Influence of interactional structure on patient’s participation during interprofessional discharge planning meetings in rehabilitation centers

Schoeb, Veronika (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland) ; Staffoni, Liliane (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland) ; Keel, Sara (Department of Languages and Literature / French Linguistics and Literary Study, University of Basel, Basel, Switzerland)

Interprofessional practice has become increasingly important. In addition, patients are expected to participate more actively in health-care decisions. While comprehensive discharge planning has been shown to be effective, it is unclear how interactional structure influences patients’ participation during discharge planning meetings. The aims of this qualitative study were to examine the interactional structure of interprofessional meetings in two rehabilitation clinics and to identify patients’ types of communicative involvement (patient participation) during discharge planning meetings. Using an ethnomethodological approach and Conversation Analysis, 121 interprofessional meetings were video-recorded (19 hours of recordings). Twenty-five patients (30– 87 years) with neurological or musculoskeletal disorders and their teams were included. The findings revealed two types of meetings aimed at either (a) exchanging information with team members and patient (“information exchange meeting”) or (b) negotiating care plans with patients and the team. “Negotiation meetings” were often led by allied health professionals or nurses and were characterized by active patient participation. Those meetings offered patients an opportunity to give additional information rather than only ask questions. The discussion includes reflections on how interactional analysis can help understand the social organization of meetings and how patient participation can be enhanced in this context and concludes with practice implications.


Keywords:
Article Type:
scientifique
Faculty:
Santé
Branch:
Physiothérapie
School:
HESAV
Institute:
Unité de recherche en santé, HESAV
Subject(s):
Santé
Date:
2019-10
Pagination:
11 p.
Published in:
Journal of interprofessional care
Numeration (vol. no.):
2019, vol. 33, no. 5, pp. 536-545
DOI:
ISSN:
1356-1820
Appears in Collection:



 Record created 2019-12-09, last modified 2020-01-29

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