Health‐care professionals' experiences of patient participation among older patients in intermediate care—At the intersection between profession, market and bureaucracy.
Background: Patient participation is a key concern in health care. Nevertheless, older patients often do not feel involved in their rehabilitation process. Research states that when organizational conditions exert pressure on the work situation, care as a mere technical activity seems to be prioriti...
| Publicado en: | Health Expectations Vol. 22; no. 5; pp. 921 - 931 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139230902&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139230902 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Oct2019 vid: 22 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 139230902 139230902 139230902 10.1111/hex.12896 139230902 ppf: 921 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Health‐care professionals' experiences of patient participation among older patients in intermediate care—At the intersection between profession, market and bureaucracy. aug: au: Kvæl, Linda Aimée Hartford Debesay, Jonas Bye, Asta Bergland, Astrid affil: Department of Physiotherapy, Faculty of Health Sciences, Oslo Metropolitan University, Oslo Norway sug: subj: Consumer Participation In Old Age Subacute Care In Old Age Attitude of Health Personnel Work Experiences Rehabilitation, Geriatric Human Male Female Adult Middle Age Aged Norway Nursing Homes Multidisciplinary Care Team Semi-Structured Interview Professional Boundaries Individualized Medicine Quality of Health Care Patient Satisfaction Qualitative Studies Descriptive Statistics Audiorecording Data Analysis Software Thematic Analysis Conceptual Framework Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Patient participation is a key concern in health care. Nevertheless, older patients often do not feel involved in their rehabilitation process. Research states that when organizational conditions exert pressure on the work situation, care as a mere technical activity seems to be prioritized by the health‐care staff, at the expense of patient involvement. Objective: The aim of this article is to explore how health‐care professionals experience patient participation in IC services, and explain how they perform their clinical work balancing between the patient's needs, available resources and regulatory constraints. Design: Using a framework of professional work and institutional logics, underpinned by critical realism, we conducted semi‐structured interviews with 18 health‐care professionals from three IC institutions. Results: IC appears as an important service in the patient pathway for older people with a great potential for patient participation. However, health care staff may experience constraints that prohibit them from using professional discretion, which is perceived as a threat to patient participation. Further, they may adopt routines that simplify their interactions with patients. Our results call for more emphasis on an individualized rehabilitation process and a recognition that psychological and social aspects are critical for patient participation in IC. Conclusion: Patients interact in the face of conflicting institutional priorities or protocols. The study adds important knowledge about the practice of patient participation in IC from a front‐line provider perspective. Underlying mechanisms are identified to understand and recommend how to facilitate patient participation at different levels in narrowing the gap between policy and clinical work in IC. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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