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In search of recognition-Patients' experiences of patient participation prior to multimodal pain rehabilitation

Nordin, Catharina; Fjellman-Wiklund, Anncristine and Gard, Gunvor LU (2014) In European Journal of Physiotherapy 16(1). p.49-57
Abstract

The aim of this study was to explore primary healthcare patients' experiences of patient participation prior to multimodal pain rehabilitation. Data was collected from interviews with 17 patients, aged 23-59 years, after completing multimodal rehabilitation. Data was analysed using qualitative content analysis. The theme, In search of recognition, depicted patient participation prior to the multimodal pain rehabilitation as a lack of recognition in the healthcare system. A demand for medical help and the healthcare professionals' preferential right to interpret the patients' condition formed the category Need for medical affirmation. In the category Emotional and cognitive alienation, patients emphasized distress when being unconfirmed.... (More)

The aim of this study was to explore primary healthcare patients' experiences of patient participation prior to multimodal pain rehabilitation. Data was collected from interviews with 17 patients, aged 23-59 years, after completing multimodal rehabilitation. Data was analysed using qualitative content analysis. The theme, In search of recognition, depicted patient participation prior to the multimodal pain rehabilitation as a lack of recognition in the healthcare system. A demand for medical help and the healthcare professionals' preferential right to interpret the patients' condition formed the category Need for medical affirmation. In the category Emotional and cognitive alienation, patients emphasized distress when being unconfirmed. This entailed an emotional and cognitive distance between the patients and the healthcare professionals. Situational factors, together with patients' emotional and cognitive prerequisites and patients' strategies to be included in dialogue represented the category Need to communicate, which influenced the opportunities to participate. For healthcare professionals, it is important to understand that patients in multimodal pain rehabilitation may have experiences of a clinician-centred behaviour in the past. Patients may have been unconfirmed and their point of view disregarded. For the future, greater effort for dialogue and patients' involvement in decision-making and rehabilitation planning is needed.

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author
publishing date
type
Contribution to journal
publication status
published
keywords
"clinician-centred" medicine, Chronic pain, Patient-healthcare professional interaction, Qualitative interviews, Rehabilitation
in
European Journal of Physiotherapy
volume
16
issue
1
pages
9 pages
publisher
Informa Healthcare
external identifiers
  • scopus:84896715370
ISSN
2167-9169
DOI
10.3109/21679169.2013.871061
language
English
LU publication?
no
id
23018441-2727-4168-9015-397c0ceef811
date added to LUP
2016-12-19 13:27:42
date last changed
2017-02-26 04:43:58
@article{23018441-2727-4168-9015-397c0ceef811,
  abstract     = {<p>The aim of this study was to explore primary healthcare patients' experiences of patient participation prior to multimodal pain rehabilitation. Data was collected from interviews with 17 patients, aged 23-59 years, after completing multimodal rehabilitation. Data was analysed using qualitative content analysis. The theme, In search of recognition, depicted patient participation prior to the multimodal pain rehabilitation as a lack of recognition in the healthcare system. A demand for medical help and the healthcare professionals' preferential right to interpret the patients' condition formed the category Need for medical affirmation. In the category Emotional and cognitive alienation, patients emphasized distress when being unconfirmed. This entailed an emotional and cognitive distance between the patients and the healthcare professionals. Situational factors, together with patients' emotional and cognitive prerequisites and patients' strategies to be included in dialogue represented the category Need to communicate, which influenced the opportunities to participate. For healthcare professionals, it is important to understand that patients in multimodal pain rehabilitation may have experiences of a clinician-centred behaviour in the past. Patients may have been unconfirmed and their point of view disregarded. For the future, greater effort for dialogue and patients' involvement in decision-making and rehabilitation planning is needed.</p>},
  author       = {Nordin, Catharina and Fjellman-Wiklund, Anncristine and Gard, Gunvor},
  issn         = {2167-9169},
  keyword      = {"clinician-centred" medicine,Chronic pain,Patient-healthcare professional interaction,Qualitative interviews,Rehabilitation},
  language     = {eng},
  number       = {1},
  pages        = {49--57},
  publisher    = {Informa Healthcare},
  series       = {European Journal of Physiotherapy},
  title        = {In search of recognition-Patients' experiences of patient participation prior to multimodal pain rehabilitation},
  url          = {http://dx.doi.org/10.3109/21679169.2013.871061},
  volume       = {16},
  year         = {2014},
}