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Interaction between patient and physiotherapist: a qualitative study reflecting the physiotherapist's perspective

Lundvik Gyllensten, Amanda LU ; Gard, Gunvor LU ; Salford, Eva LU and Ekdahl, Charlotte LU (1999) In Physiotherapy Research International 4(2). p.89-109
Abstract
Background and Purpose

The interaction between patient and physiotherapist (PT) is central in physiotherapeutic treatment. The purpose of this study was to investigate expert physiotherapists' perception of important factors influencing the quality of the interaction in physiotherapeutic treatment.



Method

Ten experienced PTs working in primary healthcare were interviewed twice, triangulating a sort of important events, an exemplar and a key informant interview. The data were transcribed, coded and analysed for main themes and categories according to the qualitative technique described by Shepard et al. (1993) and Merriam (1988).



Results

Important factors in interaction could... (More)
Background and Purpose

The interaction between patient and physiotherapist (PT) is central in physiotherapeutic treatment. The purpose of this study was to investigate expert physiotherapists' perception of important factors influencing the quality of the interaction in physiotherapeutic treatment.



Method

Ten experienced PTs working in primary healthcare were interviewed twice, triangulating a sort of important events, an exemplar and a key informant interview. The data were transcribed, coded and analysed for main themes and categories according to the qualitative technique described by Shepard et al. (1993) and Merriam (1988).



Results

Important factors in interaction could be divided into the Prerequisites dimension and the Interaction dimension. In the former, the most dominant theme was Internal prerequisites of the PT. The most-cited category in this theme was Practical professional skills and patient experience. In the latter, the themes Establishing contact, Ways of contact, Frames and the Therapeutic process emerged. Here, the most-cited categories were Establishing contact and confidence, having a Therapeutic role, Being sensitive and intuitive, Encountering, Listening and Identification of patient resources. These factors were seen as essential for promoting a positive patient outcome. Interaction skills were reinforced by reflection on patients' experiences.



Conclusions

Interaction skills of the expert PT were thought to enhance the resources of the patient and lead to a positive patient outcome. Within professional development more emphasis ought to be put on reinforcing the reflective process of the PT, for instance by the use of supervision by an experienced colleague. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
reflective process, qualitative method, physiotherapy, interaction
in
Physiotherapy Research International
volume
4
issue
2
pages
89 - 109
publisher
Wiley
external identifiers
  • scopus:0032619117
ISSN
1358-2267
DOI
10.1002/pri.156
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Physiotherapy (Closed 2012) (013042000), Neurosurgery (013026000)
id
2c63f6a5-04bf-4558-8885-78e418117937 (old id 1114921)
date added to LUP
2016-04-01 12:26:49
date last changed
2023-01-03 08:35:01
@article{2c63f6a5-04bf-4558-8885-78e418117937,
  abstract     = {{Background and Purpose<br/><br>
The interaction between patient and physiotherapist (PT) is central in physiotherapeutic treatment. The purpose of this study was to investigate expert physiotherapists' perception of important factors influencing the quality of the interaction in physiotherapeutic treatment.<br/><br>
<br/><br>
Method<br/><br>
Ten experienced PTs working in primary healthcare were interviewed twice, triangulating a sort of important events, an exemplar and a key informant interview. The data were transcribed, coded and analysed for main themes and categories according to the qualitative technique described by Shepard et al. (1993) and Merriam (1988).<br/><br>
<br/><br>
Results<br/><br>
Important factors in interaction could be divided into the Prerequisites dimension and the Interaction dimension. In the former, the most dominant theme was Internal prerequisites of the PT. The most-cited category in this theme was Practical professional skills and patient experience. In the latter, the themes Establishing contact, Ways of contact, Frames and the Therapeutic process emerged. Here, the most-cited categories were Establishing contact and confidence, having a Therapeutic role, Being sensitive and intuitive, Encountering, Listening and Identification of patient resources. These factors were seen as essential for promoting a positive patient outcome. Interaction skills were reinforced by reflection on patients' experiences.<br/><br>
<br/><br>
Conclusions<br/><br>
Interaction skills of the expert PT were thought to enhance the resources of the patient and lead to a positive patient outcome. Within professional development more emphasis ought to be put on reinforcing the reflective process of the PT, for instance by the use of supervision by an experienced colleague.}},
  author       = {{Lundvik Gyllensten, Amanda and Gard, Gunvor and Salford, Eva and Ekdahl, Charlotte}},
  issn         = {{1358-2267}},
  keywords     = {{reflective process; qualitative method; physiotherapy; interaction}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{89--109}},
  publisher    = {{Wiley}},
  series       = {{Physiotherapy Research International}},
  title        = {{Interaction between patient and physiotherapist: a qualitative study reflecting the physiotherapist's perspective}},
  url          = {{http://dx.doi.org/10.1002/pri.156}},
  doi          = {{10.1002/pri.156}},
  volume       = {{4}},
  year         = {{1999}},
}