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Family-clinician interactions in children's health services: a secondary analysis of occupational therapists' practice descriptions.


ABSTRACT:

Background

Effective family-clinician interactions are important for good health outcomes. Two types of interactions are consistently recommended: relational (e.g. listening, empathy, and respect) and participatory (e.g. shared decision-making, planning and problem-solving), but there is little specific guidance on how to implement these interactions in practice.

Objective

To identify specific, practice-based examples of relational and participatory family-clinician interactions in children's occupational therapy.

Design

A qualitative secondary analysis was used. The data consisted of a list of occupational therapists' self-reported practice actions (n = 217) and direct quotes describing their content and context. The practice actions were categorized into a range of relational and participatory family-centred interactions using a modified framework analysis.

Results

Of the 217 practice actions, the majority [121 (55.76%)] did not describe examples of therapists implementing family-clinician interactions. Of the remaining practice actions, 19 (8.76%) described 'relational' interactions (e.g. 'Listen to carer', 'Gather perspectives from others'); 47 (21.66%) described 'participatory' interactions (e.g. 'Identify the family's goals and priorities', 'Allow the family to choose'); 2 (0.92%) described both ('Take guidance from carers'); and 28 (12.9%) were excluded from the analysis.

Discussion and conclusions

A range of relational and participatory interactions were identified. Descriptions of participatory interactions were more frequent than descriptions of relational interactions, and overall the therapists described their family-clinician interactions less frequently than their other practice actions. The specific, real-life examples of different types of interactions identified in the study can be used as a basis for reflection on practice and developing more specific guidance.

SUBMITTER: McAnuff J 

PROVIDER: S-EPMC5810711 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature

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Publications

Family-clinician interactions in children's health services: a secondary analysis of occupational therapists' practice descriptions.

McAnuff Jennifer J   Boyes Chris C   Kolehmainen Niina N  

Health expectations : an international journal of public participation in health care and health policy 20140428 6


<h4>Background</h4>Effective family-clinician interactions are important for good health outcomes. Two types of interactions are consistently recommended: relational (e.g. listening, empathy, and respect) and participatory (e.g. shared decision-making, planning and problem-solving), but there is little specific guidance on how to implement these interactions in practice.<h4>Objective</h4>To identify specific, practice-based examples of relational and participatory family-clinician interactions i  ...[more]

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