Understanding how the Support Needs Approach for Patients (SNAP) enables identification, expression, and discussion of patient support needs: a qualitative study

Gardener, Carole, Farquhar, Morag, Ewing, Gail and Deaton, Christi (2021) Understanding how the Support Needs Approach for Patients (SNAP) enables identification, expression, and discussion of patient support needs: a qualitative study. Chronic Illness. ISSN 1742-3953 (In Press)

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Abstract

Objectives To identify whether and how the Support Needs Approach for Patients (SNAP) enables patients with chronic progressive conditions to identify, express and discuss their unmet support needs. Methods Thirteen SNAP-trained healthcare professionals (HCPs) from three pilot sites in the East of England (across primary, community and secondary care) delivered SNAP to 56 patients with the exemplar condition chronic obstructive pulmonary disease (COPD) over a four-month period. HCPs participated in a mid-pilot semi-structured interview (pilot site representatives) and end-of pilot focus group (all HCPs). Twenty patients who received SNAP were interviewed about their experiences (topic-guided). Transcripts analysed using framework approach. Results There were differences in how HCPs delivered SNAP and how patients engaged with it; analysing the interaction of these identified a continuum of care (from person-centred to HCP-led) which impacted on patient identification and expression of need and resulting responses. When delivered as intended, SNAP operationalised person-centred care enabling patient-led identification, expression, and discussion of support needs. Discussion SNAP addresses the rhetoric within policy, good practice guidance and the person-centred care literature espousing the need to involve patients in identifying their needs and preferences by providing HCPs with a mechanism for achieving holistic person-centred care in everyday practice.

Item Type: Article
Uncontrolled Keywords: person-centred care,long-term conditions,clinical intervention,support need
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User: LivePure Connector
Date Deposited: 02 Sep 2021 00:17
Last Modified: 17 Sep 2021 01:16
URI: https://ueaeprints.uea.ac.uk/id/eprint/81268
DOI: 10.1177/17423953211047840

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