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Client-centred practice from the perspective of Danish patients with hand-related disorders

Hansen, Alice Ørts; Kristensen, Hanne Kaae; Cederlund, Ragnhild LU ; Lauridsen, Henrik Hein and Tromborg, Hans (2017) In Disability and Rehabilitation
Abstract

Purpose: The objectives of this study were to investigate perceptions of client-centred practice among Danish patients with hand-related disorders engaged in rehabilitation at outpatient clinics, and to decide on domains to serve as a conceptual foundation for item generation in the development of a new, standardized questionnaire to evaluate the experience of client-centredness among patients with hand-related disorders. Method: Focus group interviews were held with 25 patients with hand-related disorders from six outpatient hand clinics in Denmark. Deductive content analysis was used to decide on domains for item generation. Results: Patients found that information was paramount in understanding their situation and to feel empowered... (More)

Purpose: The objectives of this study were to investigate perceptions of client-centred practice among Danish patients with hand-related disorders engaged in rehabilitation at outpatient clinics, and to decide on domains to serve as a conceptual foundation for item generation in the development of a new, standardized questionnaire to evaluate the experience of client-centredness among patients with hand-related disorders. Method: Focus group interviews were held with 25 patients with hand-related disorders from six outpatient hand clinics in Denmark. Deductive content analysis was used to decide on domains for item generation. Results: Patients found that information was paramount in understanding their situation and to feel empowered and motivated. They attached importance to participation in decision making so that rehabilitation was considered meaningful. Moreover, they thought rehabilitation should be individualized by taking their life situations and personalities into account. Six domains were found to be central to client-centred practice: patient participation in decision making, client-centred education, evaluation of outcomes from patient’s perspective, emotional support, cooperation and coordination, and enabling occupation. Conclusions: The domains can be used in the further development of a Danish questionnaire to evaluate the experiences of client-centredness among patients engaged in rehabilitation at outpatient clinics for hand-related disorders.Implications for rehabilitationPatients with hand-related disorders wish for rehabilitation to be tailored to individual needs.The patient’s life situation and personality, including coping ability, are important factors to consider in rehabilitation planning, interventions, and evaluations.Patients with hand-related disorders attach importance to information and require health professionals’ support to manage their activities of everyday life.Patients with hand-related disorders ask for participation and shared decision making in rehabilitation planning.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Client-centred enabling, client-centred rehabilitation, hand injuries, occupational therapy
in
Disability and Rehabilitation
pages
11 pages
publisher
Taylor & Francis
external identifiers
  • scopus:85015922277
  • pmid: 28325099
ISSN
0963-8288
DOI
10.1080/09638288.2017.1301577
language
English
LU publication?
yes
id
2dd9ac87-6189-499c-b824-2e022746ef4f
date added to LUP
2017-04-23 14:35:09
date last changed
2018-01-12 11:54:22
@article{2dd9ac87-6189-499c-b824-2e022746ef4f,
  abstract     = {<p>Purpose: The objectives of this study were to investigate perceptions of client-centred practice among Danish patients with hand-related disorders engaged in rehabilitation at outpatient clinics, and to decide on domains to serve as a conceptual foundation for item generation in the development of a new, standardized questionnaire to evaluate the experience of client-centredness among patients with hand-related disorders. Method: Focus group interviews were held with 25 patients with hand-related disorders from six outpatient hand clinics in Denmark. Deductive content analysis was used to decide on domains for item generation. Results: Patients found that information was paramount in understanding their situation and to feel empowered and motivated. They attached importance to participation in decision making so that rehabilitation was considered meaningful. Moreover, they thought rehabilitation should be individualized by taking their life situations and personalities into account. Six domains were found to be central to client-centred practice: patient participation in decision making, client-centred education, evaluation of outcomes from patient’s perspective, emotional support, cooperation and coordination, and enabling occupation. Conclusions: The domains can be used in the further development of a Danish questionnaire to evaluate the experiences of client-centredness among patients engaged in rehabilitation at outpatient clinics for hand-related disorders.Implications for rehabilitationPatients with hand-related disorders wish for rehabilitation to be tailored to individual needs.The patient’s life situation and personality, including coping ability, are important factors to consider in rehabilitation planning, interventions, and evaluations.Patients with hand-related disorders attach importance to information and require health professionals’ support to manage their activities of everyday life.Patients with hand-related disorders ask for participation and shared decision making in rehabilitation planning.</p>},
  author       = {Hansen, Alice Ørts and Kristensen, Hanne Kaae and Cederlund, Ragnhild and Lauridsen, Henrik Hein and Tromborg, Hans},
  issn         = {0963-8288},
  keyword      = {Client-centred enabling,client-centred rehabilitation,hand injuries,occupational therapy},
  language     = {eng},
  month        = {03},
  pages        = {11},
  publisher    = {Taylor & Francis},
  series       = {Disability and Rehabilitation},
  title        = {Client-centred practice from the perspective of Danish patients with hand-related disorders},
  url          = {http://dx.doi.org/10.1080/09638288.2017.1301577},
  year         = {2017},
}