Abstract
ABSTRACTPurpose: Patients must be able to feel as much trust for caregivers and the healthcare system at the healthcare centre as at the emergency department. The aim of this study is to explain and understand the phenomenon of trust in the early chain of healthcare, when a patient has called an ambulance for a non-urgent condition and been referred to the healthcare centre.Method: A lifeworld hermeneutic approach from the perspective of caring science was used. Ten patients participated: seven female and three male. The setting is the early chain of healthcare in south-western Sweden.Results: The findings show that the phenomenon of trust does not automatically involve medical care. However, attention to the patient’s lifeworld in a professional caring relationship enables the patient to trust the caregiver and the healthcare environment. It is clear that the “voice of the lifeworld” enables the patient to feel trust.Conclusion: Trust in the early chain of healthcare entails caregivers’ ability to pay attention to both medical and existential issues in compliance with the patient’s information and questions. Thus, the patient must be invited to participate in assessments and decisions concerning his or her own healthcare, in a credible manner and using everyday language.
Highlights
This study is one part of a major research project intended to deepen our knowledge about a healthcare model named “Right Level of Care”
The aim of this study is to explain and understand the phenomenon of trust in the early chain of healthcare, when a patient has called an ambulance for a non-urgent condition and been referred to the healthcare centre (HCC)
In Part II, a comparative analysis where all five themes are interwoven is followed by a main interpretation that suggests how trust in the early chain of healthcare can be explained and understood when a patient has called an ambulance for a non-urgent condition and been referred to the HCC (Table I)
Summary
This study is one part of a major research project intended to deepen our knowledge about a healthcare model named “Right Level of Care”. The present study is one of a series of studies that started with a retrospective study of patient records to explore the population of patients with non-urgent conditions from the perspective of the emergency medical services (EMSs) (Norberg, Wireklint Sundström, Christensson, Nyström, & Herlitz, 2015). This was followed by a study developing an instrument to measure patient trust: the Patient Trust Questionnaire (Norberg Boysen et al, 2016). This present study investigates the patient’s lived experience of trust in the early chain of healthcare including three frontline service providers: the dispatch centre, the ambulance services (EMSs) and the HCC (primary healthcare).
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