Challenges on staff-patients relationship
Nephrologists frankly described that relationships were challenged by
distrust and withhold information. One nephrologist described patients
approaching dialysis occasionally would disclose the real past medical
history for avoiding expensive detections and delaying dialysis, which
probably led to not timely diagnosis and treatment. If staff-patients
can’t coordinate with conflict about treatment protocols, the built
relationship would be drained.
“We gave suggestions for preforming peritoneal dialysis
catheterization, However, some patients felt us made a mountain out of
molehill. Besides, some referral patients had the thought that after
finishing their disease detections, they turned to social acquaintance
for help.” (N11)
To a certain extent, staff-patient relationship was challenged by rumor
or striking news.
“I have heard negative comments from neighbors. Out of protecting
our own interest, I performed as a difficult patient.” (P6)