# ‘We can go hand in hand’ – patients with COPD and their experiences of relational continuity of care in Swedish primary care: a qualitative study

## TL;DR

This study explores how patients with COPD in Sweden experience care continuity through interactions with a specialized nurse, highlighting the importance of trust and meaningful relationships.

## Contribution

The study introduces a qualitative understanding of relational continuity in COPD care through the lens of patient-nurse interactions.

## Key findings

- Patients value continuity through consistent, trusted nurse interactions.
- Trust and non-judgmental relationships are crucial for positive care experiences.
- COPD-related stigma is mitigated through supportive nurse-patient connections.

## Abstract

This study aimed to explore how patients with chronic obstructive pulmonary disease (COPD) experience continuity of care through their encounters with a specialised asthma/COPD Registered Nurse in primary care.

An inductive qualitative study using interpretive description.

Data were collected through semi-structured individual interviews with 13 purposively sampled patients with COPD from four regions in Sweden. The audiotaped interviews were conducted over a 5-month period (September 2024–January 2025) via telephone, transcribed verbatim and analysed using interpretive description.

Three themes describe the results. Meaningful care when encountering a dedicated nurse, which patients describe when encountering the same trusted nurse. Being acknowledged and listened to highlights the patient’s appreciation for the nurse’s knowledge and competence, both regarding the patient and the disease. Feeling trust in the relationship, a personal but not overly private relationship that fosters trust, which is essential since COPD can be a shameful disease. Some patients haven’t shared their diagnosis with loved ones, making the nurse a vital and comforting point of contact.

Patients with COPD value continuity of care with a specialised asthma/COPD Registered Nurse. Trust and a non-judgmental relationship are essential for continuity to be experienced positively. Continuity is more than repeated encounters; it requires quality interactions that empower patients and address the stigma associated with COPD.

Consolidated Criteria for Reporting Qualitative Research guidelines.