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Table 6 Issues with PAM

From: Development and evaluation of a nurse-led, tailored stroke self-management intervention

V2:

Well I had a man like that that was questioning all that “I don’t know what you mean by that and I don’t know what you mean by that” [referring to individual PAM questions].

V3:

Whereas my lady was just “oh uh huh, yeah, aye, oh I agree with that, oh aye I agree with that”.

V1:

And it’s not something that the majority of people are familiar doing when it’s that type of thing, you know, the kind of questionnaire things are usually yes, no or whereas it was a bit more.

V3:

Aye so strongly agree was 4 and she’s got 1, 2, 3, 4, 5, 6, 7, 8, 9 [counting up the PAM question responses] ‘4’s and then the others [referring to other PAM question responses] are ‘3’s.

LK:

Yeah so that would kind of put her at the top end of the scale…

V3:

Yeah, [the scores indicate] she’s definitely gonna do that [self-manage].

LK:

You mean that it suggests she’s a very active self-manager and you wouldn’t say that she was?

V3:

She’s not doing anything.

V4:

Yep there was 1 or 2 he [referring to her patient] said that the language he didn’t feel was appropriate he felt that it was some of the words he knew what they meant but he was like that “this is really difficult”.

V4:

[my man] was thinking of other people and he was like that “I don’t think a lot of your patients with communication problems [would be able to understand the questions].”

  1. *V denotes the voice of each stroke nurse in the focus group