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Giving hope, ticking boxes or securing services? A qualitative study of respiratory physiotherapists' views on goal-setting with people with chronic obstructive pulmonary disease.

Summers, RH; Ballinger, C; Nikoletou, D; Garrod, R; Bruton, A; Leontowitsch, M (2017) Giving hope, ticking boxes or securing services? A qualitative study of respiratory physiotherapists' views on goal-setting with people with chronic obstructive pulmonary disease. Clinical Rehabilitation, 31 (7). pp. 978-991. ISSN 1477-0873 https://doi.org/10.1177/0269215516658937
SGUL Authors: Nikoletou, Dimitra

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Abstract

OBJECTIVE: To explore respiratory physiotherapists' views and experiences of using goal-setting with people with chronic obstructive pulmonary disease in rehabilitation settings. PARTICIPANTS: A total of 17 respiratory physiotherapists with ⩾12 months current or previous experience of working with patients with chronic obstructive pulmonary disease in a non-acute setting. Participants were diverse in relation to age (25-49 years), sex (13 women), experience (Agenda for Change bands 6-8) and geographic location. METHOD: Data were collected via face-to-face qualitative in-depth interviews (40-70 minutes) using a semi-structured interview guide. Interview locations were selected by participants (included participants' homes, public places and University). Interviews followed an interview guide, were audio-recorded and transcribed verbatim. DATA ANALYSIS: Data were analysed using thematic analysis; constant comparison was made within and between accounts, and negative case analysis was used. RESULTS: Three themes emerged through the process of analysis: (1) 'Explaining goal-setting'; (2) 'Working with goals'; and (3) 'Influences on collaborative goal-setting'. Goal-setting practices among respiratory physiotherapists varied considerably. Collaborative goal-setting was described as challenging and was sometimes driven by service need rather than patient values. Lack of training in collaborative goal-setting at both undergraduate and postgraduate level was also seen as an issue. CONCLUSION: Respiratory physiotherapists reflected uncertainties around the use of goal-setting in their practice, and conflict between patients' goals and organisational demands. This work highlights a need for wider discussion to clarify the purpose and implementation of goal-setting in respiratory rehabilitation.

Item Type: Article
Additional Information: Summers, RH; Ballinger, C; Nikoletou, D; Garrod, R; Bruton, A; Leontowitsch, M (2017) Giving hope, ticking boxes or securing services? A qualitative study of respiratory physiotherapists' views on goal-setting with people with chronic obstructive pulmonary disease. Clinical Rehabilitation, 31 (7). pp. 978-991 Copyright © 2016 (The Author(s)) Reprinted by permission of SAGE Publications. https://doi.org/10.1177/0269215516658937
Keywords: Chronic obstructive pulmonary disease (COPD), goal -setting, pulmonary rehabilitation, qualitative study, Rehabilitation, 11 Medical And Health Sciences
SGUL Research Institute / Research Centre: Academic Structure > Infection and Immunity Research Institute (INII)
Journal or Publication Title: Clinical Rehabilitation
Article Number: 0269215516658937
ISSN: 1477-0873
Language: ENG
Dates:
DateEvent
1 July 2017Published
20 July 2016Published Online
10 June 2016Accepted
Publisher License: Publisher's own licence
Projects:
Project IDFunderFunder ID
UNSPECIFIEDNational Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
PubMed ID: 27440807
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/108103
Publisher's version: https://doi.org/10.1177/0269215516658937

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