Exploring Healthcare Paradoxes in Hospital Haemodialysis—A Qualitative Study
ABSTRACT Introduction The complex logics of healthcare systems inherit paradoxes that can lead to interpersonal conflicts impacting both patients and professionals. In this study, we aimed to identify and explore tensions and conflicts arising from paradoxes within hospital haemodialysis. Methods We...
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| Format: | Article |
| Language: | English |
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Wiley
2024-10-01
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| Series: | Health Expectations |
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| Online Access: | https://doi.org/10.1111/hex.70000 |
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| author | Tone Andersen‐Hollekim Torstein Hole Marit Solbjør |
| author_facet | Tone Andersen‐Hollekim Torstein Hole Marit Solbjør |
| author_sort | Tone Andersen‐Hollekim |
| collection | DOAJ |
| description | ABSTRACT Introduction The complex logics of healthcare systems inherit paradoxes that can lead to interpersonal conflicts impacting both patients and professionals. In this study, we aimed to identify and explore tensions and conflicts arising from paradoxes within hospital haemodialysis. Methods We conducted a secondary supplementary analysis to previously collected qualitative data, including individual interviews with 11 patients and 10 nephrologists and focus groups involving a total of 13 haemodialysis nurses. Data were collected in Norway through three primary studies focused on exploring experiences of patient participation. For the current study, we employed thematic analysis. Results Patient–professional conflicts emerged in three fundamental areas: (1) the hospital haemodialysis treatment, in which patients' views of treatment diverged from those of professionals, (2) patient–professional responsibility that became a negotiation point, with differing views on responsibilities, and (3) time, in which professional time took precedence over patients’ time, indirectly impacting patients due to resource allocation. These conflicts stemmed from paradoxes driven by unevenly validated principles, conflict of interest, and conceptual ambiguity. Conclusion Altering healthcare logics by bringing in new perspectives or clarifying conceptual ambiguity could mitigate patient–professional conflicts. However, changing existing healthcare logics may give rise to new paradoxes and conflicts, which health services at various levels must address. Patient or Public Contribution This secondary analysis utilized previously collected data from a project that did not involve patient or public contribution. |
| format | Article |
| id | doaj-art-894d8c63abdf4fedba101d5e82e9c4be |
| institution | OA Journals |
| issn | 1369-6513 1369-7625 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj-art-894d8c63abdf4fedba101d5e82e9c4be2025-08-20T02:11:28ZengWileyHealth Expectations1369-65131369-76252024-10-01275n/an/a10.1111/hex.70000Exploring Healthcare Paradoxes in Hospital Haemodialysis—A Qualitative StudyTone Andersen‐Hollekim0Torstein Hole1Marit Solbjør2Department of Public Health and Nursing, Faculty of Medicine and Health Sciences Norwegian University of Science and Technology Trondheim NorwayMedical Department, Ålesund Hospital, Møre og Romsdal Hospital Trust, Faculty of Medicine and Health Sciences Norwegian University of Science and Technology Trondheim NorwayDepartment of Public Health and Nursing, Faculty of Medicine and Health Sciences Norwegian University of Science and Technology Trondheim NorwayABSTRACT Introduction The complex logics of healthcare systems inherit paradoxes that can lead to interpersonal conflicts impacting both patients and professionals. In this study, we aimed to identify and explore tensions and conflicts arising from paradoxes within hospital haemodialysis. Methods We conducted a secondary supplementary analysis to previously collected qualitative data, including individual interviews with 11 patients and 10 nephrologists and focus groups involving a total of 13 haemodialysis nurses. Data were collected in Norway through three primary studies focused on exploring experiences of patient participation. For the current study, we employed thematic analysis. Results Patient–professional conflicts emerged in three fundamental areas: (1) the hospital haemodialysis treatment, in which patients' views of treatment diverged from those of professionals, (2) patient–professional responsibility that became a negotiation point, with differing views on responsibilities, and (3) time, in which professional time took precedence over patients’ time, indirectly impacting patients due to resource allocation. These conflicts stemmed from paradoxes driven by unevenly validated principles, conflict of interest, and conceptual ambiguity. Conclusion Altering healthcare logics by bringing in new perspectives or clarifying conceptual ambiguity could mitigate patient–professional conflicts. However, changing existing healthcare logics may give rise to new paradoxes and conflicts, which health services at various levels must address. Patient or Public Contribution This secondary analysis utilized previously collected data from a project that did not involve patient or public contribution.https://doi.org/10.1111/hex.70000healthcare logicshealthcare paradoxeshospital haemodialysispatient–professional conflicts |
| spellingShingle | Tone Andersen‐Hollekim Torstein Hole Marit Solbjør Exploring Healthcare Paradoxes in Hospital Haemodialysis—A Qualitative Study Health Expectations healthcare logics healthcare paradoxes hospital haemodialysis patient–professional conflicts |
| title | Exploring Healthcare Paradoxes in Hospital Haemodialysis—A Qualitative Study |
| title_full | Exploring Healthcare Paradoxes in Hospital Haemodialysis—A Qualitative Study |
| title_fullStr | Exploring Healthcare Paradoxes in Hospital Haemodialysis—A Qualitative Study |
| title_full_unstemmed | Exploring Healthcare Paradoxes in Hospital Haemodialysis—A Qualitative Study |
| title_short | Exploring Healthcare Paradoxes in Hospital Haemodialysis—A Qualitative Study |
| title_sort | exploring healthcare paradoxes in hospital haemodialysis a qualitative study |
| topic | healthcare logics healthcare paradoxes hospital haemodialysis patient–professional conflicts |
| url | https://doi.org/10.1111/hex.70000 |
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