Table 3.
Description of the themes and sub-themes of the dehumanization dimension
| Theme | Sub-theme | Codes |
|---|---|---|
| Communication | a. Verbal | EF15-Financial constrains could not be discussed with treating doctor EF2-Doctor was not available to discuss in detail the condition of the patient, would rush through rounds EF6-Hesitant to ask doctor directly about the progress of patient's condition EP8-Doctors who come for cross consultation never introduce themselves EP4-Doctor uses medical jargons and doesn't explain in layman terms EF7-Doctors guide about treatment but no personal involvement |
| b. Nonverbal (with patient) | EP1-Emotionally not supportive EP11, EP8-Doctor take rush rounds and make fleeting eye contact EF17-So many forms and documents just asked to sign without giving complete information about what they are regarding EF20-Doctor does not have interest or know the patient as a person |
|
| Experience of care | a. Physical care | EF18-Sometimes attendants are asked to help while provide personal care and attendants relation with the patient is such that they may not be comfortable |
| b. Care plan | EF26-Sometimes wake up the patient early morning to perform routine care EF22-Take sample at odd times even if patient resting, wake them up and take sample EP10-Rough handling, just to finish task without empathy |
|
| c. Emotional care | EP16-Reasons for postponing surgery were not told EF21-Doctors do not interact much, only do so if asked directly |
|
| Infrastructure | a. Billing | EF17-Investigations were withheld till previous bills were cleared EF23-Navigating different systems is very difficult for the attendants |
| b. Environment | EF1-Not enough or proper canteens and washrooms EF13-No waiting rooms at each floor, outside each ward EF19-Lot of botherations for family to repeatedly go to pharmacy and billing counters EF4-Location of ICU is through lot of corridors and stairs, cumbersome to locate as there are not adequate sign boards EF12-Forced to buy drugs from indoor pharmacy |
|
| Patient autonomy | Procedures | EP9-Do not ask for permission before examination, side change, physiotherapy |