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. 2019 Nov 19;23(1):238–246. doi: 10.1111/hex.12998

Table 2.

Strategies and barriers to narrative elicitation

Case Duration Description Strategies for narrative elicitation Barriers to narrative elicitation PCC goal
1 Patient was not conscious   Case of emergency Not elicited at that time
2 56 mins Arrival from the emergency room, woman (50s), early retirement, dyspnoea, chest pain, fatigue, sleep problems, anxiety

Reading medical records

Timing

Environment

Follow‐up question

Active listening

Joint interview

Self‐disclosure

  Being able to take care of her garden/flowers and household chores
3 11 mins Arrival from another ward, man (50s), migrant, homeless, alcohol problems, cannot speak Swedish Reading medical records Language barrier Not elicited at that time
4 12 mins Arrival from the emergency, woman (40s), history of heart attack, unemployed Reading medical records

Failed timing

Lack of RN's active listening

I want to work

If not, to get sick leave

5   Arrival from the emergency room, man (60s)   Case of infection, not observed (patient isolated)  
6 13 mins Arrival from another ward, woman (80s), dyspnoea, chronic obstructive pulmonary disease (COPD)  

Failed timing

Lack of RN's active listening

Be healthy
7 27 mins Arrival from the emergency room, man (50s), chest pain, work‐related previous operation     Not elicited
8 43 mins Arrival from the emergency room. Woman (50s). Myocarditis

Reading medical records

Timing

Environment

Active listening

Using silence

Circular questions

Self‐disclosure

  To go back to work and exercises, without being breathless
9 23 mins Arrival from the emergency room, man (late 80s), dyspnoea, stress  

Failed timing

Lack of RN's active listening

Environment (in the corridor)

Be healthy
10 37 mins Arrival from the emergency, woman (late 80s), mild dementia, dizziness

Reading medical records

Follow‐up questions

Joint interview

  Return to the elderly care home, walk and be with friends
11 67 mins Arrival from the emergency, man (late 80s), chest pain, recent pace‐maker operation

Reading medical records

Timing

Environment

Active listening

Using silence

Follow‐up questions

Self‐disclosure

 

Restart his hobby: model ship building

To be able to participate in his birthday celebration in the hospice deliberately scheduled 4 d later

12 25 mins Arrival from the emergency room, man (50s), migration background, early retirement, chest pain   Failed timing, Lack of RN's active listening He will think about it
13 23 mins Arrival from the emergency, woman (late 80s), migration background, fluent in Swedish, dyspnoea     Get help for breathlessness
14 60 mins Arrival from the emergency room, man (40s), newly arrived asylum seeker, arrhythmia

Reading medical records

Timing

Environment

Active listening

Using silence

Circular questions

  Want to know what it is
15 19 mins Arrival from the emergency room, man (40s), chest pain, anxiety Lack of active listening Lack of RN's active listening Go home as soon as possible
16 27 mins Arrival from the emergency room, woman (70s), chest pain, fatigue, pace‐maker related anxieties, chest pain

Timing

Environment

Active Listening

Using silence

Circular questions

  Taking walks with her friends