Commonality and variation in professional enactments of CSP conversations
Beyond ideas about how patients would ideally engage with CSP, there was much commonality in health professionals’ descriptions of how they conducted CSP conversations and how these compared with pre-PACE-D ‘usual’ consultations and annual reviews. Consistent features included CSP conversations: being allocated more time; being usefully supported by the visual (graphical) depictions of trends in patients’ biomedical markers that were shared in care planning letters (see There were also, however, significant variations among professional accounts of their understandings and enactments of CSP. Some participants showed and developed a firmer grasp than others of values and communicative practices covered in CSP training, reflecting deeper commitment to the broad purposes and partnership ethos of CSP, following through more consistently on the recognition of patients as persons whose perspectives matter and the idea that the CSP conversation is a meeting between two experts, and describing more nuanced microskills of respectful, empathetic communication and collaboration. Table 