Interdisciplinary facilitation of the minimal participation of patients with severe brain injury in early rehabilitation
Engelsk titel: Interdisciplinary facilitation of the minimal participation of patients with severe brain injury in early rehabilitation
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Författare:
Pallesen, Hanne
;
Buhl, Inge
Email: hannpall@rm.dk
Språk: Eng
Antal referenser: 34
Dokumenttyp:
Artikel
UI-nummer: 17040006
Sammanfattning
Aim: The purpose of the study was to shed light on the participatory aspect of early rehabilitation,
when contact, communication and interaction between the patients and the professionals is minimal,
because of the patients’ severe brain injury and complex conditions.
Methodology: A qualitative study was chosen. The field study involved five patients (aged 39–64) and
included: participant observation and video recordings of 41 rehabilitation situations, five individual
interviews and one focus group interview with multidisciplinary rehabilitation experts; together with
document review of hospital charts and memos. The data were analyzed using a four-step phenomenological
analysis and NVivo 10.
Major findings: Participation comes into play in various practices around the patient. Three main
themes seem to be important: (1) The dynamic interplay of the multidisciplinary team as an element
that influences participation, (2) significant relational encounters and meetings as aspects that impact
on the promotion of participation, and (3) significant frameworks that affect involvement, engagement
and participation.
Principal conclusion: Patients’ participation and recovery are facilitated by a combination of the clinicians’
professional skills, their ability to create a rehabilitation environment in which patients can perform
activities, the right framework for the meeting, and a suitable approach, to facilitate fruitful
interaction with the patients.