Publication
Conceptions of healthcare professionals about rehabilitees' participation in goal setting in an acute hospital: A phenomenographic study.
Publisher:
Informa UK Limited
Date:
18-02-2022
DOI:
10.1080/09593985.2022.2037796
Abstract: In acute care, effective goal-setting is an essential phase of a successful rehabilitation process. However, professionals' knowledge and skills in rehabilitee-centered practice may not always match the ways of implementing goal-setting. This study aimed to describe the variation in how acute hospital professionals perceive and comprehend rehabilitee participation in rehabilitation goal-setting. Data were collected by interviewing 27 multidisciplinary rehabilitation team members in small groups shortly after rehabilitation goal-setting sessions. A qualitative research design based on phenomenography was implemented. We identified four conceptions of rehabilitee participation, based on four hierarchically constructed categories: 1) Professional-driven rehabilitee participation 2) Awakening rehabilitee participation 3) Coaching participation and 4) Shared participation. These categories varied according to four themes: 1) Use of power 2) Ability to involve 3) Interaction process and 4) Atmosphere. Three critical aspects between the categories were also identified: 1) Appreciative listening 2) Trustful relationship and 3) Collaborative partnership. The study generated new insights into the meaning of rehabilitee participation, as conceptualized in relation to rehabilitation goal-setting and an acute hospital context. The identified critical aspects can be useful for planning and developing continuing professional education (CPE) in rehabilitation goal-setting for professionals.