Variations in physiotherapy practices across reablement settings.

Background: Reablement aims to improve the self-dependence of people with or at risk of functional decline. Physiotherapists (PTs) are responsible for assessments, developing interventions and supervising home trainers (HTs), who mostly conduct the reablement training. The content of reablement prac...

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Publicado en:Physiotherapy Theory & Practice Vol. 36; no. 1; pp. 108 - 122
Autores principales: Eliassen, Marianne, Henriksen, Nils O., Moe, Siri
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2020
      vid: 36
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09593985.2018.1481162
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        atl: Variations in physiotherapy practices across reablement settings.
      aug:
        au:
          Eliassen, Marianne
          Henriksen, Nils O.
          Moe, Siri
        affil: Department of Health and Care Sciences, UiT The Arctic University of Norway, Tromsø, Norway
      sug:
        subj:
          Physical Therapy Practice Evaluation
          Home Rehabilitation
          Health Care Delivery
          Human
          Funding Source
          Fieldwork
          Norway
          Physical Therapists
          Home Health Care
          Semi-Structured Interview
          Content Analysis
          Thematic Analysis
          Collaboration Methods
          Interprofessional Relations
          Exploratory Research
          Qualitative Studies
          Research Subject Recruitment
          Communication
          Work Environment
      ab: Background: Reablement aims to improve the self-dependence of people with or at risk of functional decline. Physiotherapists (PTs) are responsible for assessments, developing interventions and supervising home trainers (HTs), who mostly conduct the reablement training. The content of reablement practice is not clearly described. This study explores how physiotherapy practice is performed in reablement settings and the content of the service provided to reablement users. Methods: Fieldwork was performed in seven Norwegian reablement teams. We conducted observations of seven triads, including PTs, HTs, and reablement users, followed by interviews with the PTs and HTs. We then conducted a systematic content analysis. Results: Three themes emerged from the analysis: 1) division of labor; 2) assessment; and 3) intervention. Different practices within these three characteristics of practice revealed two typologies of reablement teams. Teams with a fixed division of labor provided limited assessments and a nonspecific approach. Teams with a flexible division of labor were characterized by interdisciplinary collaboration, thorough assessments, and user-tailored interventions. Discussion: Values emphasizing responsivity enable a flexible and individually tailored reablement approach, in contrast to values emphasizing efficiency, which facilitate a nonspecific approach.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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