Evidence map›Paper›PMID 31630108›Full record

ArticleBMJ open2019

Rural general practice patients' coping with hazards and harm: an interview study.

Martin Bruusgaard Harbitz, Helen Brandstorp, Margrete Gaski

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Martin Bruusgaard HarbitzDepartment of Community Medicine, University of Tromso, Tromso, Norway martin.b.harbitz@uit.no.
Helen BrandstorpDepartment of Community Medicine, Norwegian Centre for Rural Medicine, University of Tromso, Tromso, Norway.
Margrete GaskiDepartment of Community Medicine, Norwegian Centre for Rural Medicine, University of Tromso, Tromso, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study is to identify and analyse rural general practice patients' experiences of hazards and harm that comprise adverse events, and their strategies for coping with them.

designInterview study using systematic text condensation and coping strategy theory in an abductive analysis process.

settingNine rural general practice clinics in Norway.

participantsTwenty participants, aged 21-79 years, all presenting with recent onset of somatic and/or psychiatric complaints.

resultsParticipating rural general practice patients described their experiences of a variety of hazards and harms. Their three most discussed cognitive and behavioural coping strategies were: (1) to accept the events; (2) to confront them and (3) to engage in planful problem-solving. While the participants demonstrated a tendency toward accepting hazards and harm that their regular general practitioner created, they were often willing to confront those that locum (ie, substitute) general practitioners created. Participants used planful problem-solving in situations they deemed hazardous, such as breaches of confidentiality or not being taken seriously, as well as during potential/actual emergencies.

conclusionsPatients at rural general practice clinics actively identify and respond to hazards and harm, applying three coping strategies. Thus, patients themselves may serve as an important safety barrier against hazards and harm; their potential contributions to improving patient safety must be appreciated accordingly and reflected in future research as well as in everyday clinical practice.

Indexed as

General PracticePatient SafetyQuality of Health CareRural PopulationAdultAgedClinical CompetenceCommunicationConfidentialityFemaleHumansInterviews as TopicMaleMedical ErrorsMiddle AgedNorwayadverse eventsprimary carequalitative researchquality in health care

Identifiers

PMID31630108
PMCPMC6803137

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.