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[Change in therapy as a model for interaction problems between dermatologists, nurses and patients].
1Abteilung Dermatologie und Venerologie II, Universitäts-Hautklinik Göttingen.
Zeitschrift Fur Hautkrankheiten
|May 1, 1990
Summary
Changes in topical treatment for inpatients with skin diseases frequently cause conflict between healthcare providers and patients. Understanding these differing perspectives is crucial for improving patient care and management strategies.
Area of Science:
- Dermatology
- Healthcare Management
- Patient Experience
Background:
- Therapeutic management for inpatients with skin conditions involves complex protocols.
- Topical treatments are a common modality but can be a point of contention.
Purpose of the Study:
- To investigate the frequency of therapeutic management changes in hospitalized dermatological patients.
- To assess the perceptions of dermatologists, nurses, and patients regarding these management changes.
- To identify sources of conflict arising from changes in topical treatment procedures.
Main Methods:
- Retrospective analysis of patient records for management modifications.
- Surveys and interviews with dermatologists, nurses, and patients to gauge perceptions.
- Qualitative analysis of reported conflicts related to topical treatment.
Main Results:
- Significant frequency of therapeutic management alterations observed in inpatient dermatology.
- Discrepancies noted in the estimation of these changes among dermatologists, nurses, and patients.
- Topical treatment procedure modifications identified as a primary source of interprofessional and patient-provider conflict.
Conclusions:
- Therapeutic management adjustments in inpatient dermatology are common.
- Differing perspectives among stakeholders on treatment changes can lead to conflict.
- Addressing conflicts related to topical treatments is essential for effective patient care and adherence.