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Strategies used in the pursuit of achievability during goal setting in rehabilitation
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Barnard, R. A., Cruice, M. N. and Playford, E. Diane (2010) Strategies used in the pursuit of achievability during goal setting in rehabilitation. Qualitative Health Research, 20 (2). pp. 239-250. doi:DOI: 10.1177/1049732309358327 ISSN 1049-7323.
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Official URL: http://dx.doi.org/10.1177/1049732309358327
Abstract
We used conversation analysis of six audio- and video-recorded goal-setting meetings that were attended by patients and their respective treating team to explore and describe the interaction of participants during interdisciplinary goal setting, and to identify the strategies used to agree on goals. The health care professionals involved in the six sessions included four physiotherapists, four occupational therapists, four nurses, one speech and language therapist, and one neuropsychologist. The participants included 3 patients with multiple sclerosis, 2 patients with spinal cord lesions, and 1 patient with stroke from an inpatient neurological rehabilitation unit. Detailed analysis revealed how the treating team shaped the meetings. The most notable finding was that there was rarely a straightforward translation of patient wishes into agreed-on written goals, with the treating team leading goal modification so that goals were achievable. Despite professional dominance, patients also influenced the course of the interaction, particularly when offering resistance to goals proposed by the treating team.
| Item Type: | Journal Article | ||||
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Qualitative Health Research | ||||
| Publisher: | Sage Publications, Inc. | ||||
| ISSN: | 1049-7323 | ||||
| Official Date: | February 2010 | ||||
| Dates: |
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| Volume: | 20 | ||||
| Number: | 2 | ||||
| Page Range: | pp. 239-250 | ||||
| DOI: | DOI: 10.1177/1049732309358327 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
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