Evidence map›Paper›PMID 40696861›Full record

Observational studyHealth expectations : an international journal of public participation in health care and health policy2025

Patient-Registered Nurse Communication: Exploring Patients' Expectations and Experience in Primary Care Consultations.

Sofia Östensson, Mariela Acuña Mora, Laura Darcy, Lotta Saarnio Huttu, Sandra Van Dulmen, Annelie J Sundler

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Health expectations : an international journal of public participation in health care and health policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06067672 (The Patient's First Point of Contact), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06067672 recruitingnot on this map

The Patient's First Point of Contact (PINPOINT) - Protocol of a Prospective Multicentre Study of Communication and Decision-making During Patient Assessments by Primary Care Practice Nurses

TypeobservationalSponsorUniversity of BorasRan2023 to 2027Enrolled150ConditionsNurse-Patient RelationsArmsObservations to investigate the current practices of communication and decision-making during Nurse-patient consultations
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

6 authors.

Sofia ÖstenssonFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.ORCID 0000-0002-4204-1308
Mariela Acuña MoraFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.ORCID 0000-0002-9326-6339
Laura DarcyFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.ORCID 0000-0002-9383-0227
Lotta Saarnio HuttuFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.ORCID 0000-0001-5202-9452
Sandra Van DulmenNivel (Netherlands Institute for Health Services Research), Utrecht, the Netherlands.ORCID 0000-0002-1651-7544
Annelie J SundlerFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.ORCID 0000-0002-9194-3244

Funding

Parts of this study have been funded by FORTE, Swedish Research Council for Health, Working Life and Welfare, for Malin Östman's postdoc studies at Mälardalen University, grant number 2022-00850 (Awarded 25/05/2022).
6 · The paper itself

Abstract

introductionPrimary care is the first point of contact for patients in most Western healthcare systems, addressing acute, chronic and preventive health needs. Registered nurse-led first visits (new episode) consultations have shown promise in improving accessibility and meeting the growing demand for timely care. Understanding how patients evaluate their interactions with registered nurses is a crucial first step towards identifying communication needs and promoting person-centred care. Therefore, the aim of this study was to explore patients' expectations and experiences with registered nurse communication in primary care consultations.

methodsA prospective cohort study was conducted. The QUOTE-COMM (Quality Of communication Through the patient's Eyes) questionnaire, with three scales (affect-oriented, task-oriented and therapy-oriented), was completed by patients before and after RN-led consultations to assess their expectations and experiences.

resultsA total of 138 patients participated in the study. Patients reported high expectations and positive experiences regarding registered nurses' communication during consultations. The highest scores were observed on the affect-oriented scale. No significant differences were found between patient expectations and experiences in relation to patient age, sex and educational level. However, patients whose native language was not Swedish rated the affect-oriented scale less positively. Additionally, longer consultations were associated with higher satisfaction at 2 weeks follow-up. DISCUSSION: This study highlights patients' high expectations and positive experiences in connection with communication in registered nurse consultations. The findings underscore the need for further research into various aspects of communication with patients in primary care, aiming to better understand and enhance the quality of care in this setting.

conclusionPatients appear to have high expectations in connection with registered nurse communication in primary care, and it seems that registered nurses overall succeed in meeting these expectations. PATIENT OR PUBLIC CONTRIBUTION: The study was conducted within Swedish primary care, where patient and public involvement in research is considered essential. Registered nurses assisted with patient recruitment, and a total of 138 patients shared their experiences with researchers, and the results have been discussed with a reference group comprising representatives of patients and registered nurses. CLINICAL

trial registrationClinicalTrials.gov identifier: NCT06067672.

Indexed as

CommunicationNurse-Patient RelationsPatient SatisfactionPrimary Health CareReferral and ConsultationAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedProspective StudiesSurveys and QuestionnairesSwedenYoung Adultcommunicationexpectationsexperiencespatientprimary careregistered nursesatisfaction

Identifiers

PMID40696861
PMCPMC12818048

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Registered trials

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.