“Treat Me Like a Normal Person!” A Meta-Ethnography of Adolescents' Expectations of Their Health Care Providers

Preventive health care services provide an important opportunity to assist adolescents to establish and maintain a healthy lifestyle and assume an increasing independent role in their health care. National guidelines emphasize the importance of an annual wellness visit to identify and address risk-b...

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Bibliographic Details
Published in:	Journal of pediatric nursing 2017-09, Vol.36, p.70-83
Main Authors:	Daley, Alison Moriarty, Polifroni, E. Carol, Sadler, Lois S.
Format:	Article
Language:	eng
Subjects:	Adolescent Adolescent Behavior - psychology Adolescent Health Services - organization & administration Adolescent-friendly care Adolescents/Youth Attitude of Health Personnel Communication Confidentiality/privacy Female Health care professionals Health care, primary Health care, users' experiences Health Personnel - organization & administration Humans Male Meta-ethnography Metasynthesis Needs Assessment Nurse-Patient Relations Nursing Outcome Assessment (Health Care) Patient Satisfaction Physician-Patient Relations Qualitative analysis Qualitative Research Reference Values Relationship, patient-provider Risk-Taking Trust United States Wellness visit
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Summary:	Preventive health care services provide an important opportunity to assist adolescents to establish and maintain a healthy lifestyle and assume an increasing independent role in their health care. National guidelines emphasize the importance of an annual wellness visit to identify and address risk-behaviors that contribute significantly to the morbidity and mortality in this population. Despite these recommendations, adolescents utilize preventive health care at declining rates throughout adolescence. The purpose of this study was to capture a more holistic view of what adolescents, as consumers of health care services, expect from their primary health care providers (HCPs). A metasynthesis of 12 qualitative research studies was conducted using Noblit and Hare's (1988) meta-ethnographic approach. Five overarching metaphors, Talk with Me- Not at Me, Accept Me, Respect My Privacy and Confidentiality, Show Me You Are a Professional, and A Trusted Relationship described adolescents' expectations of their HCPs. This study provides a more holistic view of adolescents' expectations of their HCPs. Clinical strategies are suggested to assist HCPs to meet adolescents' expectations. •The majority of the morbidity and mortality in the adolescent population results from preventable causes.•Less than half of adolescents in the United States receive an annual preventive visit and fewer receive developmentally appropriate screening and anticipatory guidance.•This metasynthesis identified five overarching metaphors describing adolescents' expectations of their health care providers: Talk With Me - Not At Me, Respect My Privacy and Confidentiality, Accept Me, Show Me You Are a Professional, and A Trusted Relationship.•A Trusted Relationship was found to play a central role in adolescents' health care expectations.•This qualitative study provides a more holistic view of what teens, as consumers of primary health care services, expect from their health care providers.
ISSN:	0882-5963 1532-8449