Patient hope: Exploring the interactions between physicians and HIV seropositive individuals

Author(s): Jevne, R. F.

Journal/Book: Qual Health Res. 1997; 7: 2455 Teller Rd, Thousand Oaks, CA 91320. Sage Publications Inc. 32-56.

Abstract: This study investigated interactions between physicians arm HN seropositive persons that enhance or diminish patient hope. Twenty-two critical incident accounts and interview transcripts were obtained from 6 HIV seropositive and 2 AIDS-diagnosed individuals. The data were analyzed for components within patient/doctor interactions that influence patient hope, whereby either hope-enhancing (hope-full) or hope-diminishing (hopeless) interactions were identified. A central theme emerged in which the valence of the patients' perceived relationship with the doctor was salient to the hope-potential of each interaction. Five critical requirements contributing to a hope-full versus a hope-less interaction were identified. Categories consisted of paired factors at opposing valences: (a) being known as human/being known as a case, (b) connecting/disconnecting, (c) descriptive/prescriptive, (d) welcoming/dismissing, and (e) informing/poorly informing. This study gives rise to the need for further investigation into the patient/doctor relationship as if pertains to patient hope.

Note: Article Jevne RF, Univ Alberta, Dept Educ Psychol, Edmonton, AB T6G 2E1, CANADA

Keyword(s): ILL

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