Document Detail


Being in an exchange process: experiences of patient participation in multimodal pain rehabilitation.
MedLine Citation:
PMID:  23532262     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To explore primary healthcare patients' experiences of patients participation in multimodal pain rehabilitation.
PATIENTS AND METHODS: A total of 17 patients who had completed multimodal rehabilitation for persistent pain were interviewed. The interviews were analysed using qualitative content analysis.
RESULTS: One theme, Being in an exchange process, and 4 categories emerged. The theme depicted patient participation as a continuous exchange of emotions, thoughts and knowledge. The category Fruitful encounters represented the basic prerequisites for patient participation through dialogue and platforms to meet. Patients' emotional and cognitive resources and restrictions, as well as knowledge gaps, were conditions influencing patient participation in the category Inequality in co-operation. Mutual trust and respect were crucial conditions in patient's personal relationships with the health professionals, forming the category Confidence-inspiring alliance. In the category Competent health professionals, the health professionals' expertise, empathy and personal qualities, were emphasized to favour patient participation.
CONCLUSION: Patient participation can be understood as complex and individualized. A confidence-inspiring alliance enables a trusting relationship to be formed between patients and health professionals. Patients emphasized that health professionals need to play an active role in building common ground in the interaction. Understanding each patient's needs in the participation process may favour patient participation.
Authors:
Catharina Nordin; Gunvor Gard; Anncristine Fjellman-Wiklund
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  45     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-06-24     Completed Date:  2013-11-11     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  580-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cooperative Behavior
Empathy
Female
Humans
Interview, Psychological
Male
Middle Aged
Pain / psychology*,  rehabilitation*
Pain Management / methods*,  psychology*
Patient Participation / psychology*
Primary Health Care
Professional-Patient Relations*
Qualitative Research
Trust / psychology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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