@article{Schoeb:3189,
      recid = {3189},
      author = {Schoeb, Veronika and Hiller, Amy},
      title = {The impact of documentation on communication during  patient-physiotherapist interactions : a qualitative  observational study},
      journal = {Physiotherapy theory and practice},
      address = {2018-11},
      number = {ARTICLE},
      pages = {11 p.},
      abstract = {Documentation is an essential component of physiotherapy  practice for clinical, legal, and ethical reasons. Research  in other healthcare contexts suggests that documentation  impacts upon communication in patient–practitioner  interactions. Thus, the objective of this qualitative study  was to examine how physiotherapists and their patients  communicate during episodes of documentation. The research  was informed by ethnomethodology and ethnography. In total,  113 patient–physiotherapist interactions were observed in  Switzerland and Australia with video-recordings,  audio-recordings, and field notes collected as data.  Episodes of documentation within these interactions were  transcribed, and both verbal and non-verbal communication  were analyzed inductively. Analysis identified that  communication during documentation was characterized by:  pauses in conversation, pre-established order of  questioning, minimal eye contact, use of direct  communication, and an emphasis on objectivity. The use of  documentation was observed to alter the wording of  questioning as well as the sequence and flow of  conversation between patient and physiotherapist. In  addition, the observed communicative features seemed to  restrict patient participation, and may hinder the  achievement of a patient-centered approach. Recognizing the  importance of documentation, we address the challenges that  our research highlighted by proposing strategies to assist  educators and clinicians to optimize communication with  patients when incorporating documentation into practice.},
      url = {http://arodes.hes-so.ch/record/3189},
      doi = {https://doi.org/10.1080/09593985.2018.1429036},
}