TY - JOUR

T1 - Perceptions of the medical relevance of patients` stories of painful and adverse life experiences

T2 - a focus group study among Norwegian General Practitioners

AU - Ronneberg, Marianne

AU - Mjolstad, Bente Prytz

AU - Hvas, Lotte

AU - Getz, Linn

PY - 2022

Y1 - 2022

N2 - Purpose Adverse life experiences increase the risk of health problems. Little is known about General Practitioners' (GPs') thoughts, clinical concepts, and work patterns related to eliciting, including, or excluding their patients' stories of painful and adverse life experiences. We wanted to explore GPs' perceptions of the medical relevance of stories of painful and adverse life experiences, and to focus on what hinders or facilitates working with such stories. Method Eighteen Norwegian GPs participated in three focus group interviews. The interviews were analysed using reflexive thematic analysis. Results The participating GPs' views on the clinical relevance of patients' painful and adverse experiences varied considerably. Our analysis revealed two distinct stances: a confident-accepting stance, and an ambivalent-conditional stance. GPs encountered barriers to exploring such stories: scepticism on behalf of the medical discipline; scepticism on behalf of the patients; and, uncertainty regarding how to address stories of painful and adverse experiences in consultations. Work with painful stories was best facilitated when GPs manifested personal openness and prepared availability, within the context of a doctor-patient relationship based on trust. Conclusions Clearer processes for handling biographical information and life experiences that affect patients' health are needed to facilitate the work of primary care physicians.

AB - Purpose Adverse life experiences increase the risk of health problems. Little is known about General Practitioners' (GPs') thoughts, clinical concepts, and work patterns related to eliciting, including, or excluding their patients' stories of painful and adverse life experiences. We wanted to explore GPs' perceptions of the medical relevance of stories of painful and adverse life experiences, and to focus on what hinders or facilitates working with such stories. Method Eighteen Norwegian GPs participated in three focus group interviews. The interviews were analysed using reflexive thematic analysis. Results The participating GPs' views on the clinical relevance of patients' painful and adverse experiences varied considerably. Our analysis revealed two distinct stances: a confident-accepting stance, and an ambivalent-conditional stance. GPs encountered barriers to exploring such stories: scepticism on behalf of the medical discipline; scepticism on behalf of the patients; and, uncertainty regarding how to address stories of painful and adverse experiences in consultations. Work with painful stories was best facilitated when GPs manifested personal openness and prepared availability, within the context of a doctor-patient relationship based on trust. Conclusions Clearer processes for handling biographical information and life experiences that affect patients' health are needed to facilitate the work of primary care physicians.

KW - General Practice

KW - adverse life experiences

KW - embodiment

KW - causality

KW - dualism

KW - biopsychosocial model

KW - narratives

KW - patient-centred medicine

KW - doctor-patient relationship

KW - KNOWLEDGE

KW - ART

U2 - 10.1080/17482631.2022.2108560

DO - 10.1080/17482631.2022.2108560

M3 - Journal article

C2 - 35983640

VL - 17

JO - International Journal of Qualitative Studies on Health and Well-being

JF - International Journal of Qualitative Studies on Health and Well-being

SN - 1748-2623

IS - 1

M1 - 2108560

ER -