Biggerstaff, Deborah and Robinson, Liz (2008) Health care professionals’ (HCPs) experiences of caring for the individual in an evidence-based world : an exploratory study using IPA. In: 2010 QMiP Conference A Change of Tongue, University of Nottingham, Jubilee Campus , 23-25 Aug 2008

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Abstract

Objectives: This study explores HCPs’ understanding of patient values and patient preferences in relation to clinicians’ training in evidence-based health care (EBHC) delivery and practice. The aim was to gain greater understanding of individual clinicians’ experiences and to define the range of ways in which HCPs, in their clinical practice, integrate, or otherwise accommodate, competing theoretical models derived from EBHC and values based medicine (VBM). Design: In-depth qualitative interviews were conducted with a purposeful sample of clinicians enrolled on clinical Masters/CPD courses in WMS. The study adopted an idiographic approach to explore participants’ experiences. Interpretative phenomenological analysis (IPA) was used to examine participants’ lived experiences, perceptions and views. Methods: Potential participants were recruited via an invitation letter, e-mail and/or posters. Volunteers were invited to take part in an individual semi-structured interview. Interviews were recorded and data transcripts analysed using IPA. All participants gave informed consent. University ethical approval was obtained. Results: Recruitment (N=6 to date) and analysis is ongoing. Participants’ experiences include finding it personally difficult to reconcile individual patients’ values (values-based medicine) and patient preferences with their clinical training especially when facing the reality of day-to-day encounters with their patients. They recount difficulties they experience, as clinicians, and describe the strategies they adopt when attempting to incorporate patients’ preferences, especially in mental health care and in the provision of care in ‘developing countries’. Participants describe feelings of frustration, confusion, feeling over-whelmed and, in some instances, angry. Strategies they adopt include a change of direction, and ‘returning to the drawing board’ by deciding to enrol on further clinical academic courses. Conclusions: This study, although exploratory, suggests that health care professionals, especially when recently qualified, struggle and sometimes find it difficult, even distressing, when attempting to reconcile the competing tensions of ‘best evidence’ with their awareness of individual patients’ needs, values and preferences.

Item Type:	Conference Item (Paper)
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine > Warwick Medical School > Education Development and Research Faculty of Medicine > Warwick Medical School
Date:	2008
Status:	Peer Reviewed
Conference Paper Type:	Paper
Title of Event:	2010 QMiP Conference A Change of Tongue
Type of Event:	Conference
Location of Event:	University of Nottingham, Jubilee Campus
Date(s) of Event:	23-25 Aug 2008
URI:	http://wrap.warwick.ac.uk/id/eprint/49082

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