:: Volume 8, Issue 1 (2016) ::
RME 2016, 8(1): 3-11 Back to browse issues page
Exploration of Emergency Physician’s Experiences on Barriers of Precise Patient History Taking And Physical Examination: A Qualitative Study
A Poorgharehkhan, D Hekmatpu *, N Mahdavian, M Zarie, O Karimi
Nursing dept, Arak University of Medical Sciences Sciences , Arak, Iran. , dr_hekmat@arakmu.ac.ir
Abstract:   (7584 Views)

Introduction: History taking and physical examination help physician diagnose disease also, plan patient management correctly. Considering the effectiveness of many factors on patient history, this study with the goal of exploration of emergency physician’s experiences on barriers of precise patient history taking and physical examination was done.

Method: This is a qualitative content analysis research. After purposeful sampling, semi structured interviews were held with 18 physicians in Kurdistan University of Medical Sciences. Each interview was recorded and transcribed verbatim and then analyzed using the content analysis method.

Results: Based on the participant’s experiences, primary codes of barriers on history taking and physical examination were obtained . Then after integrating or eliminating the overlapping codes, 5 secondary codes or main barriers including: Educational barriers, Cultural barriers, Economic barriers, no knowledge on legal issues, and defect of supervision and administration systems were found.

Conclusion: The findings showed 5 main barriers of patient's history writing. All participants emphasized that resolving these barriers need to precise supervision on history taking and physical examination in emergency wards and continuing scientific and cultural education for physicians and community.

Keywords: Content analysis, emergency physicians’ experiences, physical examination, Qualitative study
Full-Text [PDF 396 kb]   (2898 Downloads)    
Type of Study: Research | Subject: Clinical Education
References
1. Jose JA. History taking. Work 2012; 41(1): 5369-70.
2. Hampton , Harrison MJ, Mitchell JR, Prichard JS ,Seymour C. Relative contributions of history-taking, physical examination, and laboratory investigation to diagnosis and management of medical out patients. Br Med J 1975: 31;2 (5969): 486–489.
3. Esmaeili M, Abazari H, MohammadiKenari H. “Comparison of Medical Students and Pediatric Residents Practice in Medical Records at Amirkola Children Hospital. J Babol Uni Med Sci 2010;12(5):106-111. [Persian]
4. Murphy BJ. Principles of good medical record documentation. J Med Pract Manag 2001; 16(5): 258-60.
5. Farzandipour M, Mediani Z, Jeddi R, Gilasi H, ShokrizadehArani L, Mobarak Z. [The effect of educational intervention on medical diagnosis recording among residents in Kashan University of Medical Sciences]. Iran J Med Edu 2012; 12(1): 90-98. [Persian]
6. Kahooei M, Askari Majdabadi H. [The quality survey of medical students and assistants practice in history taking and physical examination of patients]. koomesh 2001; 3 (1-2): 45-52. [Persian]
7. Bickley LS, Bates B, Szilagyi PJ. Bate's guide to physical examination and history taking. 9th Ed. Boston: Lippincott Williams & Wilkins Co; 2007.
8. Cash-Gibson L, Pappas Y, Car J. Computer-assisted versus oral-and-written history taking for the management of cardiovascular disease (Protocol). Cochrane Database of Systematic Reviews 2012; 3Art.
9. Bessant R. The Pocket book for PACES. 1st ed. USA: Oxford University Press; 2012.
10. KhazaeeZ ,Khazaee T, Namayi M, Jananeh E. [The effective and preventive factors of taking patients' history from the View point of the students of Birjand Medical School in 2010-2011] The Journal of Medical Education and Developmen 2012; 8(1): 14-21. [Persian]
11. Kahooei M, Taherian A, Baba Mohammadi H, Kaghobadi S. [Medical assistants and students' knowledge and practice rate regarding documentation of care provided to patients from medical discipline aspect in Semnan Medical University, 2000-01]. JBUMS 2003; 5 (5):67-73.[Persian]
12. Balaghafari A, AliGolbandi K, Siamian H., Zakeezadeh M, Kahouei M, Yazdani Charati A. [study on the rate of knowledge, attitude and practice of medical students towards method of medical records documentation at Mazandaran University of medical sciences affiliated therapeutic and teaching centers 2003]. J Mazandaran Uni Med Sci 2006;15 (49):73-80.[Persian]
13. Gaffari R, Amini A, Yazdani SH, Alizadeh M.[Comparative Study: Curriculum of Undergraduate Medical Education in Iran and in a Selected number of the World’s Renowned Medical Schools]. Iran J Med Edu 2012; 11(7):819-832. [Persian]
14. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005; 15(9): 1277-88.
15. Zhang Y, Wildemuth BM. Qualitative analysis of content.[cited 2010 May 7]; Available from: URL:http://www.ils.unc.edu/~yanz/Content_analysis.pdf/
16. Adib Hajbagheri M. [Grounded theory methodology: the way of theorizing in the humanities and health]. Tehran, Iran: Boshra Publication; 2006. [Persian]
17. Creswell JW. Research design: qualitative, quantitative and mixed methods approaches. Washington DC: SAGA publications INC; 2013.
18. Corbin J. Strauss AL. Basics of qualitative research: techniques and procedures for developing grounded theory. Washington DC: SAGA publications INC: 2008
19. Torabian S, Damari B, Cheraghi M. [Rural Insurance: family physicians' satisfaction]. J Iran Institut Health Sci Res 2014; 13: 561-573. [Persian]
20. Neamatollahi H ,Mehrabkhani M ,Ghafarpour S , Ghasemi A. [Evaluation of Mashhad Dental School Students’ motives and viewpoints on their Career choices in 2010]. J Mash Dent Sch 2014; 38(1): 71-84 . [Persian]
21. Karim A, Hajian A, Nasiri M. [ Assessment of future attitude of medical students at the Babol University of Medical Sciences (1382). J Babol Uni Med Sci 2006; 8(1):86-95. [Persian]
22. Kimiafar Kh, Vafaee Najar A, Sarbaz M. [Quantitative investigation of in patients’ medical records in training and social security hospitals in Mashhad]. J Allied Health & Rehab Sci 2015: 4(1): 58-67. [Persian]
23. Mashoufi M, Rostami K, Mardi A. [Documentation of medical records by physicians in the hospitals under Ardabil University of Medical Sciences, 2001]. J Ardabil Univ Med Sci 2006; 6 (1): 73-77. [Persian]
24. Zeinaloo A , Hosseini M , Asefzadeh S. [Assessing the progress of strategic plan in Qazvin University of Medical Sciences, 2008-2009]. JQUMS2010; 13 (4): 77-82. [Persian]



XML   Persian Abstract   Print



Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 8, Issue 1 (2016) Back to browse issues page