Tell me your dreams and goals: Structuring communication exchanges to improve patient-centered care with chronic pain patients

Appl Nurs Res. 2020 Jun:53:151248. doi: 10.1016/j.apnr.2020.151248. Epub 2020 Mar 5.

Abstract

Background: Communicating pain is a difficult endeavor due to the lack of observable pathology, the immeasurable nature of pain, and the presence of comorbid symptoms. While research has shown the value of cure-centered and care-centered communication, it is unclear how chronic pain patients would like to structure pain communication with their providers so that it produces pain disclosure and emotional support. Aim This study examines communication preferences of chronic pain patients including types of questions asked and information received to allow a holistic portrayal of the experience of living with chronic pain.

Design: The research used a quantitative survey that was disseminated via online chronic pain devoted support groups.

Participants: 192 respondents took the survey, with women respondents outnumbering men at a 4:1 ratio. Respondents came from 38 states and represented eight countries.

Results: For providers to better understand patients' chronic pain, results indicate they would like providers to inquire about how pain impacts their daily activities, relationships, work responsibilities, and goals and dreams using open-ended questions. These low-stake questions can facilitate emotional disclosure, increase feelings of support, and allow for co-morbid linkages.

Conclusion: These inquiries prioritize patients' own subjective knowledge, can deepen the communication exchange between provider and patient, and facilitate pain disclosure. The findings help to deliver patient-centered care, promote rapport, and foster trust between providers and their patients.

Keywords: Chronic pain; Computer mediated communication; Pain management; Patient-centered care; Provider-patient communication.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Chronic Pain / nursing*
  • Chronic Pain / psychology*
  • Communication*
  • Dreams / psychology*
  • Female
  • Goals*
  • Humans
  • Male
  • Middle Aged
  • Nurse-Patient Relations
  • Patient Satisfaction / statistics & numerical data*
  • Patient-Centered Care / methods*
  • Patients / psychology*
  • Qualitative Research
  • Surveys and Questionnaires