Abstract Context Over recent decades, the use of qualitative methodologies has increased in medical education research. These include ethnographic approaches, which have been used to explore complex cultural norms and phenomena by way long‐term engagement field Often, however, consists short‐term episodes that are not bound single sites, but take place a myriad locations contexts such as classrooms, examination stations, clinical settings online. This calls for allow us grasp what is at...

ABSTRACT Knowledge is needed about end‐of‐life care among patients with pre‐existing severe mental disorders: Schizophrenia, bipolar disorder, and depression. This study aimed to explore the experiences for disorders, their relatives, specialised palliative nurses physicians, general practitioners. Twenty semi‐structured interviews were conducted analysed using reflexive thematic analysis, hereby six patients, three five practitioners, healthcare professionals. Patients selected help from...

Workplace-based learning in surgery has developed an inherent focus on competency-based assessment tools and quantifiable skills. Trust is essential element the framework of Entrustable Professional Activities (EPA). However, trust difficult to quantify assess. Procedural variation seen among residents may be influenced by supervisors' their trainee. The objective this study was explore how supervisors base decisions when granting autonomy surgical residents. A constructivist grounded theory...

In recent years and throughout the developed world, policymakers have encouraged implementation of digital patient-clinician interaction. Our focus is on Danish general practice setting where email consultations were implemented as a mandatory service in 2009 now constitute 21% all practice. Drawing upon strong structuration theory (SST), our analysis sets out to explore how are represented structures macro, meso micro-levels interplay between agents plays with respect possible alignments,...

Haukur Svansson, Kirstine Bøndergaard, Poul Videbech, Mette Kjærgaard Nielsen, Jane Ege Møller, Louise Elkjær Fløe, Terese Myhre Bentson, Asbjoern Neergaard

Studies suggest that the workplace is a key to understanding how clinical communication skills learning takes place and medical need be reinforced over time in order not deteriorate. This study explored perceptions of doctors four hospital departments who participated workplace-based training project. Its specific focus was relationship between collegial relations skills.The applied qualitative design using an ethnographic methodology, i.e. interviews observations. Positioning theory used as...

Abstract Background Communication skills learned in the classroom do not transfer easily into clinical practice because they are reinforced by teachers workplace setting and lack of faculty training restricts communication real patient encounters. Trained university-based often work simultaneously as doctors clinics. This study explored if how these play a role workplace. Methods We used an exploratory sequential design: mixed method approach that combined survey with teachers, qualitative...

The article investigates the role of social in medicine through an empirical study technologies Diabetes 2 and COPD patient education Denmark. It demonstrates how at same time is cause disease but also functions as a solution to problem. Furthermore it suggests that groups have ambiguous medicine; they appear be organized communities empowerment, critical individualizing effects medicine, these are embedded medical practices, transferring responsibility for illness health level citizens....

Abstract Background Morning reports are an essential component of physicians’ daily work. Attending morning is prioritized by junior doctors as it provides them with opportunity to learn diagnostic reasoning through discussion cases. While teaching formats during have previously been reported, in-depth analysis what learning opportunities exist, e.g., how enacted reports, lacking. This qualitative study explores reports. Methods We used explorative design based on video-recordings 23 from...

During the last three decades, an increased amount of research on errors in health care has been conducted. Studies show that physicians find it challenging to handle because blame and guilt cause. Communicating with colleagues identified as vital for coping creating a just culture; however, many do not usually discuss their errors. Knowledge about how junior doctors experience is ensure they both receive emotional support learn from To capture doctors' perceptions experiences, we used...

Objective This article investigated residents’ narratives to gain their understandings of which patterns are challenging in doctor–patient conversations. Design Qualitative narratological framework. Participants We analysed 259 from 138 oral recounts communication with patients they had felt challenged. Results The analysis identified an ideal narrative for the encounter resident as protagonist pursuing object helping patient his health problem. Disruptions this were at play when challenges...

It is well-known that communication with patients can be challenging for residents. Although some studies have focused on residents' experiences of challenges, few, if any, investigated the language residents use when describing such challenges. In this study, we explore metaphors asked to share stories about situations. Metaphor has been focus research in a variety health-related disciplines; here, it gain an understanding why these situations are seen as challenging. Methodologically, draw...

This paper investigates how the concept of motivation functions in health promotion practice. It provides an analysis understandings and articulations at levels state, professionals, citizens. finds that takes on different meanings depending perspective; thus general agreement importance does not correspond to a mutual understanding what actually is: works variously as technology, statistically created collective informed consent, moral imperative. is conceived instrumentalized psychological...

Objective Recent studies have shown that people with mental illnesses higher mortality and morbidity rates due to long-term conditions lifestyle diseases. This knowledge has led health promotion initiatives in care improve the physical of illness. article explores how nurses experience working activities healthcare practices. Design We adopted a qualitative research design using an interactive approach. Qualitative content analysis was used develop analytical framework. Participants Focus...

Abstract NEW TECHNOLOGIES HAVE FACILITATED DOCTOR–PATIENT EMAIL CONSULTATIONS (E-CONSULTATIONS). GUIDELINES FOR E-CONSULTATION USE IN DENMARK STATE THAT THEY SHOULD BE USED SIMPLE, CONCRETE AND NON-URGENT QUERIES; HOWEVER, A SMALL-SCALE DANISH STUDY SUGGESTED DOCTORS ENCOUNTER E-CONSULTATIONS DO NOT MATCH THE GUIDELINES. PURPOSE OF THIS ARTICLE IS TO EXPLORE WHETHER REFLECT RECOMMENDATIONS SHORT, WELL DEFINED, IF NOT, WHAT FORMS COMPLEXITY ARE EVIDENT. WE INDUCTIVELY ANALYSED 1,671 FROM 38...

This study explored the question: what are doctors' perspectives on and experiences with their earlier mandatory postgraduate communication skills training?The used a qualitative, exploratory design. We purposeful sampling based principle of maximal variation to ensure different clinical perspectives. Thus, three focus groups were formed 12 doctors who had attended training within 1-9 years prior study. The from specialties: internal medicine, oncology, general practice. semi-structured...

It is well-known that non-verbal cues are essential in doctor–patient communication. As communication turning increasingly digital and written, it becomes relevant to explore the role of such genres. One more recent genre e-mail consultation. Research has found while patients like consultations, they also miss facial expressions, eye contact, etc. In this study, we explored different ways which Danish GPs use consultations. We analysed 633 consultations written by 22 GPs. applied concept...

Phenomenon The morning report is one of the longest surviving hospital practices. Most studies focus on effectiveness formal medical training, while social and communicative aspects rarer. This study explores interactions communication in reports, examining ways which they contribute to construction professional identity socialization into community clinical department. Approach We used a qualitative explorative design with video observations reports. Our data consisted 43 video-recorded (in...

To investigate residents' experiences recording and receiving feedback on a challenging video of patient encounter. Methods: We used qualitative design with first year residents who took part in mandatory communication skills course which all participants were asked to bring The methods consisted brief reflection texts focus groups related their perspectives the use videos. Results: 106 wrote texts, 13 participated four groups. Residents mainly expressed positive exercise. reported that...