Advanced

Being in an exchange process : experiences of patient participation in multimodal pain rehabilitation

Nordin, Catharina; Gard, Gunvor LU and Fjellman-Wiklund, Anncristine (2013) In Journal of Rehabilitation Medicine2001-01-01+01:00 45(6). p.6-580
Abstract

OBJECTIVE: To explore primary healthcare patients' experiences of patients participation in multimodal pain rehabilitation.

PATIENTS AND METHODS: A total of 17 patients who had completed multimodal rehabilitation for persistent pain were interviewed. The interviews were analysed using qualitative content analysis.

RESULTS: One theme, Being in an exchange process, and 4 categories emerged. The theme depicted patient participation as a continuous exchange of emotions, thoughts and knowledge. The category Fruitful encounters represented the basic prerequisites for patient participation through dialogue and platforms to meet. Patients' emotional and cognitive resources and restrictions, as well as knowledge gaps, were conditions... (More)

OBJECTIVE: To explore primary healthcare patients' experiences of patients participation in multimodal pain rehabilitation.

PATIENTS AND METHODS: A total of 17 patients who had completed multimodal rehabilitation for persistent pain were interviewed. The interviews were analysed using qualitative content analysis.

RESULTS: One theme, Being in an exchange process, and 4 categories emerged. The theme depicted patient participation as a continuous exchange of emotions, thoughts and knowledge. The category Fruitful encounters represented the basic prerequisites for patient participation through dialogue and platforms to meet. Patients' emotional and cognitive resources and restrictions, as well as knowledge gaps, were conditions influencing patient participation in the category Inequality in co-operation. Mutual trust and respect were crucial conditions in patient's personal relationships with the health professionals, forming the category Confidence-inspiring alliance. In the category Competent health professionals, the health professionals' expertise, empathy and personal qualities, were emphasized to favour patient participation.

CONCLUSION: Patient participation can be understood as complex and individualized. A confidence-inspiring alliance enables a trusting relationship to be formed between patients and health professionals. Patients emphasized that health professionals need to play an active role in building common ground in the interaction. Understanding each patient's needs in the participation process may favour patient participation.

(Less)
Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
keywords
Adolescent, Adult, Cooperative Behavior, Empathy, Female, Humans, Interview, Psychological, Male, Middle Aged, Pain, Pain Management, Patient Participation, Primary Health Care, Professional-Patient Relations, Qualitative Research, Trust, Young Adult, Journal Article, Research Support, Non-U.S. Gov't
in
Journal of Rehabilitation Medicine2001-01-01+01:00
volume
45
issue
6
pages
7 pages
publisher
Taylor & Francis
external identifiers
  • scopus:84878797682
ISSN
1651-2081
DOI
10.2340/16501977-1136
language
English
LU publication?
no
id
3ca1d512-ac01-4963-876a-b10d4dfae984
date added to LUP
2016-12-19 13:35:51
date last changed
2018-04-15 04:39:07
@article{3ca1d512-ac01-4963-876a-b10d4dfae984,
  abstract     = {<p>OBJECTIVE: To explore primary healthcare patients' experiences of patients participation in multimodal pain rehabilitation.</p><p>PATIENTS AND METHODS: A total of 17 patients who had completed multimodal rehabilitation for persistent pain were interviewed. The interviews were analysed using qualitative content analysis.</p><p>RESULTS: One theme, Being in an exchange process, and 4 categories emerged. The theme depicted patient participation as a continuous exchange of emotions, thoughts and knowledge. The category Fruitful encounters represented the basic prerequisites for patient participation through dialogue and platforms to meet. Patients' emotional and cognitive resources and restrictions, as well as knowledge gaps, were conditions influencing patient participation in the category Inequality in co-operation. Mutual trust and respect were crucial conditions in patient's personal relationships with the health professionals, forming the category Confidence-inspiring alliance. In the category Competent health professionals, the health professionals' expertise, empathy and personal qualities, were emphasized to favour patient participation.</p><p>CONCLUSION: Patient participation can be understood as complex and individualized. A confidence-inspiring alliance enables a trusting relationship to be formed between patients and health professionals. Patients emphasized that health professionals need to play an active role in building common ground in the interaction. Understanding each patient's needs in the participation process may favour patient participation.</p>},
  author       = {Nordin, Catharina and Gard, Gunvor and Fjellman-Wiklund, Anncristine},
  issn         = {1651-2081},
  keyword      = {Adolescent,Adult,Cooperative Behavior,Empathy,Female,Humans,Interview, Psychological,Male,Middle Aged,Pain,Pain Management,Patient Participation,Primary Health Care,Professional-Patient Relations,Qualitative Research,Trust,Young Adult,Journal Article,Research Support, Non-U.S. Gov't},
  language     = {eng},
  number       = {6},
  pages        = {6--580},
  publisher    = {Taylor & Francis},
  series       = {Journal of Rehabilitation Medicine2001-01-01+01:00},
  title        = {Being in an exchange process : experiences of patient participation in multimodal pain rehabilitation},
  url          = {http://dx.doi.org/10.2340/16501977-1136},
  volume       = {45},
  year         = {2013},
}