Article

OBJECTIVE: To explore how practitioner engagement and disengagement occurred, and
how these may influence patient care and engagement.
DESIGN: A qualitative study
using the Voice Centred Relational Methodology.
Data included interviews, focus
groups and observations. SETTING: Inpatient and community stroke rehabilitation
services. SUBJECTS: Eleven people experiencing communication disability after
stroke and 42 rehabilitation practitioners. INTERVENTIONS: Not applicable.
RESULTS: The practitioner's engagement was important in patient engagement and
service delivery. When patients considered practitioners were engaged, this
helped engagement. When they considered practitioners were not engaged, their
engagement was negatively affected. Practitioners considered their engagement was
important but complex. It influenced how they worked and how they perceived the
patient. Disengagement was taboo. It arose when not feeling confident, when not
positively impacting outcomes, or when having an emotional response to a patient
or interaction. Each party's engagement influenced the other, suggesting it was
co-constructed. CONCLUSIONS: Practitioner engagement influenced patient
engagement in stroke rehabilitation. Practitioner disengagement was reported by
most practitioners but was often a source of shame.

Langue : ANGLAIS