Identifying patient concerns during consultations in tertiary burns services: development of the Adult Burns Patient Concerns Inventory

ObjectivesIdentifying the issues and concerns that matter most to burns survivors can be challenging. For a number of reasons, but mainly relating to patient empowerment, some of the most pressing concerns patients may have during a clinical encounter may not naturally be the focal point of that enc...

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Autores principales:	Sally Spencer, John Alexander Gerald Gibson, Jeremy Yarrow, Liz Brown, Janine Evans, Simon N Rogers, Kayvan Shokrollahi
Formato:	article
Lenguaje:	EN
Publicado:	BMJ Publishing Group 2019
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/e4c7a4662a7e4ff794fdf25aac3f5c15
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spelling	oai:doaj.org-article:e4c7a4662a7e4ff794fdf25aac3f5c152021-11-15T19:00:04ZIdentifying patient concerns during consultations in tertiary burns services: development of the Adult Burns Patient Concerns Inventory10.1136/bmjopen-2019-0327852044-6055https://doaj.org/article/e4c7a4662a7e4ff794fdf25aac3f5c152019-12-01T00:00:00Zhttps://bmjopen.bmj.com/content/9/12/e032785.fullhttps://doaj.org/toc/2044-6055ObjectivesIdentifying the issues and concerns that matter most to burns survivors can be challenging. For a number of reasons, but mainly relating to patient empowerment, some of the most pressing concerns patients may have during a clinical encounter may not naturally be the focal point of that encounter. The Patient Concerns Inventory (PCI) is a tried and tested concept initially developed in the field of head and neck cancer that empowers patients during a clinical encounter through provision of a list of prompts that allows patients to self-report concerns prior to consultation. The aim of this study was to develop a PCI for adult burns patients.DesignContent for the PCI was generated from three sources: burns health-related quality of life tools, thematic analysis of one-to-one interviews with 12 adult burns patients and 17 multidisciplinary team (MDT) members. Content was refined using a Delphi consensus technique, with patients and staff members, using SurveyMonkey.SettingWithin outpatient secondary care.ParticipantsTwelve adult burns patients and MDT members from two regional burns centres.ResultsA total of 111 individual items were generated from the three sources. The Delphi process refined the total number of items to 58. The main emergent domains were physical and functional well-being (18 items), psychological, emotional and spiritual well-being (22 items), social care and social well-being (7 items) and treatment-related concerns (11 items).ConclusionsThe Adult Burns Patient Concerns Inventory is a 58-item, holistic prompt list, designed to be used in the outpatient clinic. It offers a new tool in burn care to improve communication between healthcare professionals and patients, empowering them to identify their most pressing concerns and hence deliver a more focused and targeted patient-centred clinical encounter.Sally SpencerJohn Alexander Gerald GibsonJeremy YarrowLiz BrownJanine EvansSimon N RogersKayvan ShokrollahiBMJ Publishing GrouparticleMedicineRENBMJ Open, Vol 9, Iss 12 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Sally Spencer John Alexander Gerald Gibson Jeremy Yarrow Liz Brown Janine Evans Simon N Rogers Kayvan Shokrollahi Identifying patient concerns during consultations in tertiary burns services: development of the Adult Burns Patient Concerns Inventory
description	ObjectivesIdentifying the issues and concerns that matter most to burns survivors can be challenging. For a number of reasons, but mainly relating to patient empowerment, some of the most pressing concerns patients may have during a clinical encounter may not naturally be the focal point of that encounter. The Patient Concerns Inventory (PCI) is a tried and tested concept initially developed in the field of head and neck cancer that empowers patients during a clinical encounter through provision of a list of prompts that allows patients to self-report concerns prior to consultation. The aim of this study was to develop a PCI for adult burns patients.DesignContent for the PCI was generated from three sources: burns health-related quality of life tools, thematic analysis of one-to-one interviews with 12 adult burns patients and 17 multidisciplinary team (MDT) members. Content was refined using a Delphi consensus technique, with patients and staff members, using SurveyMonkey.SettingWithin outpatient secondary care.ParticipantsTwelve adult burns patients and MDT members from two regional burns centres.ResultsA total of 111 individual items were generated from the three sources. The Delphi process refined the total number of items to 58. The main emergent domains were physical and functional well-being (18 items), psychological, emotional and spiritual well-being (22 items), social care and social well-being (7 items) and treatment-related concerns (11 items).ConclusionsThe Adult Burns Patient Concerns Inventory is a 58-item, holistic prompt list, designed to be used in the outpatient clinic. It offers a new tool in burn care to improve communication between healthcare professionals and patients, empowering them to identify their most pressing concerns and hence deliver a more focused and targeted patient-centred clinical encounter.
format	article
author	Sally Spencer John Alexander Gerald Gibson Jeremy Yarrow Liz Brown Janine Evans Simon N Rogers Kayvan Shokrollahi
author_facet	Sally Spencer John Alexander Gerald Gibson Jeremy Yarrow Liz Brown Janine Evans Simon N Rogers Kayvan Shokrollahi
author_sort	Sally Spencer
title	Identifying patient concerns during consultations in tertiary burns services: development of the Adult Burns Patient Concerns Inventory
title_short	Identifying patient concerns during consultations in tertiary burns services: development of the Adult Burns Patient Concerns Inventory
title_full	Identifying patient concerns during consultations in tertiary burns services: development of the Adult Burns Patient Concerns Inventory
title_fullStr	Identifying patient concerns during consultations in tertiary burns services: development of the Adult Burns Patient Concerns Inventory
title_full_unstemmed	Identifying patient concerns during consultations in tertiary burns services: development of the Adult Burns Patient Concerns Inventory
title_sort	identifying patient concerns during consultations in tertiary burns services: development of the adult burns patient concerns inventory
publisher	BMJ Publishing Group
publishDate	2019
url	https://doaj.org/article/e4c7a4662a7e4ff794fdf25aac3f5c15
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Identifying patient concerns during consultations in tertiary burns services: development of the Adult Burns Patient Concerns Inventory

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