An exploratory study using video analysis of Rheumatology Specialist Nurses Conducting Methotrexate Education Consultations with Patients

Robinson, Sandra M., Scott, Jason, Adams, Nicola, Heslop, Peta, Hassell, Andrew, Ryan, Sarah and Walker, David (2021) An exploratory study using video analysis of Rheumatology Specialist Nurses Conducting Methotrexate Education Consultations with Patients. Musculoskeletal Care. ISSN 1478-2189 (In Press)

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Official URL: https://doi.org/10.1002/msc.1543

Abstract

Background
Prior to commencing Methotrexate patients routinely attend an education consultation with a rheumatology nurse. The purpose of the consultation is to discuss the patients’ expectations and concerns related to commencing Methotrexate, the benefits of treatment, potential side effects and monitoring requirements. The aim of this study was to use video analysis to assess the structure, content and mode of delivery of the consultation.
Methods
Video-recordings of ten patient-nurse consultations, involving four specialist rheumatology nurses were analysed and transcribed. The consultations were compared with the Calgary Cambridge consultation model. Transcripts were thematically analysed. Data were quantitatively assessed for verbal and non-verbal behaviours.
Findings
Assessment of the video data using the CC model demonstrated good structure, content and flow of the consultation, influenced by the use of an information leaflet. Consultations generally consisted of communication from nurse to patient rather than a dialogue; the nurse spoke for 69% – 86% of the time; clarification of the patient’s understanding of the information did not take place in any of the consultations. Thematic analysis also showed that the nurse agenda dominated and that the nurse was aware of “overloading” the patient with information. Cues from the patients to discuss items of importance were often missed.
Conclusion
Video analysis can be used to identify aspects of the consultation that work well and those areas of the consultation that could be improved with specific training.

Item Type: Article
Additional Information: Funding information: Arthritis Research UK, Grant/Award Number: 20166.
Uncontrolled Keywords: clinical, communication, education, nursing
Subjects: B100 Anatomy, Physiology and Pathology
B700 Nursing
B900 Others in Subjects allied to Medicine
Department: Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: Elena Carlaw
Date Deposited: 05 Feb 2021 16:35
Last Modified: 03 Mar 2021 15:15
URI: http://nrl.northumbria.ac.uk/id/eprint/45384

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