EXPLORATION OF EMERGENCY PHYSICIAN'S EXPERIENCES ON BARRIERS OF PRECISE PATIENT HISTORY TAKING AND PHYSICAL EXAMINATION: A QUALITATIVE STUDY
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 poorgharehkhan A, nursing dept, Kordestan University of Medical Sciences, Sanandaj, Iran. Nursing dept, Arak University of Medical Sciences Sciences Arak, Iran. Mahdavian N dentist Kordestan University of Medical Sciences, Sanandaj, Iran. Zarie M physician Kordestan University of Medical Sciences, Sanandaj, Iran. Karimi O physician Kordestan University of Medical Sciences, Sanandaj, Iran. Abstract: (29 View) 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,