Open AccessImproving management of psoriasis patients receiving biological treatment: A qualitative approach
Author(s) -
Trettin Bettina,
Feldman Steven,
Andersen Flemming,
Danbjørg Dorthe B.,
Agerskov Hanne
Publication year - 2021
Publication title -
nursing open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.55
H-Index - 12
ISSN - 2054-1058
DOI - 10.1002/nop2.745
Subject(s) - qualitative research , focus group , health professionals , dilemma , interpretation (philosophy) , health care , nursing , behaviour change , medicine , hermeneutic phenomenology , psychology , interpretative phenomenological analysis , duty , participant observation , medical education , psychotherapist , sociology , lived experience , psychological intervention , social science , philosophy , epistemology , anthropology , computer science , economics , programming language , economic growth , theology
Aim To investigate psoriasis patients’ and healthcare professionals’ experiences and perspectives of follow‐up consultations. Design A qualitative study with a phenomenological‐hermeneutic approach. Method Participant observations of consultations and semi‐structured interviews were conducted with patients receiving biological treatment, together with two focus groups with healthcare professionals, from June 2018–January 2019. Data were analysed using a qualitative structured approach based on Paul Ricoeur's philosophy of interpretation. Results Consultations had a strong biomedical and corrective approach focusing on lifestyle behaviour change, measurements and permanent routines. Healthcare professionals felt the need for enhanced competencies providing lifestyle behaviour change support and the possibility of providing patients more specific strategies. They were faced with a dilemma between lacking the right skills and having a professional duty. The frequent follow‐up visits did not fit in with the patients’ everyday lives.