A conceptual review of engagement in healthcare and rehabilitation

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aut.relation.endpage12
aut.relation.startpage1
aut.researcherMcPherson, Kathryn
dc.contributor.authorBright, FASen_NZ
dc.contributor.authorKayes, NMen_NZ
dc.contributor.authorWorrall, Len_NZ
dc.contributor.authorMcPherson, KMen_NZ
dc.date.accessioned2016-01-29T04:07:57Z
dc.date.available2016-01-29T04:07:57Z
dc.date.copyright2014en_NZ
dc.date.issued2014en_NZ
dc.description.abstractPurpose: This review sought to develop an understanding of how engagement in healthcare has been conceptualized in the literature in order to inform future clinical practice and research in rehabilitation. A secondary purpose was to propose a working definition of engagement. Methods: EBSCO and SCOPUS databases and reference lists were searched for papers that sought to understand or describe the concept of engagement in healthcare or reported the development of a measure of engagement in healthcare. We drew on a Pragmatic Utility approach to concept analysis. Results: Thirty-one articles met the criteria and were included in the review. Engagement appeared to be conceptualized in two inter-connected ways: as a gradual process of connection between the healthcare provider and patient; and as an internal state, which may be accompanied by observable behaviors indicating engagement. Conclusion: Our review suggests engagement to be multi-dimensional, comprising both a co-constructed process and a patient state. While engagement is commonly considered a patient behavior, the review findings suggest clinicians play a pivotal role in patient engagement. This review challenges some understandings of engagement and how we work with patients and highlights conceptual limitations of some measures. Implications for Rehabilitation Engagement appears to be a multi-dimensional construct, comprising both a co-constructed process and a patient state. Conceptualizing engagement as a co-constructed process may help clinicians be more aware of their role in patient engagement and sees the responsibility to engage shift from the patient to the therapeutic dyad. Challenges in engagement may be a prompt to reflect on how the clinician is working and whether different ways of working may be beneficial.en_NZ
dc.identifier.citationDisability and Rehabilitation. Volume 37, Issue 8en_NZ
dc.identifier.doi10.3109/09638288.2014.933899en_NZ
dc.identifier.issn1464-5165en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/9453
dc.languageENGen_NZ
dc.publisherTaylor & Francis
dc.relation.urihttp://dx.doi.org/10.3109/09638288.2014.933899
dc.rightsCopyright © 2014 Taylor & Francis. This is a preprint of an article whose final and definitive form has been published in the Disability and Rehabilitation and is available online at: www.tandfonline.com with the open URL of your article (see Publisher’s Version).
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectAdherenceen_NZ
dc.subjectClinical practiceen_NZ
dc.subjectComplianceen_NZ
dc.subjectEngagementen_NZ
dc.subjectHealthcareen_NZ
dc.subjectParticipationen_NZ
dc.titleA conceptual review of engagement in healthcare and rehabilitationen_NZ
dc.typeJournal Article
pubs.elements-id168664
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
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