Patient-professional partnership in spinal cord injury rehabilitation

British Journal of Nursing : BJN
Glynis Collis Pellatt

Abstract

There has been considerable pressure from both patients and professionals for greater patient involvement in the delivery of health services in recent years, particularly in the domain of rehabilitation. However, it has been suggested that involvement by patients is limited to rehabilitation. Accordingly, this study aimed to explore and describe patients' and professionals' experiences of patient participation in team decision-making processes. This article presents findings from a larger ethnographic study, which employed interviews and participant observation to collect data. This article focuses on the results from semistructured interviews, which were conducted with 30 healthcare professionals and 20 patients in a spinal cord injury unit in the UK. Findings suggest that the experience of team membership and decision-making is shaped by professional paternalism. Patients and professionals perceive that they are involved in a partnership where patients make decisions. However, different levels of paternalism in the professional-patient relationship within team decision-making processes emerged from the data. These have been categorized as 'open paternalism' where power and control lies with professionals; 'they tell me what t...Continue Reading

Associated Clinical Trials

Oct 26, 2017·Linda Ehrlich-Jones

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Citations

May 3, 2011·The Journal of Spinal Cord Medicine·Lorenza GarrinoRoberto Carone
Jun 26, 2009·Scandinavian Journal of Caring Sciences·Monika J M SahlstenKaety A E Plos
Jul 15, 2011·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Veronika Schoeb, Elisabeth Bürge
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Apr 4, 2007·Journal of Clinical Nursing·Monika J M SahlstenKaety A E Plos
Jan 6, 2017·Spinal Cord Series and Cases·Martha M SliwinskiAndrea Wood

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