Co-Constructing Engagement in Stroke Rehabilitation: A Qualitative Study Exploring How Practitioner Engagement Can Influence Patient Engagement

aut.relation.journalClinical rehabilitationen_NZ
aut.relation.volumeIn pressen_NZ
aut.researcherBright, Felicity
dc.contributor.authorBright, Felicityen_NZ
dc.contributor.authorKayes, Nen_NZ
dc.contributor.authorCummins, Cen_NZ
dc.contributor.authorWorrall, Len_NZ
dc.contributor.authorMcPherson, Ken_NZ
dc.date.accessioned2018-11-16T01:48:03Z
dc.date.available2018-11-16T01:48:03Z
dc.date.copyright2017-01-27en_NZ
dc.date.issued2017-01-27en_NZ
dc.description.abstractObjective: To explore how practitioner engagement and disengagement occurred, and how these may influence patient care and engagement. Design: A qualitative study using the Voice Centred Relational Methodology. Data included interviews, focus groups and observations. Setting: Inpatient and community stroke rehabilitation services Subjects: 11 people experiencing communication disability after stroke and 42 rehabilitation practitioners. Interventions: Not applicable Results: The practitioner’s engagement was important in patient engagement and service delivery. When patients considered practitioners were engaged, this helped engagement. When they considered practitioners were not engaged, their engagement was negatively affected. Practitioners considered their engagement was important but complex. It influenced how they worked and how they perceived the patient. Disengagement was taboo. It arose when not feeling confident, when not positively impacting outcomes, or when having an emotional response to a patient or interaction. Each party’s engagement influenced the other, suggesting it was co-constructed. Conclusions: Practitioner engagement influenced patient engagement in stroke rehabilitation. Practitioner disengagement was reported by most practitioners but was often a source of shame.en_NZ
dc.identifier.citationClinical rehabilitation, 31(10), 1396-1405.
dc.identifier.doi10.1177/0269215517694678
dc.identifier.issn1477-0873en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/12022
dc.publisherSage
dc.relation.urihttps://journals.sagepub.com/doi/10.1177/0269215517694678
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectPatient participation; Attitude of health personnel; Rehabilitation; Professional-patient relations
dc.titleCo-Constructing Engagement in Stroke Rehabilitation: A Qualitative Study Exploring How Practitioner Engagement Can Influence Patient Engagementen_NZ
dc.typeJournal Article
pubs.elements-id219221
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Interprofessional Health
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