Patients’ perspectives of patient-centredness as important in musculoskeletal physiotherapy interactions: a qualitative study

Kidd, Martin O.; Bond, Carol; Bell, Melanie L.

doi:10.1016/j.physio.2010.08.002

Cited by 98 publications

(74 citation statements)

References 23 publications

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“…Although some patients admit that they prefer to hand the responsibility for their care to their clinician (Cooper, Smith, & Hancock 2008), others value a sense of partnership and mutual understanding, in which the patient's experience and insight is paired with the expertise of the clinician in order to 6 establish the best way forward (Slade, Molloy, & Keating 2009). They appreciate clear explanations of tests and findings before, during and after the examination, in terms that they can understand (Cooper, Smith, & Hancock 2008;Kidd, Bond, & Bell 2011;Laerum, Indahl, & Skouen 2006;May 2001;Slade, Molloy, & Keating 2009). In other words, they want the clinician to explain what the aim of the examination is, talk them through the tests as the examination proceeds, and share their conclusions with the patient afterwards (ibid).…”

Section: Relationships With Healthcare Providersmentioning

confidence: 99%

“…In other words, they want the clinician to explain what the aim of the examination is, talk them through the tests as the examination proceeds, and share their conclusions with the patient afterwards (ibid). Patients also wish to understand their pain, have their fears allayed and be given a way forward according to their individual needs (Cooper, Smith, & Hancock 2008;Kidd, Bond, & Bell 2011;Laerum, Indahl, & Skouen 2006;May 2001). This may conflict with some rehabilitation settings, in which patients are seen in groups with limited scope to tailor exercises and self management strategies to the individual (Cooper, Smith, & Hancock 2008).…”

Section: Relationships With Healthcare Providersmentioning

confidence: 99%

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Patients' experiences of living with persistent back pain

Griensven

2016

International Journal of Osteopathic Medicine

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This Masterclass discusses findings from a growing body of qualitative research studies that have investigated the subjective experience of having persistent non-malignant low back pain. These studies have found that people with experience changes in self image, personal relationships and life roles. They have also reported on how subjectivity affects the therapeutic relationship, what patients have found helpful in dealing with healthcare professionals, and what it is like to go through a healthcare system for a pain that may not be curable or even diagnosable. The findings are of great importance for clinicians who wish to provide person centred care for patients with persistent low back pain, so this Masterclass ends with key lessons for practitioners

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Section: Relationships With Healthcare Providersmentioning

confidence: 99%

Section: Relationships With Healthcare Providersmentioning

confidence: 99%

Patients' experiences of living with persistent back pain

Griensven

2016

International Journal of Osteopathic Medicine

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“…Westman, Kumlin och Kroksmark (104) fann att genom att lyssna på patienten, kunde fysioterapeuten få information som var av betydelse för behandling och aktivering av patientens resurser. Studier har visat att både fysioterapeuter (91, 100, 104) och patienter (103,105) ser vikten av att tillvarata patienternas resurser. Thornquist (106) betonade redan 1990 vikten av att båda parter bidrar i mötet men att fysioterapeuten har det yttersta ansvaret för att patientens upplevelser och erfarenheter kommer till uttryck.…”

Section: Interaktionen I Det Fysioterapeutiska Mötetunclassified

“…Patienter bedömer fysioterapeuters förmåga att samtala med, relatera till och förstå människor som mycket värdefull (103). Både terapeuter och patienter tycker att det är viktigt att patientens egen kunskap kommer fram (105).…”

Section: Nyckelfrågorna I Det Kliniska Samtalet öPpnar För Att Möta Dunclassified

Att leva med en kropp som värker : samtal med fysioterapeuten

Afrell¹

2014

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Background and aim: Physiotherapists in primary care meet, assess and treat patients with long-standing benign musculoskeletal pain. As a clinical condition, long-standing pain is common but nonetheless it is quite complex. The aim of this thesis has been, from a bodily existential perspective, to investigate and conceptualise the experience of living with longstanding benign musculoskeletal pain, and from there, to work out a method for conversation and assessment within non-specialised physiotherapy. Methods: Our first study was an interview study where we applied a phenomenological approach and investigated the ways individuals suffering from long-standing pain experienced their body and their illness. Four aspects of body experience were described, and based on these aspects, four typologies of attitudes to pain were distinguished. In the second study, we made two group interviews with six physiotherapists about their experiences of using, in their clinical work, questions from the interview guide in study I that had given particularly rich responses. Transcripts were analysed using phenomenography. In the third study, patients’ verbal responses to the key questions, directed to them by physiotherapists in clinical situations, were investigated, and the four aspects of body experience from study I formed the concepts of a deductive analysis. In study IV, finally, the key questions and typologies were tried by a larger group (31), and their experiences and the possible applicability of the method were studied by qualitative content analysis combined with the counting of codes. Results: We created four typologies of attitudes to long-standing pain: “Surrendering to one’s fate”, “Accepting by an active process of change”, “Balancing between hope and resignation” and “Rejecting the body”. These typologies, in turn, were based on four aspects of body experience: “The body as an aspect of identity”. “Body reliance”, “Body awareness”, and “Ways of understanding pain”. In study II, by the aid of key questions, patient and physiotherapist managed to have a conversation on bodily existential matters. The physiotherapist learnt to know the patient as a person, a process appeared to be initiated in the patient, and their relation changed. The patient was willing to talk about her body in pain, and had the words to do this. In study III, the key questions opened ways to reflections on body, existence, and biography. The four aspects of body experience were central to the patients’ descriptions. In study IV, the participating physiotherapists reported by large positive experiences from applying key questions and typologies. The patients reflected, emotions were evoked, and the relation and the communication often improved. The typologies helped in giving a comprehensive perspective of the patient’s problem, and to grasp where in the process of rehabilitation the patient was to be found. Conclusions: The method, seven key questions combined with the tentative frame of interpretation of the answers, seemed to be easily appl...

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“…The intervention drew on aspects of patient education consistent with a therapeutic alliance (Pinto et al, 2012) and patients' perspective of patient-centeredness in physiotherapy (Kidd et al, 2011) (Table 1). Table 1.…”

Section: Description Of Experimental Interventionmentioning

confidence: 99%

Patient education best practice; enhancing physiotherapy students’ self-efficacy and skills

Forbes¹

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Patient education is an important component of physiotherapy care and a required competency for entry-level practice. Despite its important role, how physiotherapists deliver patient education in practice and the specific competencies required to provide this effectively are currently unknown. Understanding how the current curriculum prepares graduates as patient educators and whether training can enhance self-efficacy and skills of physiotherapy students to perform patient education is an important step in advancing professional practice in this area.Following a review of the literature which demonstrates a gap in this research, this thesis incorporates five studies (five manuscripts) with the overall aims to 1) explore how patient education is practiced and perceived by physiotherapists; 2) determine key differences in practices and perceptions based on levels of clinical experience; 3) identify the competencies required for physiotherapists in the area of patient education; 4) investigate the patient education self-efficacy of new-graduates and the influence of previous training, and 5) determine the effect of a patient education training intervention on physiotherapy students' self-efficacy and performance.Study 1 (Manuscript 1) was a cross sectional survey of practicing physiotherapists in Australia. This study investigated the self-reported practices and perceptions of physiotherapists relating to patient education, and their perception of factors that led to their development of patient education skills. Participants (n=304) reported a broad range of educational activities and approaches in their practice, it was therefore deemed important to understand how practice and perception may differ based on levels of experience.Study 2 (Manuscript 2) compared the self-reported practices and perceptions of experienced (n=204) and novice (n=52) physiotherapists. Experienced therapists reported a greater use of educational content consistent with patient-centred practice and a greater emphasis on self-management. Experienced therapists also reported a higher frequency of explicitly evaluating the effectiveness of their education than novice physiotherapists and perceived fewer patient-related factors as barriers to effective patient education.Findings from this study inform the patient education training needs of student and novice physiotherapists.Study 3 (Manuscript 3) involved a two-round Delphi approach using expert physiotherapists (n=12) to generate and reach consensus on competencies that physiotherapists require for effective patient education. This study led to the consensus of a set of 22 competencies with a high level of expert agreement. Importantly, these competencies aided the development of a self-efficacy and performance assessment measure for the following two studies as well as contributing to further understanding patient education training needs. with simulated patients, feedback and debriefing. Specific outcome measures were developed using the competencies derived from Study 3. A step-...

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Patients’ perspectives of patient-centredness as important in musculoskeletal physiotherapy interactions: a qualitative study

Cited by 98 publications

References 23 publications

Patients' experiences of living with persistent back pain

Patients' experiences of living with persistent back pain

Att leva med en kropp som värker : samtal med fysioterapeuten

Patient education best practice; enhancing physiotherapy students’ self-efficacy and skills

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