A1 Journal article (refereed)
Conceptions of healthcare professionals about rehabilitees’ participation in goal setting in an acute hospital : a phenomenographic study (2022)

Alanko, T., Karhula, M., Kröger, T., Piirainen, A., Nikander, R., & Vuoskoski, P. (2022). Conceptions of healthcare professionals about rehabilitees’ participation in goal setting in an acute hospital : a phenomenographic study. Physiotherapy Theory and Practice, Early online. https://doi.org/10.1080/09593985.2022.2037796

JYU authors or editors

Publication details

All authors or editors: Alanko, Tuulikki; Karhula, Maarit; Kröger, Teppo; Piirainen, Arja; Nikander, Riku; Vuoskoski, Pirjo

Journal or series: Physiotherapy Theory and Practice

ISSN: 0959-3985

eISSN: 1532-5040

Publication year: 2022

Publication date: 18/02/2022

Volume: Early online

Publisher: Taylor & Francis

Publication country: United States

Publication language: English

DOI: https://doi.org/10.1080/09593985.2022.2037796

Publication open access: Openly available

Publication channel open access: Partially open access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/79894


Purpose: 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.
Methods: 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.
Results: 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.
Conclusion: 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.

Keywords: rehabilitation; medical rehabilitation; objectives; patient centeredness; participation; health care personnel; phenomenography

Free keywords: phenomenography; participation; goal-setting; rehabilitee-centered; acute hospital setting

Contributing organizations

Ministry reporting: No, publication in press

JUFO rating: 1

Preliminary JUFO rating: 1

Last updated on 2022-20-09 at 14:01