Increased knowledge about the different situations that affect the partners' support negatively or positively and how these situations are managed by partners can be used in educational situations involving both patients and partners during CPAP initiation.
This is the published version of a paper published in Journal of Hospital Administration.
Citation for the original published paper (version of record):Karlsson, S., Elfström, M., Sunnergren, O., Fridlund, B., Broström, A. (2015) Decisive situations influencing continuous positive airway pressure initiation in patients with obstructive sleep apnea syndrome -A critical incident technique analysis from the personnel' s perspective.
Journal of Hospital
AbstractBackground: Continuous positive airway pressure is an effective treatment of obstructive sleep apnea syndrome, but adherence to treatment is low. Interventions such as encouragement, education and cognitive behavioural therapy have affected adherence to continuous positive airway pressure treatment positively. Currently there are no studies regarding the situation for personnel during the initiation process of treatment. Purpose: The purpose was to describe situations influencing the initiation of continuous positive airway pressure in patients with obstructive sleep apnea syndrome from a personnel perspective. Materials and methods: A qualitative approach using critical incident technique was used. Data were collected through semistructured interviews. Thirty one informants were strategically selected from sixteen centres in Sweden.Results: Motivation, a prepared patient, communicational aspects and participation of family were described as pedagogical circumstances. External conditions, practical experience, the patient's state of health and adaption to the mask were described as practical circumstances. The personnel handled the situations in a theoretical, practical and/or an emotional way. Conclusions: A better understanding of situations creating barriers or being facilitators, as well as ways to handle these situations, can be used to develop the role of personnel during the initiation process in order to increase continuous positive airway pressure adherence.
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