Shifting roles : physiotherapists’ perception of person-centered care during a pre-implementation phase in the acute hospital setting - A phenomenographic study

Veronica Sjöberg (Författare), Maria Forsner (Författare)

URI http://urn.kb.se/resolve?urn=urn:nbn:se:du-34785, URN urn:nbn:se:du-34785, DOI 10.1080/09593985.2020.1809042

Högskolan Dalarna Akademin Utbildning, hälsa och samhälle (Utgivare)

utgivning

Taylor & Francis, 2020

är del av

Physiotherapy Theory and Practice · ISSN 0959-3985

1-11

Bidrag, Onlineresurs

Finns online:

http://urn.kb.se/resolve?urn=urn:nbn:se:du-34785

Värdpublikation

ämne

Medical and Health Sciences, Health Sciences, Nursing, Medicin och hälsovetenskap, Hälsovetenskap, Omvårdnad, Health and Welfare, Hälsa och välfärd, Physiotherapy, professional role, person-centered care, shared decision making, power relations

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Sammanfattning

Background Person-centered care (PCC) is an acknowledged health care practice involving increased patient influence regarding decisions and deliberation. Research indicates that physiotherapists (PTs) embrace patient participation, but that PCC is difficult to grasp and fully implement. Objective To contribute to knowledge about how PCC influences physiotherapy by eliciting PTs? experiences from the acute care setting, this study aims to describe and illuminate variations in perceptions of PCC during a pre-implementation phase, among PTs in acute hospital care. Methods Phenomenological approach: individual interviews with PTs in acute care (n = 7) combined with focus group interviews (n = 3). Findings The analysis yielded two main categories: 1) Physiotherapists perceived a transformed patient role involved in the transition from patient to person; and 2) Physiotherapists perceived a challenged professional role when departing from the expert role, and entailed restrictions to prescribing the best treatment and, instead, meant aiming for a collaborative and equal relationship with the patient. Conclusion Although the interviewed PTs embraced PCC in principle, PCC does seem to challenge the professional roles of patient and PT. The findings indicate that theories of power relations need to be considered, and further reflection may facilitate implementation. More research is needed to deepen the knowledge of how PTs perceive PCC during all implementation phases.

Detaljer

Medverkan och funktion

Veronica Sjöberg (Författare), Maria Forsner (Författare)

Medverkan och funktion

Högskolan Dalarna Akademin Utbildning, hälsa och samhälle (Utgivare)

Identifikator

URI http://urn.kb.se/resolve?urn=urn:nbn:se:du-34785, URN urn:nbn:se:du-34785, DOI 10.1080/09593985.2020.1809042

har titel

Shifting roles : physiotherapists’ perception of person-centered care during a pre-implementation phase in the acute hospital setting - A phenomenographic study