Processes of knowing in the translation of a health communication intervention for dialysis patients awaiting kidney transplantation
Andersen, Marit Helen; Urstad, Kristin Hjorthaug; Larsen, Marie Hamilton; Engebretsen, Eivind; Ødemark, John; Eriksen, Anne; Wahl, Astrid Klopstad
Peer reviewed, Journal article
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Date
2020Metadata
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Original version
Andersen, M. H., Urstad, K. H., Larsen, M. H., Engebretsen, E., Ødemark, J., Eriksen, A. & Wahl, A. K. (2021). Processes of knowing in the translation of a health communication intervention for dialysis patients awaiting kidney transplantation. Patient Education and Counseling, 104(3). 10.1016/j.pec.2020.09.009Abstract
Objective: To strengthen patients’ health literacy and their role as active knowledge actors, we developed a health communication intervention including a film-viewing and counselling session for patients awaiting kidney transplantation. We aimed to explore processes of knowing in the translation of the intervention.
Methods: We applied an ethnographic research approach, observing nine intervention sessions with patients and dialysis nurses. Afterwards, the patients and the nurses were interviewed in-depth. Data were analysed using Engebretsen’s modified version of Lonergans’ four-step model of knowing.
Results: The following knowing processes were identified: i) Knowing as meaning-making; ii) Knowing as acquiring confidence; and iii) Accessing professionals’ and peer experts’ knowledge. Divergent considerations were taken by the different knowledge actors, which had a direct influence on the knowing processes and knowledge translation.
Conclusions: The findings support active interactions between patients and healthcare providers in processes of knowing. These include self-conscious approaches and critical questioning in both parties.
Practice implications: For transplant professionals, this study demonstrates knowing processes in a real-life context. It also spotlights professional skills and attitudes regarding the importance of self-conscious questioning and a critical interrogating position (for both patients and providers).