Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions

Objective: To examine concordance and tensions in values among stakeholder groups across the shared decision making process for end-stage renal disease patients treated with hemodialysis.Methods: A thematic analysis of transcripts from three stakeholder groups: hemodialysis patients (2 groups, n = 1...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Vandenberg, Ann E. [verfasserIn] Bowling, C. Barrett [verfasserIn] Adisa, Olufunmilola [verfasserIn] Sahlie, Abyalew [verfasserIn] Nadel, Leigh [verfasserIn] Lea, Janice [verfasserIn] Plantinga, Laura C. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	Renal dialysis End-stage renal disease Decision making Social values Physician-patient communication

Übergeordnetes Werk:	Enthalten in: Patient education and counseling - Amsterdam [u.a.] : Elsevier Science, 1983, 102, Seite 1280-1287
Übergeordnetes Werk:	volume:102 ; pages:1280-1287

DOI / URN:	10.1016/j.pec.2019.02.012

Katalog-ID:	ELV002353334

Internformat


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245	1	0	\|a Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions
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520			\|a Objective: To examine concordance and tensions in values among stakeholder groups across the shared decision making process for end-stage renal disease patients treated with hemodialysis.Methods: A thematic analysis of transcripts from three stakeholder groups: hemodialysis patients (2 groups, n = 17), nephrologists (1 group, n = 9), and non-physician providers (dietitians, social workers, and registered nurses) (1 group, n = 8). A framework of decision-making components (communication, information, decision, behavior, and outcome) guided analysis of values within and across groups.Results: Shared values included communication that informed patients and involved family; information about function, trajectory, life context, and patient experience; behavior to manage diet; and outcomes of function, safety, and survival. Identified thematic tensions in patient-provider values were: personalized vs. routinized communication; shared vs. separate information; managed vs. adherent behavior; and participating vs. protected outcome. Patient behavior emerged as a contested area of control.Conclusion: Emphasizing shared values and bridging values conflicts may ease tensions surrounding self-care behavior by facilitating discussions about diet, medications, and consistent dialyzing.Practice implications: More individualized information needs to be delivered to patients in a personalized communication approach that can still be achieved within a busy dialysis clinic setting.
650		4	\|a Renal dialysis
650		4	\|a End-stage renal disease
650		4	\|a Decision making
650		4	\|a Social values
650		4	\|a Physician-patient communication
700	1		\|a Bowling, C. Barrett \|e verfasserin \|4 aut
700	1		\|a Adisa, Olufunmilola \|e verfasserin \|4 aut
700	1		\|a Sahlie, Abyalew \|e verfasserin \|4 aut
700	1		\|a Nadel, Leigh \|e verfasserin \|4 aut
700	1		\|a Lea, Janice \|e verfasserin \|4 aut
700	1		\|a Plantinga, Laura C. \|e verfasserin \|4 aut
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936	b	k	\|a 44.07 \|j Medizinische Psychologie
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bklnumber	44.07
publishDate	2019
allfields	10.1016/j.pec.2019.02.012 doi (DE-627)ELV002353334 (ELSEVIER)S0738-3991(19)30037-0 DE-627 ger DE-627 rda eng 610 DE-600 44.07 bkl Vandenberg, Ann E. verfasserin aut Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To examine concordance and tensions in values among stakeholder groups across the shared decision making process for end-stage renal disease patients treated with hemodialysis.Methods: A thematic analysis of transcripts from three stakeholder groups: hemodialysis patients (2 groups, n = 17), nephrologists (1 group, n = 9), and non-physician providers (dietitians, social workers, and registered nurses) (1 group, n = 8). A framework of decision-making components (communication, information, decision, behavior, and outcome) guided analysis of values within and across groups.Results: Shared values included communication that informed patients and involved family; information about function, trajectory, life context, and patient experience; behavior to manage diet; and outcomes of function, safety, and survival. Identified thematic tensions in patient-provider values were: personalized vs. routinized communication; shared vs. separate information; managed vs. adherent behavior; and participating vs. protected outcome. Patient behavior emerged as a contested area of control.Conclusion: Emphasizing shared values and bridging values conflicts may ease tensions surrounding self-care behavior by facilitating discussions about diet, medications, and consistent dialyzing.Practice implications: More individualized information needs to be delivered to patients in a personalized communication approach that can still be achieved within a busy dialysis clinic setting. Renal dialysis End-stage renal disease Decision making Social values Physician-patient communication Bowling, C. Barrett verfasserin aut Adisa, Olufunmilola verfasserin aut Sahlie, Abyalew verfasserin aut Nadel, Leigh verfasserin aut Lea, Janice verfasserin aut Plantinga, Laura C. verfasserin aut Enthalten in Patient education and counseling Amsterdam [u.a.] : Elsevier Science, 1983 102, Seite 1280-1287 Online-Ressource (DE-627)320596044 (DE-600)2019572-2 (DE-576)264423984 1873-5134 nnns volume:102 pages:1280-1287 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.07 Medizinische Psychologie AR 102 1280-1287
spelling	10.1016/j.pec.2019.02.012 doi (DE-627)ELV002353334 (ELSEVIER)S0738-3991(19)30037-0 DE-627 ger DE-627 rda eng 610 DE-600 44.07 bkl Vandenberg, Ann E. verfasserin aut Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To examine concordance and tensions in values among stakeholder groups across the shared decision making process for end-stage renal disease patients treated with hemodialysis.Methods: A thematic analysis of transcripts from three stakeholder groups: hemodialysis patients (2 groups, n = 17), nephrologists (1 group, n = 9), and non-physician providers (dietitians, social workers, and registered nurses) (1 group, n = 8). A framework of decision-making components (communication, information, decision, behavior, and outcome) guided analysis of values within and across groups.Results: Shared values included communication that informed patients and involved family; information about function, trajectory, life context, and patient experience; behavior to manage diet; and outcomes of function, safety, and survival. Identified thematic tensions in patient-provider values were: personalized vs. routinized communication; shared vs. separate information; managed vs. adherent behavior; and participating vs. protected outcome. Patient behavior emerged as a contested area of control.Conclusion: Emphasizing shared values and bridging values conflicts may ease tensions surrounding self-care behavior by facilitating discussions about diet, medications, and consistent dialyzing.Practice implications: More individualized information needs to be delivered to patients in a personalized communication approach that can still be achieved within a busy dialysis clinic setting. Renal dialysis End-stage renal disease Decision making Social values Physician-patient communication Bowling, C. Barrett verfasserin aut Adisa, Olufunmilola verfasserin aut Sahlie, Abyalew verfasserin aut Nadel, Leigh verfasserin aut Lea, Janice verfasserin aut Plantinga, Laura C. verfasserin aut Enthalten in Patient education and counseling Amsterdam [u.a.] : Elsevier Science, 1983 102, Seite 1280-1287 Online-Ressource (DE-627)320596044 (DE-600)2019572-2 (DE-576)264423984 1873-5134 nnns volume:102 pages:1280-1287 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.07 Medizinische Psychologie AR 102 1280-1287
allfields_unstemmed	10.1016/j.pec.2019.02.012 doi (DE-627)ELV002353334 (ELSEVIER)S0738-3991(19)30037-0 DE-627 ger DE-627 rda eng 610 DE-600 44.07 bkl Vandenberg, Ann E. verfasserin aut Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To examine concordance and tensions in values among stakeholder groups across the shared decision making process for end-stage renal disease patients treated with hemodialysis.Methods: A thematic analysis of transcripts from three stakeholder groups: hemodialysis patients (2 groups, n = 17), nephrologists (1 group, n = 9), and non-physician providers (dietitians, social workers, and registered nurses) (1 group, n = 8). A framework of decision-making components (communication, information, decision, behavior, and outcome) guided analysis of values within and across groups.Results: Shared values included communication that informed patients and involved family; information about function, trajectory, life context, and patient experience; behavior to manage diet; and outcomes of function, safety, and survival. Identified thematic tensions in patient-provider values were: personalized vs. routinized communication; shared vs. separate information; managed vs. adherent behavior; and participating vs. protected outcome. Patient behavior emerged as a contested area of control.Conclusion: Emphasizing shared values and bridging values conflicts may ease tensions surrounding self-care behavior by facilitating discussions about diet, medications, and consistent dialyzing.Practice implications: More individualized information needs to be delivered to patients in a personalized communication approach that can still be achieved within a busy dialysis clinic setting. Renal dialysis End-stage renal disease Decision making Social values Physician-patient communication Bowling, C. Barrett verfasserin aut Adisa, Olufunmilola verfasserin aut Sahlie, Abyalew verfasserin aut Nadel, Leigh verfasserin aut Lea, Janice verfasserin aut Plantinga, Laura C. verfasserin aut Enthalten in Patient education and counseling Amsterdam [u.a.] : Elsevier Science, 1983 102, Seite 1280-1287 Online-Ressource (DE-627)320596044 (DE-600)2019572-2 (DE-576)264423984 1873-5134 nnns volume:102 pages:1280-1287 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.07 Medizinische Psychologie AR 102 1280-1287
allfieldsGer	10.1016/j.pec.2019.02.012 doi (DE-627)ELV002353334 (ELSEVIER)S0738-3991(19)30037-0 DE-627 ger DE-627 rda eng 610 DE-600 44.07 bkl Vandenberg, Ann E. verfasserin aut Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To examine concordance and tensions in values among stakeholder groups across the shared decision making process for end-stage renal disease patients treated with hemodialysis.Methods: A thematic analysis of transcripts from three stakeholder groups: hemodialysis patients (2 groups, n = 17), nephrologists (1 group, n = 9), and non-physician providers (dietitians, social workers, and registered nurses) (1 group, n = 8). A framework of decision-making components (communication, information, decision, behavior, and outcome) guided analysis of values within and across groups.Results: Shared values included communication that informed patients and involved family; information about function, trajectory, life context, and patient experience; behavior to manage diet; and outcomes of function, safety, and survival. Identified thematic tensions in patient-provider values were: personalized vs. routinized communication; shared vs. separate information; managed vs. adherent behavior; and participating vs. protected outcome. Patient behavior emerged as a contested area of control.Conclusion: Emphasizing shared values and bridging values conflicts may ease tensions surrounding self-care behavior by facilitating discussions about diet, medications, and consistent dialyzing.Practice implications: More individualized information needs to be delivered to patients in a personalized communication approach that can still be achieved within a busy dialysis clinic setting. Renal dialysis End-stage renal disease Decision making Social values Physician-patient communication Bowling, C. Barrett verfasserin aut Adisa, Olufunmilola verfasserin aut Sahlie, Abyalew verfasserin aut Nadel, Leigh verfasserin aut Lea, Janice verfasserin aut Plantinga, Laura C. verfasserin aut Enthalten in Patient education and counseling Amsterdam [u.a.] : Elsevier Science, 1983 102, Seite 1280-1287 Online-Ressource (DE-627)320596044 (DE-600)2019572-2 (DE-576)264423984 1873-5134 nnns volume:102 pages:1280-1287 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.07 Medizinische Psychologie AR 102 1280-1287
allfieldsSound	10.1016/j.pec.2019.02.012 doi (DE-627)ELV002353334 (ELSEVIER)S0738-3991(19)30037-0 DE-627 ger DE-627 rda eng 610 DE-600 44.07 bkl Vandenberg, Ann E. verfasserin aut Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To examine concordance and tensions in values among stakeholder groups across the shared decision making process for end-stage renal disease patients treated with hemodialysis.Methods: A thematic analysis of transcripts from three stakeholder groups: hemodialysis patients (2 groups, n = 17), nephrologists (1 group, n = 9), and non-physician providers (dietitians, social workers, and registered nurses) (1 group, n = 8). A framework of decision-making components (communication, information, decision, behavior, and outcome) guided analysis of values within and across groups.Results: Shared values included communication that informed patients and involved family; information about function, trajectory, life context, and patient experience; behavior to manage diet; and outcomes of function, safety, and survival. Identified thematic tensions in patient-provider values were: personalized vs. routinized communication; shared vs. separate information; managed vs. adherent behavior; and participating vs. protected outcome. Patient behavior emerged as a contested area of control.Conclusion: Emphasizing shared values and bridging values conflicts may ease tensions surrounding self-care behavior by facilitating discussions about diet, medications, and consistent dialyzing.Practice implications: More individualized information needs to be delivered to patients in a personalized communication approach that can still be achieved within a busy dialysis clinic setting. Renal dialysis End-stage renal disease Decision making Social values Physician-patient communication Bowling, C. Barrett verfasserin aut Adisa, Olufunmilola verfasserin aut Sahlie, Abyalew verfasserin aut Nadel, Leigh verfasserin aut Lea, Janice verfasserin aut Plantinga, Laura C. verfasserin aut Enthalten in Patient education and counseling Amsterdam [u.a.] : Elsevier Science, 1983 102, Seite 1280-1287 Online-Ressource (DE-627)320596044 (DE-600)2019572-2 (DE-576)264423984 1873-5134 nnns volume:102 pages:1280-1287 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.07 Medizinische Psychologie AR 102 1280-1287
language	English
source	Enthalten in Patient education and counseling 102, Seite 1280-1287 volume:102 pages:1280-1287
sourceStr	Enthalten in Patient education and counseling 102, Seite 1280-1287 volume:102 pages:1280-1287
format_phy_str_mv	Article
bklname	Medizinische Psychologie
institution	findex.gbv.de
topic_facet	Renal dialysis End-stage renal disease Decision making Social values Physician-patient communication
dewey-raw	610
isfreeaccess_bool	false
container_title	Patient education and counseling
authorswithroles_txt_mv	Vandenberg, Ann E. @@aut@@ Bowling, C. Barrett @@aut@@ Adisa, Olufunmilola @@aut@@ Sahlie, Abyalew @@aut@@ Nadel, Leigh @@aut@@ Lea, Janice @@aut@@ Plantinga, Laura C. @@aut@@
publishDateDaySort_date	2019-01-01T00:00:00Z
hierarchy_top_id	320596044
dewey-sort	3610
id	ELV002353334
language_de	englisch
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author	Vandenberg, Ann E.
spellingShingle	Vandenberg, Ann E. ddc 610 bkl 44.07 misc Renal dialysis misc End-stage renal disease misc Decision making misc Social values misc Physician-patient communication Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions
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topic_title	610 DE-600 44.07 bkl Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions Renal dialysis End-stage renal disease Decision making Social values Physician-patient communication
topic	ddc 610 bkl 44.07 misc Renal dialysis misc End-stage renal disease misc Decision making misc Social values misc Physician-patient communication
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title	Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions
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title_full	Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions
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title_sort	shared patient and provider values in end-stage renal disease decision making: identifying the tensions
title_auth	Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions
abstract	Objective: To examine concordance and tensions in values among stakeholder groups across the shared decision making process for end-stage renal disease patients treated with hemodialysis.Methods: A thematic analysis of transcripts from three stakeholder groups: hemodialysis patients (2 groups, n = 17), nephrologists (1 group, n = 9), and non-physician providers (dietitians, social workers, and registered nurses) (1 group, n = 8). A framework of decision-making components (communication, information, decision, behavior, and outcome) guided analysis of values within and across groups.Results: Shared values included communication that informed patients and involved family; information about function, trajectory, life context, and patient experience; behavior to manage diet; and outcomes of function, safety, and survival. Identified thematic tensions in patient-provider values were: personalized vs. routinized communication; shared vs. separate information; managed vs. adherent behavior; and participating vs. protected outcome. Patient behavior emerged as a contested area of control.Conclusion: Emphasizing shared values and bridging values conflicts may ease tensions surrounding self-care behavior by facilitating discussions about diet, medications, and consistent dialyzing.Practice implications: More individualized information needs to be delivered to patients in a personalized communication approach that can still be achieved within a busy dialysis clinic setting.
abstractGer	Objective: To examine concordance and tensions in values among stakeholder groups across the shared decision making process for end-stage renal disease patients treated with hemodialysis.Methods: A thematic analysis of transcripts from three stakeholder groups: hemodialysis patients (2 groups, n = 17), nephrologists (1 group, n = 9), and non-physician providers (dietitians, social workers, and registered nurses) (1 group, n = 8). A framework of decision-making components (communication, information, decision, behavior, and outcome) guided analysis of values within and across groups.Results: Shared values included communication that informed patients and involved family; information about function, trajectory, life context, and patient experience; behavior to manage diet; and outcomes of function, safety, and survival. Identified thematic tensions in patient-provider values were: personalized vs. routinized communication; shared vs. separate information; managed vs. adherent behavior; and participating vs. protected outcome. Patient behavior emerged as a contested area of control.Conclusion: Emphasizing shared values and bridging values conflicts may ease tensions surrounding self-care behavior by facilitating discussions about diet, medications, and consistent dialyzing.Practice implications: More individualized information needs to be delivered to patients in a personalized communication approach that can still be achieved within a busy dialysis clinic setting.
abstract_unstemmed	Objective: To examine concordance and tensions in values among stakeholder groups across the shared decision making process for end-stage renal disease patients treated with hemodialysis.Methods: A thematic analysis of transcripts from three stakeholder groups: hemodialysis patients (2 groups, n = 17), nephrologists (1 group, n = 9), and non-physician providers (dietitians, social workers, and registered nurses) (1 group, n = 8). A framework of decision-making components (communication, information, decision, behavior, and outcome) guided analysis of values within and across groups.Results: Shared values included communication that informed patients and involved family; information about function, trajectory, life context, and patient experience; behavior to manage diet; and outcomes of function, safety, and survival. Identified thematic tensions in patient-provider values were: personalized vs. routinized communication; shared vs. separate information; managed vs. adherent behavior; and participating vs. protected outcome. Patient behavior emerged as a contested area of control.Conclusion: Emphasizing shared values and bridging values conflicts may ease tensions surrounding self-care behavior by facilitating discussions about diet, medications, and consistent dialyzing.Practice implications: More individualized information needs to be delivered to patients in a personalized communication approach that can still be achieved within a busy dialysis clinic setting.
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title_short	Shared patient and provider values in end-stage renal disease decision making: Identifying the tensions
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author2	Bowling, C. Barrett Adisa, Olufunmilola Sahlie, Abyalew Nadel, Leigh Lea, Janice Plantinga, Laura C.
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up_date	2024-07-07T00:26:59.730Z
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