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Exploring Healthcare Paradoxes in Hospital Haemodialysis-A Qualitative Study
Tone Andersen-Hollekim1, Torstein Hole2, Marit Solbjør1
1Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
Summary
Healthcare system paradoxes cause conflicts in hospital hemodialysis between patients and professionals regarding treatment, responsibility, and time. Addressing these requires new perspectives and clearer communication to mitigate tensions.
Area of Science:
- Healthcare Management
- Medical Sociology
- Patient Experience
Background:
- Healthcare systems contain inherent paradoxes.
- These paradoxes can create interpersonal conflicts.
- Conflicts impact both patients and healthcare professionals.
Purpose of the Study:
- Identify and explore tensions and conflicts.
- Focus on paradoxes within hospital hemodialysis settings.
- Analyze patient-professional dynamics in this context.
Main Methods:
- Secondary supplementary analysis of qualitative data.
- Included individual interviews and focus groups.
- Thematic analysis was employed.
Main Results:
- Conflicts arose in treatment views, responsibility negotiation, and time allocation.
- Professional time often took precedence over patient time.
- Paradoxes stemmed from uneven principles, conflicts of interest, and ambiguity.
Conclusions:
- Clarifying conceptual ambiguity can mitigate conflicts.
- Introducing new perspectives may alter healthcare logics.
- Addressing new paradoxes is crucial for health services.
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