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Communication during the initial visit to a CPAP clinic: Practitioners' experiences of facilitators and barriers when talking to patients with obstructive sleep apnea
Linköping University Hospital, Sweden;Jönköping University, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (Ctr Interprofess Collaborat Emergency Care CICE)
Sophiahemmet university, Sweden;Södersjukhuset, Sweden;Karolinska Institutet, Sweden.
Jönköping University, Sweden;Qazvin Univ Med Sci, Iran.ORCID iD: 0000-0002-8798-5345
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2021 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 30, no 4, article id e13244Article in journal (Refereed) Published
Sustainable development
SDG 3: Ensure healthy lives and promote well-being for all at all ages
Abstract [en]

Adherence to continuous positive airway pressure treatment for obstructive sleep apnea tends to be poor. Communication influences adherence but has not previously been investigated from a practitioner perspective, although shared decision-making is known to be of great importance. The aim was to describe how practitioners experience communication with patients with obstructive sleep apnea during the initial visit at a continuous positive airway pressure treatment clinic, with focus on facilitators and barriers related to the 4 Habits Model, a communication model comprised of four types of interrelated skills to make encounters more patient-centred: investing in the beginning; exploring the patient perspective; showing empathy; and investing in the end. A descriptive design with qualitative content analysis was used. A deductive analysis was carried out based on interviews with 24 strategically selected practitioners from seven continuous positive airway pressure treatment clinics. The 4 Habits Model was used as a framework for identifying facilitators and barriers to communication. Investments in the beginning was described as creating contact, showing the agenda and being adaptive, while explore the patient perspective included showing awareness, being explorative and creating a participating climate. Show empathy consisted of showing openness, being confirmative and creating acceptance, while showing a structured follow-up plan, being open minded and invitational and creating motivation to build on were descriptions of invest in the end. Awareness of potential facilitators and barriers for patient-centred communication during the beginning, middle and end of a continuous positive airway pressure treatment consultation can be used to improve contextual conditions and personal communication competences among practitioners working with continuous positive airway pressure treatment initiation.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021. Vol. 30, no 4, article id e13244
Keywords [en]
adherence, communication, continuous positive airway pressure, obstructive sleep apnea, shared decision‐, making
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-100049DOI: 10.1111/jsr.13244ISI: 000598084400001PubMedID: 33314386Scopus ID: 2-s2.0-85097501805Local ID: 2020OAI: oai:DiVA.org:lnu-100049DiVA, id: diva2:1518519
Available from: 2021-01-15 Created: 2021-01-15 Last updated: 2022-02-09Bibliographically approved

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Fridlund, Bengt

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