Patients and healthcare professional’s experiences with Patient Reported Outcomes (PROs) at a haematological outpatient clinic Background Patient Reported Outcomes (PROs) in clinical practice has the potential to contribute to and support shared decision-making processes between patients and healthcare professionals. However, experiences from use of PROs in clinical practice is missing. Aim How do patients diagnosed with haematological cancer, nurses and physicians experience PROs when interacting during visits at the out patient clinic? Method and theoretical inspiration This study was guided by a qualitative conceptual theoretical framework using Interpretive Description (ID) with a focused ethnographic approach to add knowledge about nurses’ experiences with PROs for applied practice. ID methodology endeavoured to ensure the logic of this qualitative research, and to ensure academic credibility with a methodological flexibility. Analysis was inspired by Habermas’ social theory of Communicative Action. The approach generated knowledge about the perceptions of PROs relevant for the clinical context of applied health disciplines by answering practice oriented questions grounded in nurses epistemological foundations. Study was structured upon distinctive ID features that acknowledges the theoretical and practical knowledge of the researcher. Distinctive ID features Clinical phenomenon
Scaffolding the study
Strategizing a credible study
Entering the field
Constructing data
Making sense of data
Conceptualizing findings
Preliminary results Patients diagnosed with haematological cancer, nurses and doctors act and experience the use of PRO differently. The twolevel concept of the lifeworld and the system seems to capture the interactons during visits at the out patient clinic.
Nurse
Communicative space Physician Patient
PRO System
Life World
Stine Thestrup Hansen (
[email protected])1, Mette Kjerholt1, Sarah Friis Christensen2, John Brodersen3, Bibi Hølge-Hazelton4 1. Department of Haematology, Zealand University Hospital, Denmark. 2. Department of Haematology, Zealand University Hospital/University of Copenhagen. 3. Centre of Research & Education in General Practice. Primary Healthcare Research Unit, Zealand Region/Department of Public Health Faculty of Health Sciences University of Copenhagen. 4. Zealand University Hospital & Institute of Regional Research, University of Southern Denmark Gratitudes to the Danish Nursing Research Societys foundation who has supported conference participation and presentation.
