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 |