Barnard2010

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Barnard2010
BibType ARTICLE
Key Barnard2010
Author(s) Rachel A. Barnard, Madeline Cruice, Elisabeth D. Playford
Title Strategies used in the pursuit of achievability during goal setting in rehabilitation
Editor(s)
Tag(s) EMCA, Conversation Analysis, Health Care, Medical EMCA, Teamwork, Rehabilitation, Goals
Publisher
Year 2010
Language
City
Month
Journal Qualitative Health Research
Volume 20
Number 2
Pages 239–250
URL Link
DOI 10.1177/1049732309358327
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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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.

Notes