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Interaction between patient and physiotherapist in psychiatric care-the physiotherapist perspective

Lundvik Gyllensten, Amanda LU ; Gard, Gunvor LU ; Hansson, Lars LU and Ekdahl, Charlotte LU (2000) In Advances in Physiotherapy 2(4). p.157-167
Abstract
The aim of the study was to investigate what factors the physiotherapy experts in psychiatric physiotherapy believed to be important in the interaction between the patient and the physiotherapist (PT). The objective was to obtain a deeper insight into their reasoning concerning interaction and treatment outcomes. Eleven nominated ''expert'' PTs were each interviewed twice. Triangulation of important events, an exemplar (critical incident) and a key informant interview were used in the data collection. A qualitative design with crosscase analysis was used in the data analysis. Important interaction factors were divided into a ''prerequisites dimension'', ''interaction dimension'' and ''outcome dimension''. In the prerequisites dimension... (More)
The aim of the study was to investigate what factors the physiotherapy experts in psychiatric physiotherapy believed to be important in the interaction between the patient and the physiotherapist (PT). The objective was to obtain a deeper insight into their reasoning concerning interaction and treatment outcomes. Eleven nominated ''expert'' PTs were each interviewed twice. Triangulation of important events, an exemplar (critical incident) and a key informant interview were used in the data collection. A qualitative design with crosscase analysis was used in the data analysis. Important interaction factors were divided into a ''prerequisites dimension'', ''interaction dimension'' and ''outcome dimension''. In the prerequisites dimension there were three themes: ''prerequisites of the PT'', ''prerequisites of the patient'' and ''external factors''. In the interaction dimension there were also three themes: ''ways of contact'', ''therapeutic process'' and ''structure of treatment''. In the outcome dimension the theme ''outcome'' and the two categories ''patient - awareness of own resources and ''PT - improvement of interaction skills with the aid of reflection'' were found. Interaction was considered to be important for the outcome and for the patient's awareness of his:her resources. The body awareness skills of the PT, the therapeutic relationships, help for the patient to identify his:her resources and the contract were also important. The ability to be fully mentally present in the encounter and the use of non-verbal skills were emphasized. Supervision and reflection about the outcome increased the PT's interaction skills in a learning process. The physiotherapy process expressed was resource-oriented. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
BODY, AWARENESS-, INTERACTION-, NON-VERBAL, COMMUNICATIONOUTCOME-, PATIENT, RESOURCES-, PHYSIOTHERAPY-, QUALITATIVE, METHOD
in
Advances in Physiotherapy
volume
2
issue
4
pages
157 - 167
publisher
Taylor & Francis
external identifiers
  • scopus:0038225750
ISSN
1651-1948
DOI
10.1080/140381900750063427
language
English
LU publication?
yes
id
65094685-7460-40e7-96fe-bca81072014f (old id 1117416)
date added to LUP
2008-06-30 15:58:31
date last changed
2017-08-06 03:39:21
@article{65094685-7460-40e7-96fe-bca81072014f,
  abstract     = {The aim of the study was to investigate what factors the physiotherapy experts in psychiatric physiotherapy believed to be important in the interaction between the patient and the physiotherapist (PT). The objective was to obtain a deeper insight into their reasoning concerning interaction and treatment outcomes. Eleven nominated ''expert'' PTs were each interviewed twice. Triangulation of important events, an exemplar (critical incident) and a key informant interview were used in the data collection. A qualitative design with crosscase analysis was used in the data analysis. Important interaction factors were divided into a ''prerequisites dimension'', ''interaction dimension'' and ''outcome dimension''. In the prerequisites dimension there were three themes: ''prerequisites of the PT'', ''prerequisites of the patient'' and ''external factors''. In the interaction dimension there were also three themes: ''ways of contact'', ''therapeutic process'' and ''structure of treatment''. In the outcome dimension the theme ''outcome'' and the two categories ''patient - awareness of own resources and ''PT - improvement of interaction skills with the aid of reflection'' were found. Interaction was considered to be important for the outcome and for the patient's awareness of his:her resources. The body awareness skills of the PT, the therapeutic relationships, help for the patient to identify his:her resources and the contract were also important. The ability to be fully mentally present in the encounter and the use of non-verbal skills were emphasized. Supervision and reflection about the outcome increased the PT's interaction skills in a learning process. The physiotherapy process expressed was resource-oriented.},
  author       = {Lundvik Gyllensten, Amanda and Gard, Gunvor and Hansson, Lars and Ekdahl, Charlotte},
  issn         = {1651-1948},
  keyword      = {BODY,AWARENESS-,INTERACTION-,NON-VERBAL,COMMUNICATIONOUTCOME-,PATIENT,RESOURCES-,PHYSIOTHERAPY-,QUALITATIVE,METHOD},
  language     = {eng},
  number       = {4},
  pages        = {157--167},
  publisher    = {Taylor & Francis},
  series       = {Advances in Physiotherapy},
  title        = {Interaction between patient and physiotherapist in psychiatric care-the physiotherapist perspective},
  url          = {http://dx.doi.org/10.1080/140381900750063427},
  volume       = {2},
  year         = {2000},
}