Patients' perspective of attending nursing consultations-A pilot and feasibility study.
Jytte Graarup, Ida Elisabeth Højskov
PMID 32802368WHAT IT FOUND
Patients with advanced heart and lung failure accepted a half-hour nurse consultation and described it as a confidential moment to identify what mattered in everyday life.
They valued scheduled time, patient-chosen topics, and talking to a nurse.
Key findings
01The main theme was a confidential moment with the nurse to deal with and become more aware of what is important.
02All invited patients accepted the nursing consultation and were interested and positive about attending it.
03Scheduled time was important because patients could prepare and own the topics, and the consultation gave them a place to reflect on past, present, and future.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study included only 13 patients from one outpatient clinic, so it cannot show what most patients with advanced heart or lung failure would think. The interviews lasted only 2 to 5 minutes and were done just after the consultation, so they may not capture the full experience. The nurse who conducted the consultation was one of the authors and was trained in the study framework, which may have shaped the conversation and interpretation. The study measured patients' views of acceptability and applicability, not clinical outcomes such as symptoms, medication adherence, quality of life, or hospital use. Only patients who came for annual follow-up, spoke Danish, were over 18, and did not have dementia were included, so it says little about patients who miss follow-up or have cognitive impairment.
Declared interests
No conflicts of interest were declared.
The easy way to misread this
Do not conclude that scheduled nursing consultations improve symptoms, medication adherence, or quality of life. The paper reports acceptability and applicability from 13 patients, with interviews lasting only 2 to 5 minutes, and it did not measure clinical outcomes.