Min eller jeres rytme? Et observationsstudie af kommunkationen i et pacemakerambulatorium
Sammanfattning
Studies indicate deficient involvement of elderly patients with devices (the term for an implanted
pacemaker) in terms of patient co-determination of their own care pathway.
Communication appears to be key, but has not been fully investigated.
Purpose: to elucidate the characteristic traits of communication between elderly patients with a
device and health professionals during outpatient evaluations. The focus is patient co-determination
in decision-making concerning patient care.
Method: A qualitative observational study of communication practices. Data were analysed by means
of systematic text condensation.
Findings and conclusion: Health professionals control the dialogue primarily by using clinical
terminology, the content of which is focused on device functionality. Communication in the
evaluations results in decisions concerning the patient pathway and the patients’ life with the device
being addressed to a limited extent only.
Implications for nursing: Fast-track patient pathways, shorter stays in hospital and more outpatient
evaluations place great communicative demands on health personnel. The acquisition of
communicative skills is important in maintaining high standards of nursing.