Perceptions of adults with hearing impairment regarding the promotion of trust in hearing healthcare service delivery

<div><p></p><p><i>Objective:</i> This paper describes how trust is promoted in adults with hearing impairment within the context of hearing healthcare (HHC) service delivery. <i>Design:</i> Data were analysed from a previously published descriptive qualitative study that explored perspectives of adults with hearing impairment on hearing help-seeking and rehabilitation. <i>Study sample:</i> Interview transcripts from 29 adults from four countries with different levels of hearing impairment and different experience with the HHC system were analysed thematically. <i>Results:</i> Patients enter into the HHC system with service expectations resulting in a preconceived level of trust that can vary from low to high. Relational competence, technical competence, commercialized approach, and clinical environment (relevant to both the clinician and the clinic) influence a patient's resulting level of trust. <i>Conclusions:</i> Trust is evolving rather than static in HHC: Both clinicians and clinics can promote trust. The characteristics of HHC that engender trust are: practicing good communication, supporting shared decision making, displaying technical competence, offering comprehensive hearing rehabilitation, promoting self-management, avoiding a focus on hearing-aid sales, and offering a professional clinic setting.</p></div

External validation of a core outcome set developed in Denmark for the general ICU patient – protocol amendment to an ongoing modified Delphi consensus process

We aim to externally validate a core outcome set for the general ICU patient that is currently under development. This is an amendment to the published protocol (DOI: 10.1111/aas.14024) The amendment is included as an PDF under “Supplemental files…”