Clinician–Patient Relationships in Virtual Care: A Dimensional Analysis of the Symbolic World of Cancer Care

Author:

Evered Jane12ORCID,Andersen Lucy1ORCID,Foxwell Anessa1ORCID,Iroegbu Christin1ORCID,Whitney Clare13ORCID

Affiliation:

1. University of Pennsylvania School of Nursing, Philadelphia, PA, USA

2. University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI, USA

3. Stony Brook University School of Nursing, Stony Brook, NY, USA

Abstract

Rapid uptake of telehealth technologies has shifted clinician–patient relationships, a well-studied topic of sociological inquiry. The purpose of this dimensional analysis study was to understand the symbolic interaction of clinicians and patients within virtual supportive cancer care. Seventeen clinicians, eighteen patients, and three care partners receiving or providing care at a multi-site cancer center in the United States participated in interviews. Our analysis of supportive cancer care experiences reveals a key tension: clinicians need to rely on patients in order to share clinical tasks in a virtual care setting but can be reluctant to do so. We posit that dimming the light on cancer is a process that enables clinicians to overcome their reluctance to engage in clinician–patient task sharing by strengthening the relationship. Taken together, these findings reconceptualize the symbolic interaction of the clinician–patient relationship and highlight opportunities to actualize models of relationship-centered virtual care. We discuss implications for clinical practice, ethical relational care, and the literature on clinician–patient relationships and trust.

Funder

University of Wisconsin-Madison Department of Family Medicine and Community Health Primary Care Research Fellowship

National Institute of Nursing Research Ruth L. Kirschstein National Research Service Award training program Individualized Care for at Risk Older Adults

Abramson Cancer Center

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3