Patient-Centered Pain Management Communication from the Patient Perspective.
Identifieur interne : 000705 ( Main/Corpus ); précédent : 000704; suivant : 000706Patient-Centered Pain Management Communication from the Patient Perspective.
Auteurs : Marie C. Haverfield ; Karleen Giannitrapani ; Christine Timko ; Karl LorenzSource :
- Journal of general internal medicine [ 1525-1497 ] ; 2018.
English descriptors
- KwdEn :
- MESH :
- methods : Pain Management, Patient-Centered Care.
- psychology : Veterans.
- Communication, Female, Humans, Male, Pain Measurement, Patient Preference, Physician-Patient Relations, Qualitative Research, Trust.
Abstract
BACKGROUND
Pain management discussions between patient and provider can be stressful to navigate and greatly impact the care received. Because of the complexity, emotional color, and sensitivity of pain management, such discussions require a high degree of skill.
OBJECTIVE
To identify patients' perspectives of patient-centered care communication within the context of pain management discussions.
DESIGN
We conducted semi-structured interviews (25-65 min) with patients regarding their experiences with pain assessment and management.
PARTICIPANTS
36 patients (29 males, 7 females), from 3 Veteran Affairs healthcare locations. Participant age ranged from 28 to 94 with pain intensity ranging from 0 to 10, based on the "pain now" numeric rating scale report gathered at the time of the interview.
APPROACH
Interview transcript analysis was conducted using the constant comparison method to produce mutually agreed upon themes.
KEY RESULTS
Elements of patient-centered care communication described by participants include judgment, openness, listening, trust, preferences, solution-oriented, customization, and longevity. Patients perceive provider reciprocation in openness and trust as drivers of the patient-provider relationship, thereby enhancing positive, associated themes.
CONCLUSIONS
Findings highlight the importance of the patient-provider relationship in patient-centered care and offer patient-centered care communication tools for practitioners to utilize, such as solution-oriented messages and communicating trust, especially when interacting with patients about pain.
DOI: 10.1007/s11606-018-4490-y
PubMed: 29845465
PubMed Central: PMC6082206
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pubmed:29845465Le document en format XML
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Haverfield</name><affiliation><nlm:affiliation>Veteran Affairs Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 152-MPD, 795 Willow Road, Menlo Park, California, 94025, USA. mch83@stanford.edu.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Stanford University School of Medicine, Palo Alto, California, USA. mch83@stanford.edu.</nlm:affiliation></affiliation></author><author><name sortKey="Giannitrapani, Karleen" sort="Giannitrapani, Karleen" uniqKey="Giannitrapani K" first="Karleen" last="Giannitrapani">Karleen Giannitrapani</name><affiliation><nlm:affiliation>Veteran Affairs Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 152-MPD, 795 Willow Road, Menlo Park, California, 94025, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Stanford University School of Medicine, Palo Alto, California, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Timko, Christine" sort="Timko, Christine" uniqKey="Timko C" first="Christine" last="Timko">Christine Timko</name><affiliation><nlm:affiliation>Veteran Affairs Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 152-MPD, 795 Willow Road, Menlo Park, California, 94025, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Stanford University School of Medicine, Palo Alto, California, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Lorenz, Karl" sort="Lorenz, Karl" uniqKey="Lorenz K" first="Karl" last="Lorenz">Karl Lorenz</name><affiliation><nlm:affiliation>Veteran Affairs Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 152-MPD, 795 Willow Road, Menlo Park, California, 94025, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Stanford University School of Medicine, Palo Alto, California, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>RAND Corporation, Santa Monica, California, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:29845465</idno><idno type="pmid">29845465</idno><idno type="doi">10.1007/s11606-018-4490-y</idno><idno type="pmc">PMC6082206</idno><idno type="wicri:Area/Main/Corpus">000705</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000705</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Patient-Centered Pain Management Communication from the Patient Perspective.</title><author><name sortKey="Haverfield, Marie C" sort="Haverfield, Marie C" uniqKey="Haverfield M" first="Marie C" last="Haverfield">Marie C. Haverfield</name><affiliation><nlm:affiliation>Veteran Affairs Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 152-MPD, 795 Willow Road, Menlo Park, California, 94025, USA. mch83@stanford.edu.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Stanford University School of Medicine, Palo Alto, California, USA. mch83@stanford.edu.</nlm:affiliation></affiliation></author><author><name sortKey="Giannitrapani, Karleen" sort="Giannitrapani, Karleen" uniqKey="Giannitrapani K" first="Karleen" last="Giannitrapani">Karleen Giannitrapani</name><affiliation><nlm:affiliation>Veteran Affairs Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 152-MPD, 795 Willow Road, Menlo Park, California, 94025, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Stanford University School of Medicine, Palo Alto, California, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Timko, Christine" sort="Timko, Christine" uniqKey="Timko C" first="Christine" last="Timko">Christine Timko</name><affiliation><nlm:affiliation>Veteran Affairs Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 152-MPD, 795 Willow Road, Menlo Park, California, 94025, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Stanford University School of Medicine, Palo Alto, California, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Lorenz, Karl" sort="Lorenz, Karl" uniqKey="Lorenz K" first="Karl" last="Lorenz">Karl Lorenz</name><affiliation><nlm:affiliation>Veteran Affairs Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 152-MPD, 795 Willow Road, Menlo Park, California, 94025, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Stanford University School of Medicine, Palo Alto, California, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>RAND Corporation, Santa Monica, California, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of general internal medicine</title><idno type="eISSN">1525-1497</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Communication (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Pain Management (methods)</term><term>Pain Measurement (MeSH)</term><term>Patient Preference (MeSH)</term><term>Patient-Centered Care (methods)</term><term>Physician-Patient Relations (MeSH)</term><term>Qualitative Research (MeSH)</term><term>Trust (MeSH)</term><term>Veterans (psychology)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Pain Management</term><term>Patient-Centered Care</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Veterans</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Communication</term><term>Female</term><term>Humans</term><term>Male</term><term>Pain Measurement</term><term>Patient Preference</term><term>Physician-Patient Relations</term><term>Qualitative Research</term><term>Trust</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Pain management discussions between patient and provider can be stressful to navigate and greatly impact the care received. Because of the complexity, emotional color, and sensitivity of pain management, such discussions require a high degree of skill.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To identify patients' perspectives of patient-centered care communication within the context of pain management discussions.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>We conducted semi-structured interviews (25-65 min) with patients regarding their experiences with pain assessment and management.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>36 patients (29 males, 7 females), from 3 Veteran Affairs healthcare locations. Participant age ranged from 28 to 94 with pain intensity ranging from 0 to 10, based on the "pain now" numeric rating scale report gathered at the time of the interview.</p></div><div type="abstract" xml:lang="en"><p><b>APPROACH</b></p><p>Interview transcript analysis was conducted using the constant comparison method to produce mutually agreed upon themes.</p></div><div type="abstract" xml:lang="en"><p><b>KEY RESULTS</b></p><p>Elements of patient-centered care communication described by participants include judgment, openness, listening, trust, preferences, solution-oriented, customization, and longevity. Patients perceive provider reciprocation in openness and trust as drivers of the patient-provider relationship, thereby enhancing positive, associated themes.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Findings highlight the importance of the patient-provider relationship in patient-centered care and offer patient-centered care communication tools for practitioners to utilize, such as solution-oriented messages and communicating trust, especially when interacting with patients about pain.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29845465</PMID><DateCompleted><Year>2019</Year><Month>11</Month><Day>25</Day></DateCompleted><DateRevised><Year>2019</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1525-1497</ISSN><JournalIssue CitedMedium="Internet"><Volume>33</Volume><Issue>8</Issue><PubDate><Year>2018</Year><Month>08</Month></PubDate></JournalIssue><Title>Journal of general internal medicine</Title><ISOAbbreviation>J Gen Intern Med</ISOAbbreviation></Journal><ArticleTitle>Patient-Centered Pain Management Communication from the Patient Perspective.</ArticleTitle><Pagination><MedlinePgn>1374-1380</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s11606-018-4490-y</ELocationID><Abstract><AbstractText Label="BACKGROUND">Pain management discussions between patient and provider can be stressful to navigate and greatly impact the care received. Because of the complexity, emotional color, and sensitivity of pain management, such discussions require a high degree of skill.</AbstractText><AbstractText Label="OBJECTIVE">To identify patients' perspectives of patient-centered care communication within the context of pain management discussions.</AbstractText><AbstractText Label="DESIGN">We conducted semi-structured interviews (25-65 min) with patients regarding their experiences with pain assessment and management.</AbstractText><AbstractText Label="PARTICIPANTS">36 patients (29 males, 7 females), from 3 Veteran Affairs healthcare locations. Participant age ranged from 28 to 94 with pain intensity ranging from 0 to 10, based on the "pain now" numeric rating scale report gathered at the time of the interview.</AbstractText><AbstractText Label="APPROACH">Interview transcript analysis was conducted using the constant comparison method to produce mutually agreed upon themes.</AbstractText><AbstractText Label="KEY RESULTS">Elements of patient-centered care communication described by participants include judgment, openness, listening, trust, preferences, solution-oriented, customization, and longevity. Patients perceive provider reciprocation in openness and trust as drivers of the patient-provider relationship, thereby enhancing positive, associated themes.</AbstractText><AbstractText Label="CONCLUSIONS">Findings highlight the importance of the patient-provider relationship in patient-centered care and offer patient-centered care communication tools for practitioners to utilize, such as solution-oriented messages and communicating trust, especially when interacting with patients about pain.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Haverfield</LastName><ForeName>Marie C</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Veteran Affairs Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 152-MPD, 795 Willow Road, Menlo Park, California, 94025, USA. mch83@stanford.edu.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Stanford University School of Medicine, Palo Alto, California, USA. mch83@stanford.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Giannitrapani</LastName><ForeName>Karleen</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Veteran Affairs Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 152-MPD, 795 Willow Road, Menlo Park, California, 94025, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Stanford University School of Medicine, Palo Alto, California, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Timko</LastName><ForeName>Christine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Veteran Affairs Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 152-MPD, 795 Willow Road, Menlo Park, California, 94025, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Stanford University School of Medicine, Palo Alto, California, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lorenz</LastName><ForeName>Karl</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Veteran Affairs Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 152-MPD, 795 Willow Road, Menlo Park, California, 94025, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Stanford University School of Medicine, Palo Alto, California, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>RAND Corporation, Santa Monica, California, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>05</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Gen Intern Med</MedlineTA><NlmUniqueID>8605834</NlmUniqueID><ISSNLinking>0884-8734</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003142" MajorTopicYN="N">Communication</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059408" MajorTopicYN="N">Pain Management</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010147" MajorTopicYN="N">Pain Measurement</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057240" MajorTopicYN="N">Patient 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MajorTopicYN="Y">relationships</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>12</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>04</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2018</Year><Month>04</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>5</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>11</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>5</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29845465</ArticleId><ArticleId IdType="doi">10.1007/s11606-018-4490-y</ArticleId><ArticleId 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