Patient Experience of Neurologic Rehabilitation: A Qualitative Investigation

Wain, H.R. and Kneebone, I.I. and Billings, J.R. (2008) Patient Experience of Neurologic Rehabilitation: A Qualitative Investigation. In: European Health Psychology Conference 2005, August 31, 2005 , Galway, Ireland. (Access to this publication is restricted)

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http://dx.doi.org/10.1016/j.apmr.2007.11.050

Abstract

Objective: To understand the experiences of patients who had undergone neurologic rehabilitation. Design: An interpretative phenomenological analysis of semistructured interviews. Setting: Neurologic rehabilitation unit. Participants: A purposive convenience sample of 8 past patients. Interventions: Not applicable. Main Outcome Measure: Participants’ reports of neurologic rehabilitation obtained via in-depth semistructured interviews. Results: Participants predominantly described positive experiences of rehabilitation. The superordinate theme personcenteredness was developed, which included 4 key themes: ownership, personal value, holistic approach, and therapeutic atmosphere. These reflected patients’ perceptions of choice and control and feelings of personal respect and self-worth. These appeared to be promoted through the multidimensional benefits of the unit (eg, the understanding and friendly nature of staff and other patients, physical improvements, psychologic gains) as well as the unit’s informal, relaxed environment. When present, these factors created a positive rehabilitation experience; when absent, a negative experience. Conclusions: These findings support those from other literature, which has identified person-centered care as a core element of successful rehabilitation and linked its absence to dissatisfaction with health care. This research has increased our understanding of patients’ experience of neurologic rehabilitation, and could inform the development of a patient-centered assessment instrument for neurologic rehabilitation.

Item Type: Conference or workshop item (Paper)
Additional information: Proceedings Paper
Uncontrolled keywords: Nervous system diseases; Patient-centered care; Patient satisfaction; Rehabilitation
Subjects: R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Paula Loader
Date Deposited: 13 Mar 2009 13:49
Last Modified: 08 Feb 2013 13:34
Resource URI: http://kar.kent.ac.uk/id/eprint/11748 (The current URI for this page, for reference purposes)
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