title: Being in the patient position: experiences of health care among people with irritable bowel syndrome.
abstract: The purpose of this study was to gain in-depth understanding of what it is like for a person with irritable bowel syndrome to be in the patient position in encounters with health care providers. We conducted qualitative interviews with nine individuals. Our analysis, guided by interpretive description, revealed experiences of unsupportive and supportive encounters. Unsupportive encounters were shaped by humiliation, insignificance, and abandonment. Not feeling believed and acknowledged as persons made the participants lose trust in their own experience, which enhanced their unfamiliar mood of being in the world. Supportive encounters were less prominent. These were characterized by openness and acknowledgment of the patient's lifeworld. Feeling significant and being listened to promoted feelings of being in a partnered, cocreating relationship. It is reasonable to assume that care originating in the patient's lifeworld would support the patients to use their strength to manage illness and regain familiarity in everyday life.
authors.affiliation: Karolinska Institute, Stockholm, Sweden. cecilia.hakanson@erstadiakoni.se
authors.forename: Cecilia
authors.initials: C
authors.lastname: Håkanson
authors.forename: Eva
authors.initials: E
authors.lastname: Sahlberg-Blom
authors.forename: Britt-Marie
authors.initials: BM
authors.lastname: Ternestedt
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D002908:Chronic Disease; D003469:Culture; D004645:Empathy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007406:Interview, Psychological; D043183:Irritable Bowel Syndrome / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D011787:Quality of Health Care; D012944:Social Support; D013315:Stress, Psychological; D013548:Sweden