Acquiring knowledge prior to diagnosis: A grounded theory of patients’ experiences

This research aimed to explore and explain how people make sense of long-term health conditions. Using purposive and theoretical sampling within a grounded theory design, experiences of thrombophilia and asthma were explored. The article focuses on information gained by patients before diagnosis and...

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Autores principales: Jennifer Roddis, Immy Holloway, Carol Bond, Kathleen Galvin
Formato: article
Lenguaje:EN
Publicado: The Beryl Institute 2019
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Acceso en línea:https://doaj.org/article/11653a1c50884501aa7a1a8698d0444b
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spelling oai:doaj.org-article:11653a1c50884501aa7a1a8698d0444b2021-11-15T04:28:38ZAcquiring knowledge prior to diagnosis: A grounded theory of patients’ experiences2372-0247https://doaj.org/article/11653a1c50884501aa7a1a8698d0444b2019-04-01T00:00:00Zhttps://pxjournal.org/journal/vol6/iss1/3https://doaj.org/toc/2372-0247This research aimed to explore and explain how people make sense of long-term health conditions. Using purposive and theoretical sampling within a grounded theory design, experiences of thrombophilia and asthma were explored. The article focuses on information gained by patients before diagnosis and how this contributes to their understanding. The study adopted a constructivist grounded theory approach, generating a theory of how individuals adapt to their long-term condition. Ethical approval was sought from the NHS and the institution at which the research was conducted. Data were collected through semi-structured interviews, with sixteen participants who had provided informed consent. Individuals with long-term conditions frequently gain knowledge about their condition before diagnosis, through clinical encounters, from friends, family or acquaintances, by linking specific symptoms to a particular condition, or through experiencing ongoing symptoms. Knowledge gained before the point of diagnosis enables individuals to become informed about their condition. Some of this knowledge may be accurate, some may be specific to them as individuals and some of it may be misunderstood or coincidentally linked to their condition. However, patients will use and rely on this knowledge, particularly in the absence of evidence to the contrary. Healthcare professionals may wish to talk through patients’ understanding of their condition at the point of diagnosis, in order to identify and correct misunderstandings and provide information of which patients are unaware. They could also use the opportunities offered at medication and other review touchpoints to review patients’ knowledge and understanding.Jennifer RoddisImmy HollowayCarol BondKathleen GalvinThe Beryl Institutearticlepatient experiencequalitative methodslong-term conditionthrombophiliaasthmapre-diagnosispatient knowledgeMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2019)
institution DOAJ
collection DOAJ
language EN
topic patient experience
qualitative methods
long-term condition
thrombophilia
asthma
pre-diagnosis
patient knowledge
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle patient experience
qualitative methods
long-term condition
thrombophilia
asthma
pre-diagnosis
patient knowledge
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Jennifer Roddis
Immy Holloway
Carol Bond
Kathleen Galvin
Acquiring knowledge prior to diagnosis: A grounded theory of patients’ experiences
description This research aimed to explore and explain how people make sense of long-term health conditions. Using purposive and theoretical sampling within a grounded theory design, experiences of thrombophilia and asthma were explored. The article focuses on information gained by patients before diagnosis and how this contributes to their understanding. The study adopted a constructivist grounded theory approach, generating a theory of how individuals adapt to their long-term condition. Ethical approval was sought from the NHS and the institution at which the research was conducted. Data were collected through semi-structured interviews, with sixteen participants who had provided informed consent. Individuals with long-term conditions frequently gain knowledge about their condition before diagnosis, through clinical encounters, from friends, family or acquaintances, by linking specific symptoms to a particular condition, or through experiencing ongoing symptoms. Knowledge gained before the point of diagnosis enables individuals to become informed about their condition. Some of this knowledge may be accurate, some may be specific to them as individuals and some of it may be misunderstood or coincidentally linked to their condition. However, patients will use and rely on this knowledge, particularly in the absence of evidence to the contrary. Healthcare professionals may wish to talk through patients’ understanding of their condition at the point of diagnosis, in order to identify and correct misunderstandings and provide information of which patients are unaware. They could also use the opportunities offered at medication and other review touchpoints to review patients’ knowledge and understanding.
format article
author Jennifer Roddis
Immy Holloway
Carol Bond
Kathleen Galvin
author_facet Jennifer Roddis
Immy Holloway
Carol Bond
Kathleen Galvin
author_sort Jennifer Roddis
title Acquiring knowledge prior to diagnosis: A grounded theory of patients’ experiences
title_short Acquiring knowledge prior to diagnosis: A grounded theory of patients’ experiences
title_full Acquiring knowledge prior to diagnosis: A grounded theory of patients’ experiences
title_fullStr Acquiring knowledge prior to diagnosis: A grounded theory of patients’ experiences
title_full_unstemmed Acquiring knowledge prior to diagnosis: A grounded theory of patients’ experiences
title_sort acquiring knowledge prior to diagnosis: a grounded theory of patients’ experiences
publisher The Beryl Institute
publishDate 2019
url https://doaj.org/article/11653a1c50884501aa7a1a8698d0444b
work_keys_str_mv AT jenniferroddis acquiringknowledgepriortodiagnosisagroundedtheoryofpatientsexperiences
AT immyholloway acquiringknowledgepriortodiagnosisagroundedtheoryofpatientsexperiences
AT carolbond acquiringknowledgepriortodiagnosisagroundedtheoryofpatientsexperiences
AT kathleengalvin acquiringknowledgepriortodiagnosisagroundedtheoryofpatientsexperiences
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