What do patients expect from physiotherapists in private clinics? A classical grounded theory study

IF 1.5 Q3 REHABILITATION European Journal of Physiotherapy Pub Date : 2022-04-20 DOI:10.1080/21679169.2022.2059104
Liselotte Jensen, Tine Eva Rasmussen, Marianne Lindahl
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Abstract

Abstract Purpose The aim of this classic grounded theory study was to develop a substantive theory explaining variations in patients’ expectations of physiotherapists when contacting a clinic. Materials and methods The study was nested in a survey cohort study, and data constituted a single open-ended question: State what you expect the physiotherapist to help you with. Responses were obtained from patients before attending the clinic. Statements were analysed using classic grounded theory with open, selective, and theoretical coding. The authors concurrently used memos and constant comparison until theoretical saturation was achieved, categories were identified, and a theoretical model was developed. Results Based on 292 statements from patients primarily suffering from musculoskeletal problems, the theory grounded in data Expectations as a continuum was developed. Four typologies created the theory: (1) Doing something, so it is again possible to…, (2) Finding out what is wrong with me, (3) Relieving/getting rid of symptoms, and (4) Help to self-help. Conclusions The theory Expectations as a continuum illuminates that patients’ expectations range from helplessness to being competent to act and reflect the social cognitive theories health locus of control and self-efficacy. Patients’ abilities for self-management are different, and physiotherapists should carefully adjust the requirements for self-management.
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病人对私人诊所的物理治疗师有什么期望?经典的扎根理论研究
摘要目的:本研究的目的是建立一个实质性的理论来解释患者在联系诊所时对物理治疗师的期望的变化。材料和方法本研究采用调查队列研究,数据构成一个单一的开放式问题:陈述你希望物理治疗师帮助你做什么。在就诊前获得患者的反馈。语句分析使用经典接地理论与开放,选择性和理论编码。作者同时使用备忘录和不断的比较,直到理论饱和,类别被确定,并制定了一个理论模型。结果基于292例主要患有肌肉骨骼问题的患者的陈述,以数据预期为基础的理论被开发为一个连续体。四种类型创造了这个理论:(1)做一些事情,这样就有可能再次……,(2)找出我的问题所在,(3)缓解/摆脱症状,(4)帮助自助。结论期望理论是一个连续体,说明患者的期望范围从无助到有能力采取行动,反映了社会认知理论的健康控制点和自我效能。患者的自我管理能力各不相同,物理治疗师应仔细调整自我管理的要求。
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CiteScore
2.80
自引率
0.00%
发文量
29
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