https://doi.org/10.4081/qrmh.2018.7792
The dialogic construction of patient involvement in patient-centred neurorehabilitation
Submitted: 30 August 2018
Accepted: 19 December 2018
Published: 20 December 2018
Accepted: 19 December 2018
Abstract Views: 1051
PDF: 427
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
This paper explores how the practice of patient involvement in neurorehabilitation is constructed in tension-riddled professional narratives. I adopt dialogic communication theory to focus on how involvement is constructed across different roles and voices. My analysis is based on an action research project that uses a dialogical communication perspective and participatory methods to explore patient-centred care through the eyes of healthcare professionals. I argue that patient involvement is constructed as a demanding process that requires memory, presence, communicative abilities and temporal understanding of personal needs. These requirements are not explicit in the situated institutionalized practices. As well, I show how the available involvement strategies are laced with taken for granted characteristics, which fall short in the situation that arises when patients do not have the ability to participate or play the role of an active patient. The findings in this paper contribute to the growing literature on patient-centred healthcare by empirically investigating how the discursive configuration of patient, health professional and institutional practices intertwine in producing certain inherent expectations, habits and taken for granted perspectives in care delivery. I also suggest that the findings can usefully be incorporated into patient-centred care design and organizational strategies in order to take into account both the patient, relatives and healthcare professionals as vital for creating a patient-centred practice, organization and professional environment.
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Region of Zealand, DenmarkHow to Cite
Uhre, Jannie. 2018. “The Dialogic Construction of Patient Involvement in Patient-Centred Neurorehabilitation”. Qualitative Research in Medicine and Healthcare 2 (3). https://doi.org/10.4081/qrmh.2018.7792.
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