title: A trustful relationship--the importance for relatives to actively participate in the meeting with the physician.
abstract: In previous research, no uniform picture emerged of the role of relatives in the meeting between an elderly patient and a physician. Knowledge about relatives' experiences of the meeting between an elderly patient and a physician will help healthcare practitioners better understand the role of relatives during the meeting and how practitioners can assist relatives in assuming their supporting role more efficiently. The purpose of this study is to explore experiences of relatives of meeting with the physician in a hospital setting when an elderly patient is discharged from hospital care to home care, in order to identify aspects that may facilitate relatives in taking up their role in a more efficient manner. This descriptive and exploratory study is based on 20 interviews with relatives. The result shows that the physician's communication style influences the meeting between the relative, the elderly patient, and the physician, and that this style is the result of power and interaction. A trustful relationship during the meeting between the relative and the physician can increase the relative's feeling of confidence with the healthcare organization and treatment of the elderly patient. The relative has an important supporting role in the care for the elderly family member, both in the hospital and the home setting. It is likely that the relative's value as a resource, for both the patient and the physician, increases as the relative experiences feelings of confidence in the meeting with the physician. It is therefore of value to increase our knowledge about the conditions and circumstances facilitating and/or hampering the meeting between the relative and the physician. The result stresses the importance of encouraging relatives to participate in the meeting. Physicians need more guidance and training in communication skills, respectful demeanor, and collaboration while meeting the relatives.
authors.affiliation: Division of Caring Sciences, University West, Trollhaettan, Sweden. sandra.pennbrant@hv.se
authors.forename: Sandra
authors.initials: S
authors.lastname: Pennbrant
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D003142:Communication; D003299:Cooperative Behavior; D005190:Family / Q000523:psychology; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D010351:Patient Discharge / Q000592:standards*; D010817:Physician-Patient Relations; D010820:Physicians / Q000592:standards; D011368:Professional-Family Relations; D036301:Qualitative Research
keywords: Elderly care; physician; qualitative interview study; relative; socio-cultural perspective