Empathy During Patient-Provider Interactions for Women With Chronic Pelvic Pain: A Qualitative Study

Kays, Pamela

doi:10.1097/jwh.0000000000000215

Cited by 3 publications

(17 citation statements)

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“…Using a phenomenological qualitative design, based on the systems theory and the Neuman systems model of health care as frameworks, [29][30][31] previously collected data 34 were further analyzed to determine the themes and patterns of PPIs affecting health care experiences for women with CPP. The interviews were conducted at a southwestern US health sciences university from September to October 2019.…”

Section: Designmentioning

confidence: 99%

“…If it's not spoken about or said, you can't do anything about it." Another participant also expressed the importance of diagnosis and the implication 34 for health care provider behaviors and traits influencing patient-provider interactions for women with chronic pelvic pain subthemes of the current analysis are highlighted. The subtheme of conditioning into silence was not referenced enough to establish substantial connections with any other subthemes.…”

Section: Diagnosismentioning

confidence: 99%

“…Descriptions related to this subtheme also elucidated interactions between diagnosis and previously reported subthemes of HCP behaviors and HCP traits. 34 According to participants, HCP behaviors and traits contributed to negative PPIs that delayed diagnosis. One participant stated, "Here's someone [a patient] that had a legitimate problem.…”

Section: Diagnosismentioning

confidence: 99%

“…34 Specifically, several health care provider (HCP) behaviors negatively shaped PPIs, such as faulting participants for CPP, labeling CPP as psychosomatic, dismissing participants, and normalizing the difficulties of women with CPP. 34 Participants also emphasized that HCPs did not listen to, believe in, or take them seriously and that negative PPIs resulted when HCPs lacked compassion, honesty, and knowledge about pelvic pain conditions or made little effort to help. 34 However, it was unclear how and to what extent these PPIs affected care of the individuals.…”

Section: Introductionmentioning

confidence: 99%

“…34 Participants also emphasized that HCPs did not listen to, believe in, or take them seriously and that negative PPIs resulted when HCPs lacked compassion, honesty, and knowledge about pelvic pain conditions or made little effort to help. 34 However, it was unclear how and to what extent these PPIs affected care of the individuals. Therefore, the purpose of the current analysis was to determine the themes and patterns of PPIs affecting health care experiences for women with CPP.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Patient-Provider Interactions on Diagnosis and Care for Women With Chronic Pelvic Pain: A Qualitative Study

Kays¹

2022

Journal of Women's Health Physical Therapy

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Background: Evidence indicates that women with chronic pelvic pain (CPP) frequently experience negative patient-provider interactions (PPIs) that contribute to diagnosis delays, comorbidity with other conditions, and psychological and socioenvironmental complications. However, specific components of PPIs and their effect on diagnosis and care for women with CPP are poorly understood. Objectives: To determine the themes and patterns of PPIs affecting health care experiences for women with CPP. Study Design: Phenomenological qualitative study using semistructured, in-depth interviews. Methods: Thirteen women, aged 18 to 65 years, with CPP for a minimum of 6 months participated. Transcribed data from standardized, in-person interviews were analyzed with qualitative analysis software to manually code thematic nodes. For interpretive phenomenological analysis, an open and inductive approach with constant comparison was used. Results: Emergent themes were consequences and effects of PPIs on health care. The described consequences of these interactions for women with CPP included increased emotional toll and decreased trust. The effects of these interactions on diagnosis and care influenced health care experiences related to information and resources provided, diagnosis, medical error (eg, misdiagnosis and inappropriate treatment), and plan (eg, treatment, management, and referral). Conclusion: Results of the current analysis demonstrated certain components of PPIs adversely affected health care experiences for women with CPP by contributing to the emotional burden of living with CPP, interfering with communication and trust between patients and providers, and impeding proper diagnosis and treatment for these patients.

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Section: Designmentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%