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dc.contributor.authorHarbitz, Martin Bruusgaard
dc.contributor.authorBrandstorp, Helen
dc.contributor.authorGaski, Margrete
dc.date.accessioned2019-11-08T12:44:51Z
dc.date.available2019-11-08T12:44:51Z
dc.date.issued2019-10-18
dc.description.abstract<i>Objective</i>: The aim of this study is to identify and analyse rural general practice patients’ experiences of hazards and harm that comprise adverse events, and their strategies for coping with them.<p> <p><i>Design</i>: Interview study using systematic text condensation and coping strategy theory in an abductive analysis process.<p> <p><i>Setting</i>: Nine rural general practice clinics in Norway.<p> <p><i>Participants</i>: Twenty participants, aged 21–79 years, all presenting with recent onset of somatic and/or psychiatric complaints.<p> <p><i>Results</i>: Participating rural general practice patients described their experiences of a variety of hazards and harms. Their three most discussed cognitive and behavioural coping strategies were: (1) to accept the events; (2) to confront them and (3) to engage in planful problem-solving. While the participants demonstrated a tendency toward accepting hazards and harm that their regular general practitioner created, they were often willing to confront those that locum (ie, substitute) general practitioners created. Participants used planful problem-solving in situations they deemed hazardous, such as breaches of confidentiality or not being taken seriously, as well as during potential/actual emergencies.<p> <p><i>Conclusions</i>: Patients at rural general practice clinics actively identify and respond to hazards and harm, applying three coping strategies. Thus, patients themselves may serve as an important safety barrier against hazards and harm; their potential contributions to improving patient safety must be appreciated accordingly and reflected in future research as well as in everyday clinical practice.en_US
dc.descriptionSource at <a href=http://dx.doi.org/10.1136/bmjopen-2019-031343>http://dx.doi.org/10.1136/bmjopen-2019-031343. </a>en_US
dc.identifier.citationHarbitz, M.B., Brandstorp, H. & Gaski, M. (2019). Rural general practice patients’ coping with hazards and harm: an interview study. <i>BMJ Open, 9</i>: e031343. http://dx.doi.org/10.1136/bmjopen-2019-031343en_US
dc.identifier.cristinIDFRIDAID 1744804
dc.identifier.doi10.1136/bmjopen-2019-031343
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/10037/16628
dc.language.isoengen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.journalBMJ Open
dc.relation.projectIDUniversitetet i Tromsø: AUFen_US
dc.relation.projectIDUniversitetet i Tromsø: Program for Rural Medical Research and Developmenten_US
dc.relation.projectIDUniversiteter/Høyskoler: Norwegian Research Fund for General Practiceen_US
dc.relation.projectIDUniversitetet i Tromsø: NSDMen_US
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleRural general practice patients’ coping with hazards and harm: an interview studyen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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