Characteristics of and Problems With Primary Care Interactions Experienced by an Ethnically Diverse Group of Woman
- 1 July 2004
- journal article
- Published by Wiley in Journal of the American Academy of Nurse Practitioners
- Vol. 16 (7) , 300-310
- https://doi.org/10.1111/j.1745-7599.2004.tb00453.x
Abstract
Purpose To reflect women's voices as they discussed characteristics of health care interactions and spontaneously identified problems in primary care interactions. Data Sources Five successive meetings with an ethnically diverse group of eight women were held to discuss primary care interactions with nurse practitioners. Field notes, seating charts, participant interaction notations, session transcripts, and audiotapes were repeatedly reviewed to identify significant statements. These were grouped into common categories to identify essential themes. Results were validated with participants. Conclusions Components of primary care interactions included the process of making an appointment, access to the clinic, comfort of the waiting area and clinic rooms, and interactions with staff and clinicians. Problems were identified with interactions. The overarching issue was a lack of caring — a pervasive attitude demonstrated when clinicians failed to show concern, did not listen, were not trustworthy, or treated the women with disrespect or prejudice. Implications for Practice The women strongly valued caring clinicians. Caring, according to these women, is demon-strated when clinicians treat women as equals and show respect for their individual knowledge and life experiences.Keywords
This publication has 32 references indexed in Scilit:
- Principles and practice of women's health careWomen's Health Issues, 1998
- Toward a women‐centered health care system: Women's experiences, women's voices, women's needsHealth Care for Women International, 1997
- Consumer perceptions of health care quality and the utilization of non-conventional therapySocial Science & Medicine, 1996
- The essence of nurse-midwifery care The woman's storyJournal of Nurse-Midwifery, 1995
- Qualitative analysis: What it is and how to beginResearch in Nursing & Health, 1995
- The art of interviewingJournal of Nurse-Midwifery, 1995
- Primary health care and primary care: A confusion of philosophiesNursing Outlook, 1995
- Focus on qualitative methods. Notes on TranscriptionResearch in Nursing & Health, 1994
- The qualitative research audit trail: A complex collection of documentationResearch in Nursing & Health, 1993
- Women and health care communicationPatient Education and Counseling, 1989