The Attitudes of Pulmonologists Regarding Smoking Behavior of Their Patients with Advanced COPD: A Qualitative Research
K Mooren,1,* GGH van der Linden,2,* K Pool,3 Y Engels4 1Department of Lung Disease, Spaarne Gasthuis, Haarlem, Noord-Holland, the Netherlands; 2Department of Internal Medicine, ETZ, Tilburg, Noord-Brabant, the Netherlands; 3Department of Lung Disease, Rode Kruis Ziekenhuis, Beverwijk, Noord-Holland,...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2019-11-01
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| Series: | International Journal of COPD |
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| Online Access: | https://www.dovepress.com/the-attitudes-of-pulmonologists-regarding-smoking-behavior-of-their-pa-peer-reviewed-article-COPD |
| _version_ | 1811229632209354752 |
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| author | Mooren K van der Linden GGH Pool K Engels Y |
| author_facet | Mooren K van der Linden GGH Pool K Engels Y |
| author_sort | Mooren K |
| collection | DOAJ |
| description | K Mooren,1,* GGH van der Linden,2,* K Pool,3 Y Engels4 1Department of Lung Disease, Spaarne Gasthuis, Haarlem, Noord-Holland, the Netherlands; 2Department of Internal Medicine, ETZ, Tilburg, Noord-Brabant, the Netherlands; 3Department of Lung Disease, Rode Kruis Ziekenhuis, Beverwijk, Noord-Holland, the Netherlands; 4Department of Anaesthesiology, Pain and Palliative Care, RadboudUMC, Nijmegen, Gelderland, the Netherlands*These authors contributed equally to this workCorrespondence: K MoorenDepartment of Lung Disease, Spaarne Gasthuis, Boerhaavelaan 22, Haarlem 2035RC, Noord-Holland, the NetherlandsTel +31624419288Email k.mooren@spaarnegasthuis.nlBackground: Patients with diseases linked with smoking, such as COPD, report a health-related stigma on their smoking behavior, which is related to a poorer quality of life and psychological distress. According to patients with COPD, health-care professionals sometimes reinforce the sense of stigma. However, little is known about the physicians’ attitudes on this topic towards the patient with COPD.Purpose: To explore attitudes of pulmonologists regarding the smoking behavior of their patients with COPD and if (and to what extent) a stigma is present in their attitudes towards their smoking patients.Patients and methods: Eighteen pulmonologists were interviewed using a semi-structured guide with prespecified topics. The interview transcripts were coded using Atlas.ti. Analysis of data from these interviews was performed using conventional content analysis.Results: We identified three themes: attitudes towards smoking in general, the interaction between patient and physician, and smoking cessation. All participants said patients are not fully responsible for their smoking behavior. Contrarily, smoking was also seen as a free choice by most physicians. Moreover, smoking cessation was mostly seen as the responsibility of the patient. Feelings of powerlessness, frustration and compassion were reported in the guidance of patients with COPD.Conclusion: The results of this study show an ambivalent attitude of pulmonologists regarding the smoking behavior of their patients with COPD. The outcomes of this study can form a base for further research and can be used as insights for interventions that aim to raise awareness of physicians’ own attitudes and increase the quality of physician–patient communication.Keywords: COPD, patient–physician interaction, physician attitudes, qualitative research, smoking |
| first_indexed | 2024-04-12T10:16:42Z |
| format | Article |
| id | doaj.art-397b9b4c766448a4a583617335f36b36 |
| institution | Directory Open Access Journal |
| issn | 1178-2005 |
| language | English |
| last_indexed | 2024-04-12T10:16:42Z |
| publishDate | 2019-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of COPD |
| spelling | doaj.art-397b9b4c766448a4a583617335f36b362022-12-22T03:37:11ZengDove Medical PressInternational Journal of COPD1178-20052019-11-01Volume 142673267950083The Attitudes of Pulmonologists Regarding Smoking Behavior of Their Patients with Advanced COPD: A Qualitative ResearchMooren Kvan der Linden GGHPool KEngels YK Mooren,1,* GGH van der Linden,2,* K Pool,3 Y Engels4 1Department of Lung Disease, Spaarne Gasthuis, Haarlem, Noord-Holland, the Netherlands; 2Department of Internal Medicine, ETZ, Tilburg, Noord-Brabant, the Netherlands; 3Department of Lung Disease, Rode Kruis Ziekenhuis, Beverwijk, Noord-Holland, the Netherlands; 4Department of Anaesthesiology, Pain and Palliative Care, RadboudUMC, Nijmegen, Gelderland, the Netherlands*These authors contributed equally to this workCorrespondence: K MoorenDepartment of Lung Disease, Spaarne Gasthuis, Boerhaavelaan 22, Haarlem 2035RC, Noord-Holland, the NetherlandsTel +31624419288Email k.mooren@spaarnegasthuis.nlBackground: Patients with diseases linked with smoking, such as COPD, report a health-related stigma on their smoking behavior, which is related to a poorer quality of life and psychological distress. According to patients with COPD, health-care professionals sometimes reinforce the sense of stigma. However, little is known about the physicians’ attitudes on this topic towards the patient with COPD.Purpose: To explore attitudes of pulmonologists regarding the smoking behavior of their patients with COPD and if (and to what extent) a stigma is present in their attitudes towards their smoking patients.Patients and methods: Eighteen pulmonologists were interviewed using a semi-structured guide with prespecified topics. The interview transcripts were coded using Atlas.ti. Analysis of data from these interviews was performed using conventional content analysis.Results: We identified three themes: attitudes towards smoking in general, the interaction between patient and physician, and smoking cessation. All participants said patients are not fully responsible for their smoking behavior. Contrarily, smoking was also seen as a free choice by most physicians. Moreover, smoking cessation was mostly seen as the responsibility of the patient. Feelings of powerlessness, frustration and compassion were reported in the guidance of patients with COPD.Conclusion: The results of this study show an ambivalent attitude of pulmonologists regarding the smoking behavior of their patients with COPD. The outcomes of this study can form a base for further research and can be used as insights for interventions that aim to raise awareness of physicians’ own attitudes and increase the quality of physician–patient communication.Keywords: COPD, patient–physician interaction, physician attitudes, qualitative research, smokinghttps://www.dovepress.com/the-attitudes-of-pulmonologists-regarding-smoking-behavior-of-their-pa-peer-reviewed-article-COPDcopdpatient-physician interactionphysician attitudesqualitative researchsmoking |
| spellingShingle | Mooren K van der Linden GGH Pool K Engels Y The Attitudes of Pulmonologists Regarding Smoking Behavior of Their Patients with Advanced COPD: A Qualitative Research International Journal of COPD copd patient-physician interaction physician attitudes qualitative research smoking |
| title | The Attitudes of Pulmonologists Regarding Smoking Behavior of Their Patients with Advanced COPD: A Qualitative Research |
| title_full | The Attitudes of Pulmonologists Regarding Smoking Behavior of Their Patients with Advanced COPD: A Qualitative Research |
| title_fullStr | The Attitudes of Pulmonologists Regarding Smoking Behavior of Their Patients with Advanced COPD: A Qualitative Research |
| title_full_unstemmed | The Attitudes of Pulmonologists Regarding Smoking Behavior of Their Patients with Advanced COPD: A Qualitative Research |
| title_short | The Attitudes of Pulmonologists Regarding Smoking Behavior of Their Patients with Advanced COPD: A Qualitative Research |
| title_sort | attitudes of pulmonologists regarding smoking behavior of their patients with advanced copd a qualitative research |
| topic | copd patient-physician interaction physician attitudes qualitative research smoking |
| url | https://www.dovepress.com/the-attitudes-of-pulmonologists-regarding-smoking-behavior-of-their-pa-peer-reviewed-article-COPD |
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