read all about it inside the ewma university conference model
read all about it inside the ewma university conference model read all about it inside the ewma university conference model
42 EWMA First Time presenter QUALITATIVE RESPONSES TO PAIN BETWEEN COUNTRIES First time presenter Hilde Fagervik-Morton, Cardiff University, United Kingdom Aim: Cross- (and within-) cultural variations in clinical practice can have an impact on professional- patient interaction; implicate beliefs about health, illness and expectations for the professional- patient relationship, and health communication preferences. Methods: This cross-sectional international survey collected the self-reported views of patients using a specifically designed questionnaire developed from issues relevant to patients captured through focus groups. Results were obtained for 2018 patients from 15 different countries across Europe, North America and Australia, with a mean age of 68.6 years (st dev 15.4), and a mean wound duration of 19.6 months (st dev 51.8). When asked two questions related to reducing pain at dressing-related procedures, responses were given by 1523 patients in relation to their own/carers’ involvement, and by 1344 patients in relation to health care professionals’ involvement. Results: 40.4% of patients felt that neither they nor their carer or health care professional could do anything to ease the pain experienced during dressing related procedures. However, it is not clear as to whether this was due to patients’ feeling resigned to the situation and the treatment provided or due to not knowing of anything that could benefit them. Further, many patients made suggestions in relation to the procedure and handling of the wound to reduce discomfort and pain; wanting careful and gentle treatment, to soak/ moisten the dressing before removal, to be consulted, listened to, communicated with and distracted from the dressing related procedures, not having the wound touched or scrubbed, to have consistent quality of care, for the procedure to be carried out slowly, for the wound to be washed with water and to have the dressings changed regularly. Conclusions: These results highlight the importance of identifying and incorporating a patient's concerns into their goals for treatment, participants involved in the treatment, and patterns of communicating health information to improve and facilitate positive health outcomes. EWMA2008 LISBON EWMA Journal 2008 vol 8 no 3
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42<br />
EWMA<br />
First Time presenter<br />
QUALITATIVE RESPONSES TO PAIN<br />
BETWEEN COUNTRIES<br />
First time presenter<br />
Hilde Fagervik-Morton,<br />
Cardiff Univers<strong>it</strong>y,<br />
Un<strong>it</strong>ed Kingdom<br />
Aim: Cross- (and w<strong>it</strong>hin-) cultural variations in clinical practice can have an<br />
impact on professional- patient interaction; implicate beliefs <strong>about</strong> health,<br />
illness and expectations for <strong>the</strong> professional- patient relationship, and health<br />
communication preferences.<br />
Methods: This cross-sectional international survey collected <strong>the</strong> self-reported<br />
views of patients using a specific<strong>all</strong>y designed questionnaire developed<br />
from issues relevant to patients captured through focus groups. Results were<br />
obtained for 2018 patients from 15 different countries across Europe, North<br />
America and Australia, w<strong>it</strong>h a mean age of 68.6 years (st dev 15.4), and a<br />
mean wound duration of 19.6 months (st dev 51.8). When asked two questions<br />
related to reducing pain at dressing-related procedures, responses were<br />
given by 1523 patients in relation to <strong>the</strong>ir own/carers’ involvement, and by<br />
1344 patients in relation to health care professionals’ involvement.<br />
Results: 40.4% of patients felt that ne<strong>it</strong>her <strong>the</strong>y nor <strong>the</strong>ir carer or health<br />
care professional could do anything to ease <strong>the</strong> pain experienced during<br />
dressing related procedures. However, <strong>it</strong> is not clear as to whe<strong>the</strong>r this was<br />
due to patients’ feeling resigned to <strong>the</strong> s<strong>it</strong>uation and <strong>the</strong> treatment provided<br />
or due to not knowing of anything that could benef<strong>it</strong> <strong>the</strong>m. Fur<strong>the</strong>r, many<br />
patients made suggestions in relation to <strong>the</strong> procedure and handling of <strong>the</strong><br />
wound to reduce discomfort and pain; wanting careful and gentle treatment,<br />
to soak/ moisten <strong>the</strong> dressing before removal, to be consulted, listened to,<br />
communicated w<strong>it</strong>h and distracted from <strong>the</strong> dressing related procedures,<br />
not having <strong>the</strong> wound touched or scrubbed, to have consistent qual<strong>it</strong>y of<br />
care, for <strong>the</strong> procedure to be carried out slowly, for <strong>the</strong> wound to be washed<br />
w<strong>it</strong>h water and to have <strong>the</strong> dressings changed regularly.<br />
Conclusions: These results highlight <strong>the</strong> importance of identifying and<br />
incorporating a patient's concerns into <strong>the</strong>ir goals for treatment, participants<br />
involved in <strong>the</strong> treatment, and patterns of communicating health information<br />
to improve and facil<strong>it</strong>ate pos<strong>it</strong>ive health outcomes.<br />
EWMA2008<br />
LISBON<br />
EWMA Journal 2008 vol 8 no 3