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Co-constructing engagement in stroke rehabilitation: a qualitative study exploring how practitioner engagement can influence patient engagement
| Content Provider | SAGE Publishing |
|---|---|
| Author | Bright, Felicity As Kayes, Nicola M. Cummins, Christine Worrall, Linda M. McPherson, Kathryn M. |
| Copyright Year | 2017 |
| Abstract | Objective:To explore how practitioner engagement and disengagement occurred, and how these may influence patient care and engagement.Design:A qualitative study using the Voice Centred Relational Methodology. Data included interviews, focus groups and observations.Setting:Inpatient and community stroke rehabilitation services.Subjects:Eleven people experiencing communication disability after stroke and 42 rehabilitation practitioners.Interventions:Not applicable.Results:The practitioner’s engagement was important in patient engagement and service delivery. When patients considered practitioners were engaged, this helped engagement. When they considered practitioners were not engaged, their engagement was negatively affected. Practitioners considered their engagement was important but complex. It influenced how they worked and how they perceived the patient. Disengagement was taboo. It arose when not feeling confident, when not positively impacting outcomes, or when having an emotional response to a patient or interaction. Each party’s engagement influenced the other, suggesting it was co-constructed.Conclusions:Practitioner engagement influenced patient engagement in stroke rehabilitation. Practitioner disengagement was reported by most practitioners but was often a source of shame. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/0269215517694678?download=true |
| Starting Page | 1396 |
| Ending Page | 1405 |
| Page Count | 10 |
| ISSN | 02692155 |
| Issue Number | 10 |
| Volume Number | 31 |
| Journal | Clinical Rehabilitation (CRE) |
| e-ISSN | 14770873 |
| DOI | 10.1177/0269215517694678 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2017-02-01 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2017 |
| Subject Keyword | rehabilitation attitude of health personnel professional-patient relations Patient participation |
| Content Type | Text |
| Resource Type | Article |
| Subject | Rehabilitation Physical Therapy, Sports Therapy and Rehabilitation |
