Experience Dimensions of Collaborating

The particular context of exploring experiences of collaborating in this research was rehabilitation. Rehabilitation is ideally a patient-centred, team-facilitated endeavour undertaken within healthcare institutions where health professionals commonly wor

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6. EXPERIENCE DIMENSIONS OF COLLABORATING Engaging, Entering, Establishing, Envisioning and Effecting

You’ve got to have that team cohesiveness to actually be able to cope with (complex) patients. (Research participant) PROVIDING AN OVERVIEW OF REHABILITATION AS THE RESEARCH CONTEXT

The particular context of exploring experiences of collaborating in this research was rehabilitation. Rehabilitation is ideally a patient-centred, team-facilitated endeavour undertaken within healthcare institutions where health professionals commonly work together, and with patients and carers, to coordinate and integrate perspectives, goals and treatments. The choice of rehabilitation teams as the setting for the research was motivated by several considerations including: (a) the opportunities provided by rehabilitation situations to see teamwork in action, and (b) the necessity of the healthcare system to service the needs of a population with increasingly complex co-morbidities including those of older people commonly requiring rehabilitation services. Although people require rehabilitation for a range of reasons, the context of the research reported in this book was neuro-musculoskeletal rehabilitation (for conditions including brain injury, stroke, spinal cord injury). Neuromusculoskeletal rehabilitation provided scope for exploring collaboration amongst a wide range of health professional disciplines. Informed by Wade (2009 and WHO (1996), it is conceptualised in this research as: an educational, problem-solving process involving people with disabilities that focuses on overcoming or reducing their functional limitations in order that they can optimise their social participation and well-being, and thus maximise independence within their lives and communities (and in doing so reduce stress on carer/family). (Croker, 2011, p. 31) With people and their unique situations being integral to rehabilitation, it is unlikely that people’s rehabilitation experiences are identical. Not only does rehabilitation deal with a wide range of disabling conditions, the implications of disabilities arising from these conditions are different for each person. Patients require individual consideration of their physical, social and psychological functional limitations and the opportunities and capabilities for overcoming these limitations.

A. Croker et al. (Eds.), Collaborating in Healthcare: Reinterpreting Therapeutic Relationships, 81–110. © 2016 Sense Publishers. All rights reserved.

CROKER

Goal setting for each individual patient is a central feature of rehabilitation teams. Team members typically meet on a regular basis to discuss patients’ conditions and situations and set goals for rehabilitation. The perspectives of patients, their families and carers are integral to determining the goals of rehabilitation. These goals provide motivation to patients and team members, ensure that everyone is working towards the same outcomes, and allow for monitoring of plans and therapy outcomes. As well as rehabilitation being a time of opportunity to ov