Conceptions of healthcare professionals about rehabilitees’ participation in goal setting in an acute hospital : a phenomenographic study
Alanko, T., Karhula, M., Kröger, T., Piirainen, A., Nikander, R., & Vuoskoski, P. (2022). Conceptions of healthcare professionals about rehabilitees’ participation in goal setting in an acute hospital : a phenomenographic study. Physiotherapy Theory and Practice, Early online. https://doi.org/10.1080/09593985.2022.2037796
Published inPhysiotherapy Theory and Practice
DisciplineIkääntymisen ja hoivan tutkimuksen huippuyksikköYhteiskuntapolitiikkaFysioterapiaGerontologia ja kansanterveysCentre of Excellence in Research on Ageing and CareSocial and Public PolicyPhysiotherapyGerontology and Public Health
© 2022 The Author(s). Published with license by Taylor & Francis Group, LLC.
Purpose: In acute care, effective goal-setting is an essential phase of a successful rehabilitation process. However, professionals’ knowledge and skills in rehabilitee-centered practice may not always match the ways of implementing goal-setting. This study aimed to describe the variation in how acute hospital professionals perceive and comprehend rehabilitee participation in rehabilitation goal-setting. Methods: Data were collected by interviewing 27 multidisciplinary rehabilitation team members in small groups shortly after rehabilitation goal-setting sessions. A qualitative research design based on phenomenography was implemented. Results: We identified four conceptions of rehabilitee participation, based on four hierarchically constructed categories: 1) Professional-driven rehabilitee participation; 2) Awakening rehabilitee participation; 3) Coaching participation; and 4) Shared participation. These categories varied according to four themes: 1) Use of power; 2) Ability to involve; 3) Interaction process; and 4) Atmosphere. Three critical aspects between the categories were also identified: 1) Appreciative listening; 2) Trustful relationship; and 3) Collaborative partnership. Conclusion: The study generated new insights into the meaning of rehabilitee participation, as conceptualized in relation to rehabilitation goal-setting and an acute hospital context. The identified critical aspects can be useful for planning and developing continuing professional education (CPE) in rehabilitation goal-setting for professionals. ...
PublisherTaylor & Francis
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Additional information about fundingThis research and development project was funded by The Social Insurance Institution of Finland and the scientific reporting was funded by Governmental Research Funding of the Kuopio Hospital District.
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