TITLE

A qualitative study of NHS physiotherapists' perspectives on patient-centred care

AUTHOR(S)
McGivern, R.; Snowdon, N.
PUB. DATE
August 2015
SOURCE
International Journal of Therapy & Rehabilitation;2015 Supplement, Vol. 22, pS7
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background/Aims: The Department of Health, NHS and Chartered Society of Physiotherapy have all developed documents stating that care should be 'patient-centred'. No previous research has been conducted on how physiotherapists define patient-centred care or how they practise it. The objective of this study was to explore NHS physiotherapists' understanding of patient-centredness and its implementation in an NHS hospital environment. Methods: This qualitative study used semi-structured interviews to explore physiotherapists' perceptions of patient-centred care. Participants included eight physiotherapists working for the NHS in physiotherapy departments in three different locations. Data was interpreted using thematic analysis. Results: Three key themes emerged: i) the importance of communication in goal setting; ii) the value of understanding patients and managing their expectations; iii) managing patient-centred care within limited resources. Patient-centred care was denned as determining patient demands, outlining choices and setting patient-specific goals. Involving them in decision making empowered patients and helped promote meaningful change. Negotiating treatment options was important, especially when patients' expectations were unrealistic, if time was limited or if the treatment needed to be adapted. High patient expectations presented challenges. However, explanation generally led to acceptance of what could be offered. Time constraints, pressure to get patients discharged and staffing shortages hindered the physiotherapists' ability to provide patient-centred care. Multidisciplinary working was seen as critical to patient-centred care. Conclusions: Although the provision of patient-centred care is challenging, with time limitations and discharge pressures identified as major constraints, the physiotherapists felt they were able to manage patients' increasing expectations.
ACCESSION #
108704566

 

Related Articles

  • An investigation into neurological physiotherapists' assessment of rehabilitation potential. Winterton, A. J. // International Journal of Therapy & Rehabilitation;2015 Supplement, Vol. 22, pS5 

    Background/Aims: The ability to predict whether a patient has the potential to make progress with rehabilitation has huge implications in today's NHS. By misjudging an individuals' ability, too many patients could occupy rehabilitation beds that they do not need, whereas not sending enough...

  • Consumers and health professionals' perceptions of Participatory Action Research in developing a health resource. Mulligan, Hilda; Wilkinson, Amanda; Lusty, Ash lee; Delorme, Annelou; Bong, Silas // New Zealand Journal of Physiotherapy;Nov2015, Vol. 43 Issue 3, p93 

    Multiple Sclerosis (MS) has a relatively high prevalence in New Zealand (NZ), which was the setting for this study. Fatigue is a common and one of the most disabling symptoms of MS. Recent research focus has been on developing other ways to manage fatigue than via medication. Participatory...

  • Perceptions of a client-centred approach among Slovenian occupational therapists. Hurst, Jenni; Krizaj, Tanja // International Journal of Therapy & Rehabilitation;Feb2012, Vol. 19 Issue 2, p70 

    Aims: The aim of the study was to explore how Slovenian occupational therapists use a client-centred approach in their current clinical practice. Method: A generic qualitative approach was selected and twelve semi-structured interviews were completed to gain a deeper understanding of the use of...

  • O VÍNCULO ENTRE USUÁRIOS E EQUIPES EM DUAS UNIDADES DE SAÚDE DA FAMÍLIA EM UM MUNICÍPIO DO ESTADO DO RIO DE JANEIRO. Teixeira, Clotilde; da Silva, Carolina Carvalho Serres; de Souza Bernardes, Giulianna; Pereira Paes de Sá, Nathália; Sbruzzi Prado, Rosana // Revista de Atencao Primaria a Saude;out-dez2013, Vol. 16 Issue 4, p444 

    One of the pillars of the Family Health Strategy is the establishment of links, creating bonds of commitment and co-responsibility between health professionals and the public. This bond refers to a close relationship of trust. The main objective of this study was to evaluate the link between...

  • Barriers and reasons for failing to attend NHS health checks. Drennan, Vari // Primary Health Care;May2015, Vol. 25 Issue 4, p15 

    The article presents a study which explores the perspectives of people who did not attend the health checks of the National Health Service and their reasons for non-attendance.

  • End-user centeredness in antiretroviral therapy services in Nigerian public health facilities. Chiegil, R. J.; Zungu, L. I.; Jooste, K. // South African Family Practice;2014, Vol. 56 Issue 2, p139 

    Objective: To describe the perception of end users with regard to end-user centeredness in antiretroviral therapy (ART) service provision in Nigerian public health facilities. Design: A qualitative design was followed. Subjects and setting: Unstructured focus group discussions were conducted...

  • Perceptions of physiotherapy students of a person-centred approach in rehabilitation. Schmitt, Janet; Akroyd, Karen; Burke, Linda; Skaalvik, Mari Wolff; Harty, Michal // International Journal of Therapy & Rehabilitation;Jan2012, Vol. 19 Issue 1, p23 

    Aims: A person-centred approach is a core component of health care policy and professional standards in the UK. The aims of this study were to explore perceptions of final year physiotherapy students of a person-centred approach in rehabilitation and compare students' views of person-centred to...

  • A assistência humanizada no trabalho de parto: percepção das adolescentes Vargas, Pricilla Braga; Vieira, Bianca Dargam Gomes; Alves, Valdecyr Herdy; Rodrigues, Diego Pereira; Leão, Diva Cristina Morett Romano; da Silva, Luana Asturiano // Revista de Pesquisa: Cuidado e Fundamental;jul-set2014, Vol. 6 Issue 3, p1021 

    Objective: to identify the perceptions of teenagers in their assistance offered at the time of labor and delivery; discuss these perceptions with the humanized care in labor and delivery. Method: this is a descriptive, exploratory, qualitative, with fifteen teens /postpartum women's rooming...

  • Attitudes Toward Long-Acting Reversible Contraception Among Young Women Seeking Abortion. Rose, Sally B.; Cooper, Annette J.; Baker, Naomi K.; Lawton, Beverley // Journal of Women's Health (15409996);Nov2011, Vol. 20 Issue 11, p1729 

    Aims: Use of long-acting reversible contraceptive (LARC) methods can reduce rates of unplanned pregnancy and abortion, but for a range of reasons, these methods are underused by young women. A third of women seeking abortion return for a subsequent abortion during their reproductive years and...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics