Patient-focused goal planning process and outcome after spinal cord injury rehabilitation: quantitative and qualitative audit

Byrnes, Michelle; Beilby, Janet M.; Ray, Paul H.; McLennan, Renee; Ker, John Bellenden; Schug, Stephan A.

doi:10.1177/0269215512442669

Cited by 43 publications

(52 citation statements)

References 19 publications

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“…However, previous studies of patient participation have not reported scheduled goal-setting meetings as a requisite as clearly as this study does. Goalsetting meetings and checklists aimed to enhance that the patient's active participation are well established in SCI rehabilitation [9,10]. Such routines, together with the acknowledgement of the patient as a team member may be transferable and useful for other settings to enhance person centeredness and patient participation.…”

Section: Discussionmentioning

confidence: 99%

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Patient participation from the perspective of staff members working in spinal cord injury rehabilitation

et al. 2018

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Study design Qualitative method, semi-structured interviews. Objectives The aims of this study were to explore the meaning of patient participation from the perspective of staff members working with spinal cord injury (SCI) rehabilitation, and what they saw as requisites for and constraints to patient participation. Setting Swedish spinal injury unit. Methods Interviews with 13 staff members at a spinal unit were conducted individually and analyzed by means of content analysis.Results One category describing patient participation emerged from the interviews: Patient -a team member. Four categories were extracted as requisites: Communication; information and knowledge; routines; respecting the patient as a unique person; and an open climate. Three categories of constraints were identified: Understaffing and new staff members; patients' inability to grasp information; and structures and fragmented responsibilities. Conclusions The informants were unanimous in stating that the patient is an integral and natural member of the rehabilitation team. Recognizing the person with SCI as a team member acknowledges and endorses the patient as a person with capabilities to participate in his or her rehabilitation. The patient as a person also means that he or she has unique needs and preferences, which the staff members must accommodate. This is also fundamental in a person-centered approach. Therefore, the viewpoints of the informants may be useful for other settings to enhance person centeredness and patient participation.

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Section: Discussionmentioning

confidence: 99%

“…Patient participation is also central to achieve high-quality person-centered care [5,6], and has been found to be associated with improved self-care [7,8], better physical functioning [9,10], and satisfaction with care [8,[10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Patient participation from the perspective of staff members working in spinal cord injury rehabilitation

et al. 2018

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“…Planning and setting goals is a well-developed and well-used strategy in rehabilitation, wherein the patient's participation is nonarguable. 6,11,34,39,[48][49][50][51][52][53] (The patient should be active in defining his or her needs, what important goals and outcomes are, as well as priority and weight different outcomes. 6,50,51 However, the patient needs help and coaching in this process.…”

Section: Specific Use Of the Concept Patient Participationmentioning

confidence: 99%

“…4 Goal setting is about negotiation and an agreement between the patient and the RPs is sought. 4,11,49,53 Setting goals and priorities is a type of shared decision-making that occurs in rehabilitation. 54,55 Mirjam Körner 55 refers to shared decision-making as an ideal model for the patient's participation.…”

Section: Specific Use Of the Concept Patient Participationmentioning

confidence: 99%

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Patient Participation in Physical Medicine and Rehabilitation: A Concept Analysis

Melin¹

2018

IPMRJ

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Patient participation is crucial and has long traditions in physical medicine and rehabilitation. Despite that, there is a lacking coherent definition of patient participation in this context. By following the steps according to Walker and Avant a concept analysis of patient participation in rehabilitation has been conducted. Three attributes to patient participation in rehabilitation emerged: Active patient; Engagement and exchange from both the patient and the rehabilitation professionals; and Focus on the patient's condition, needs, desires and preference. If the attributes are fulfilled; the patient is treated as a capable person and will have greater motivation for being active throughout the rehabilitation. Further consequences of patient participation include improved physical functioning, coping, self-management and satisfaction with care. This study gives a suggestion for a common language in physical medicine and rehabilitation with regard to what patient participation conceptually means.

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Multiplicative consistency analysis for q‐rung orthopair fuzzy preference relation

et al. 2019

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The q-rung orthopair fuzzy set is characterized by membership and nonmembership functions, and the sum of the qth power of them is less than or equal to one. Since it releases the constraints existed in both intuitionistic fuzzy set and Pythagorean fuzzy set, it has wide applications in real cases. However, so far, there is little research on the multiplicative consistency of q-rung orthopair fuzzy preference relation (q-ROFPR). To fill this vacancy, this paper provides a detailed analysis on the multiplicative consistency of q-ROFPR. First, we investigate the concept of multiplicative consistent q-ROFPR and its properties. Subsequently, two goal programming models are proposed to derive the priorities from individual and group q-ROFPRs, respectively. After that, a novel consistency-improving algorithm for q-ROFPR and a weight-generating method for decision-makers are discussed in detail, based on which, a novel group decision-making method is proposed. Finally, a case study concerning the evaluation of rehabilitation program selection is given to illustrate the applicability of the proposed method. The effectiveness and superiority of the proposed method are verified by comparing it with some existing methods. K E Y W O R D S multiple criteria decision making, multiplicative consistency, q-rung orthopair fuzzy preference relation, q-rung orthopair fuzzy priority weight, q-rung orthopair fuzzy set F I G U R E 1 The orthogonal projections of intuitionistic fuzzy set (IFS)/Pythagorean fuzzy set (PFS)/q-rung orthopair fuzzy set (q-ROFS) in μ and ν coordinates 2 ZHANG ET AL. | 39

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Patient-focused goal planning process and outcome after spinal cord injury rehabilitation: quantitative and qualitative audit

Abstract: The findings of this clinical audit underpin the need for patient-focused goal planning rehabilitation programmes which are tailored to the individual's needs and involve a comprehensive multidisciplinary team.

Cited by 43 publications

References 19 publications

Patient participation from the perspective of staff members working in spinal cord injury rehabilitation

Patient participation from the perspective of staff members working in spinal cord injury rehabilitation

Patient Participation in Physical Medicine and Rehabilitation: A Concept Analysis

Multiplicative consistency analysis for q‐rung orthopair fuzzy preference relation

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