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Interaction between patient and physiotherapist: a qualitative study reflecting the physiotherapist's perspective
A L Gyllensten1, G Gard, E Salford
1Department of Physical Therapy, University of Lund, Sweden. Amanda.Lundvik-Gyllensten sjukgym.lu.se
Summary
Expert physiotherapists identify key factors for quality patient-therapist interactions. Practical skills, experience, and effective communication, including listening and empathy, are crucial for positive patient outcomes in physiotherapy.
Area of Science:
- Physiotherapy
- Healthcare Interaction
- Qualitative Research
Background:
- Patient-physiotherapist (PT) interaction is fundamental to effective physiotherapy.
- Understanding expert PTs' perspectives on interaction quality is essential for improving treatment.
Purpose of the Study:
- To explore expert physiotherapists' perceptions of factors influencing the quality of patient-PT interaction.
- To identify key elements that contribute to successful therapeutic relationships.
Main Methods:
- Qualitative study involving in-depth interviews with ten experienced primary healthcare physiotherapists.
- Data analyzed using established qualitative techniques (Shepard et al., 1993; Merriam, 1988) to identify themes and categories.
Main Results:
- Interaction quality is influenced by 'Internal prerequisites of the PT' (e.g., practical skills, experience) and 'Interaction dimension' factors.
- Key interaction elements include establishing rapport, therapeutic role, sensitivity, listening, and identifying patient resources.
- Reflection on patient experiences enhances physiotherapist interaction skills.
Conclusions:
- Expert physiotherapist interaction skills enhance patient resources and contribute to positive outcomes.
- Professional development should emphasize reinforcing the PT's reflective processes, potentially through supervision.