| Implementing a client-centred approach in rehabilitation: an autoethnography. | |
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MedLine Citation:
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PMID: 22085028 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Purpose: Client-centred practice is widely considered a key element of rehabilitation. However, there is limited discussion of how it should be implemented. This study explored how client-centred practice was operationalized during a clinical trial of innovative goal-setting techniques. Method: This study drew on principles of co-autoethnography. The personal experiences of three clinical researchers were explored to identify insights into client-centred practice, and seek understanding of this within the broader socio-cultural context. Data were collected through group discussions and written reflections. Thematic analysis and coding were used to identify the dominant themes from the data. Results: The primary way that client-centred practice was operationalized was through listening in order to get to know, to uncover and to understand what was meaningful. Four strategies were identified: utilizing mindful listening, allowing time, supporting clients to prioritize what is meaningful and viewing the therapists? role differently. Conclusion: While technical competence in rehabilitation is important, our study suggested a starting point of ?being with? rather than ?doing to? may be beneficial for engaging people in their rehabilitation. We have highlighted a number of practical strategies that can be used to facilitate more client-centred practice. These approaches are consistent with what clients report they want and need from rehabilitation services. [Box: see text]. |
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Authors:
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Felicity A S Bright; Pauline Boland; Sandy J Rutherford; Nicola M Kayes; Kathryn M McPherson |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-11-15 |
Journal Detail:
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Title: Disability and rehabilitation Volume: - ISSN: 1464-5165 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-11-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9207179 Medline TA: Disabil Rehabil Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Health and Rehabilitation Institute, AUT University , Auckland , New Zealand. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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