Patients with the same underlying concern express this with different styles that predict preference for physician responses. One hundred primary care patients imagined having chest pain and selected from a videotape, the most likely response which they would tell their physician: (1) symptoms only - no disclosure of underlying concern; (2) symptoms and a "Clue" to an underlying concern; or (3) symptom with an explicit concern. Depending on their preferred expression, they were presented videotaped doctors responses to that disclosure and ranked their response preferences. Patients stating they would present with symptoms only (17%) preferred a biomedical question response; patients selecting a symptom and a clue (43%) were equally comfortable with a biomedical question, facilitation or, an exploration of the clue. Of patients presenting with an explicit concern (40%), most wanted the physician to acknowledge and explore the origins of that concern.

Background: Every day Lesbian, Gay, Bisexual and Transsexual (LGBT-persons [LGBT]) meet difficulties in life. Within healthcare they face discrimination and difficulties. The development of LGBT in society is on the rise, but still persons who don't fit the sexuality norm struggles to be accepted. Aim: The aim was to discover if nurses values effect on the meeting with persons who don't fit the sexuality norm. Method: This paper is a literature review which is based on nine quantitative articles. All the articles were analyzed by the authors looking for similarities and differences. Results: The result of the literature review was that the nurse's values do effect on their attitudes toward LGBT-persons. The result showed that nurses who had previous experience in LGBT-persons was more accepting in their meeting. It also shows that the nurse's ethnicity and religious values had effect on their attitude toward LGBT-persons. Overall majority weighs toward difficulties in the meeting with persons who don't fit the sexuality norm. Subcategories became accepting in the meeting, difficulties in the meeting, ethnicities and accepting and previous experience with LGBT-persons. Conclusion: Nurses today is more accepting in the meeting with LGBT-persons than they were 10 years ago. Still persons who don't fit the sexuality norm is feeling discriminated because of their sexuality. Nurses need more knowledge about how they can make LGBT-persons feel more accepted in their meeting. More research about LGBT-persons in healthcare is needed.

Background: Women across many ethnicities and backgrounds experience a lower quality of care compared to men, and have reported lower levels of patient satisfaction, and negative health outcomes. Women of various ethnic backgrounds often have health, cultural and religious needs during pregnancy that are not met by their care providers. While addressing patient needs is a priority, providers also face challenges in understanding, accommodating, and addressing women’s needs due to limited understanding of their cultures and available resources in caring for diverse populations. Objective: The purpose of this study is to describe and synthesize information from the literature regarding the perceptions and experiences of healthcare providers in delivering maternity care to ethnically diverse women. Methods: A scoping review was conducted, and database searching occurred in Ovid Medline, Ovid Embase, Ovid Emcare and Web of Science. Primary studies and literature reviews in English were included if they discussed the perspectives of healthcare providers in delivering maternity care to either ethnically diverse women, immigrant women, or a specific ethnic group of women. No time restrictions were placed on articles. Thematic analysis was applied to analyze the data, and results were reported in tabular format. Results: A total of 11 themes were generated across findings, namely, provider-patient communication difficulties, family involvement, lack of health and health system awareness, delays in care, limited time and resources, cultural conflicts, preference for a female provider, creation of stereotypes, prejudice and superior thinking, motivation to help ethnically diverse women, and cultural sensitivity training. Conclusion: Healthcare providers face challenges in addressing the needs of ethnically diverse women, due to resource and time limitations, lack of awareness of cultural norms, and lack of adequate cultural sensitivity training and education. Therefore, there is a need to increase the number of supports for providers as well as improve cultural sensitivity training in medical education. / Thesis / Master of Science (MSc) / Women of different backgrounds who are pregnant or who have given birth sometimes like to practice certain cultural traditions during pregnancy and birth such as eating cultural foods, fasting, and having family involved. When healthcare providers do not know about these practices or do not have the time or resources to help women practice their cultural traditions, this can cause them and the women they care for to have conflicts. This can cause other problems which can lead to poor mental and physical health. While there is a great amount of research on women’s experiences with their health providers, there is not much research on healthcare providers’ experiences with women. To address this, a scoping review was conducted to summarize research on healthcare providers’ experiences in caring for women of diverse cultures, during and after pregnancy. This review can help bridge the gap between women’s needs and healthcare providers’ abilities in meeting them.

Yes / Objectives: To explore experienced physiotherapists’ attitudes, beliefs and experiences regarding their personal role in contributing to effective therapeutic relationships when working with people with chronic musculoskeletal pain. Design: Descriptive qualitative design using semi-structured interviews. Setting: Within physiotherapy departments in two National Health Service acute secondary care trusts in the North West of England. Participants: Six experienced physiotherapists working with people with chronic musculoskeletal pain. Data Analysis: Thematic coding analysis of transcribed interview recordings Main outcomes: Four overarching themes emerged from the data: Listening to the person; a caring understanding of the person’s situation; engaging the person and coming together; and moving forwards. Results: Participants emphasized the importance of building effective therapeutic relationships when working with people with chronic pain, seeking to create these by engaging with the person, to promote a strong collaborative partnership. Participants highlighted the themes of listening to the person’s story and showing a caring understanding of their situation through empathy and belief with validation. The final theme of moving forward emphasized how positive therapeutic relationships aid the rehabilitation process in enabling people to make positive changes in their lives. Conclusions: A clearer understanding of how physiotherapists engender positive therapeutic relationships has the potential to improve training and service development priorities for physiotherapists working in the area of chronic musculoskeletal pain. Future studies should seek to further define the core dimensions impacting therapeutic relationships, from the perspectives of both physiotherapists and people with chronic musculoskeletal pain. / Health Education Yorkshire and the Humber

Thesis (Ph. D.)--University of Virginia, 2007. / Includes bibliographical references. Also available online through Digital Dissertations.

Diss. (sammanfattning) Umeå : Univ., 2004. / Härtill 4 uppsatser.

Thesis (M.S.)--University of Michigan, 1992.

Thesis (M.S.)--University of Michigan, 1993.

Thesis (M.S.)--University of Michigan, 1993.

Thesis (M.S.)--University of Michigan, 1992.