient questionnaires, audio-recorded real-time communication, and reflective interviews with nurses.

Discussion

This research will contribute to the knowledge needed for the guidance of first-line decision-making processes to best meet patient and public health needs. This knowledge is necessary for the development of assessments and decisions to be better aligned to patients and to set priorities. Insights from this research can empower patients and service providers and help understand and enhance feasible person-centered communication strategies tailored to patients’ level of health literacy. More specifically, this research will contribute to knowledge that can strengthen nurses’ communication, assessments, and clinical decision-making in primary care. In the long term, this will contribute to how the competencies of practice nurses and other professionals are organized and carried out to make the best use of the resources within primary care.

Trial registration

ClinicalTrials.gov Identifier: NCT06067672.

 

Ort, förlag, år, upplaga, sidor
2023. Vol. 24, nr 1, artikel-id 249
Nyckelord [en]
Communication, Decision-making, Nurse, Nurse-patient interaction, Primary care, Study protocol
Nationell ämneskategori
Omvårdnad Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Forskningsämne
Människan i vården
Identifikatorer
URN: urn:nbn:se:hb:diva-31045DOI: 10.1186/s12875-023-02208-0ISI: 001122635700004Scopus ID: 2-s2.0-85178183187OAI: oai:DiVA.org:hb-31045DiVA, id: diva2:1820920
Forskningsfinansiär
Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2022 − 00850Tillgänglig från: 2023-12-19 Skapad: 2023-12-19 Senast uppdaterad: 2024-04-05Bibliografiskt granskad

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Sundler, Annelie JohanssonHedén, Lenavan Dulmen, SandraBergman, KarinÖstensson, Sofia

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Sundler, Annelie JohanssonHedén, LenaHolmström, Inger Kvan Dulmen, SandraBergman, KarinÖstensson, SofiaÖstman, Malin
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OmvårdnadHälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi

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