Conceptions of healthcare professionals about rehabilitees' participation in goal setting in an acute hospital: A phenomenographic study

Physiother Theory Pract. 2023 Jul 3;39(7):1437-1448. doi: 10.1080/09593985.2022.2037796. Epub 2022 Feb 18.

Abstract

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: Phenomenography; acute hospital setting; goal-setting; participation; rehabilitee-centered.

MeSH terms

  • Delivery of Health Care
  • Goals*
  • Health Personnel*
  • Hospitals
  • Humans
  • Learning
  • Qualitative Research