Exploring the power balance in physiotherapy

Harrison, Karen; Williams, Shelley

doi:10.12968/bjtr.2000.7.8.13862

Cited by 21 publications

(22 citation statements)

References 31 publications

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“…In addition, in another study, 42 patients commented that the physiotherapist was 'rushed' which might be interpreted by patients as a lack of interest in them. 58 Patient-satisfaction has been previously related to accessibility, availability and convenience. 59…”

Section: Description Of Resultsmentioning

confidence: 99%

What Influences Patient-Therapist Interactions in Musculoskeletal Physical Therapy? Qualitative Systematic Review and Meta-Synthesis

et al. 2016

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A mix of interpersonal, clinical, and organizational factors are perceived to influence patient-therapist interactions, although research is needed to identify which of these factors actually influence patient-therapist interactions. Physical therapists' awareness of these factors could enhance patient interactions and treatment outcomes. Mechanisms to best enhance these factors in clinical practice warrant further study.

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Section: Description Of Resultsmentioning

confidence: 99%

What Influences Patient-Therapist Interactions in Musculoskeletal Physical Therapy? Qualitative Systematic Review and Meta-Synthesis

et al. 2016

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“…The names of the participants were anonymized using a numerical code assigned for the transcripts and quotations. A modified constant comparison methodology was used for data analysis [44,45]. Three authors (JMB, ORN, MCMG) independently reviewed the transcripts and coded sentences containing significant units of analysis.…”

Section: Discussionmentioning

confidence: 99%

“…Harrison et al [44], conducted a study with patients and physical therapists and found that patients were dissatisfied when they noticed that their physical therapists seemed rushed, which they interpreted as a lack of interest in the patient. In turn, the physical therapists regretted not having enough time to "treat patients to their satisfaction".…”

Section: Discussionmentioning

confidence: 99%

The Influence of the Environment on the Patient-Centered Therapeutic Relationship in Physical Therapy: A Qualitative Study

Morera-Balaguer¹,

Mc²,

S³

et al. 2020

Preprint

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Currently, in the scientific literature there is a great interest on the study of strategies to implement patient-centered care. One of the main tools for this is the therapeutic relationship. Some studies suggest that the perception of the environment in which the physical therapy treatment takes place can influence the perception of its quality. A qualitative study using focus groups was performed. Two researchers conducted the focus groups, using a topic guide with predetermined questions. The focus group discussions were audio-recorded, transcribed verbatim and analyzed thematically using a modified grounded theory approach. The setting was three hospitals and six public health centers located in Spain. The inclusion criteria were patients who had received a minimum of 15 physical therapy sessions and with no communication impairments. Thirty-one participants in four focus groups. Participants described a series of specific experiences relating to the environment, which they felt were influential in the establishment of therapeutic patient-centered relationships, including eight physical factors and five organizational factors. The results of this study highlight environmental factors that affect the quality of the therapeutic patient-centered relationship in physical therapy and emphasize the need for physical therapists and administrators to rethink the situation and propose strategies for improvement.

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“…When viewed in the context of previous findings, it seems plausible that, without explicit communication, patients may feel subjugated in a way that undermines the clinicians’ attempts to practice patient-centered care. For example, Harrison and Williams (2000) reported that, where physiotherapists felt the power imbalance between themselves and their patients was not significant, the patients found it overwhelming to the extent that their experiences did not reflect the collaborative patient-centered care model promoted by government policy. Financial and organizational factors, as reported here, can also cause dilemmas in patient–clinician interactions and a deprioritization of patient-centered goals (Levack et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Prosthetic Rehabilitation in Practice: An Exploration of Experiential Knowledge in the Multidisciplinary Team

et al. 2020

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The aim of this research was to explore the experiential knowledge of patient-facing staff working in a prosthetic rehabilitation center in the United Kingdom. Eleven members of staff with varied roles and levels of experience took part in semi-structured interviews. Transcripts were analyzed using thematic analysis. Six themes were identified: (a) defining successful rehabilitation, (b) the complex reality of patient-centered care, (c) organizational and interpersonal challenges, (d) who provides psychological support? (e) prosthetic as a panacea, and (f) crash landing. These findings highlight the impact of rotational roles in an environment reliant on experiential knowledge, the challenge of applying patient-centered care models, and the negative effect of unrealistic beliefs about prosthetics on patients and staff. This study contributes to a limited pool of literature articulating the experiential knowledge of staff in the context of rehabilitation after major lower limb loss, facilitating the translation of practice-based evidence into evidence-based practice.

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Exploring the power balance in physiotherapy

Cited by 21 publications

References 31 publications

What Influences Patient-Therapist Interactions in Musculoskeletal Physical Therapy? Qualitative Systematic Review and Meta-Synthesis

What Influences Patient-Therapist Interactions in Musculoskeletal Physical Therapy? Qualitative Systematic Review and Meta-Synthesis

The Influence of the Environment on the Patient-Centered Therapeutic Relationship in Physical Therapy: A Qualitative Study

Prosthetic Rehabilitation in Practice: An Exploration of Experiential Knowledge in the Multidisciplinary Team

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