TY  - GEN
AB  - 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.
AD  - Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China ; HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland
AD  - Department of Physiotherapy, University of Melbourne, Melbourne, Australia
AU  - Schoeb, Veronika
AU  - Hiller, Amy
DA  - 2018-11
DO  - 10.1080/09593985.2018.1429036
DO  - DOI
ID  - 3189
JF  - Physiotherapy theory and practice
KW  - Santé
KW  - communication
KW  - patient-practitioner
KW  - interaction
KW  - documentation
KW  - physiotherapy
KW  - qualitative research
L1  - https://arodes.hes-so.ch/record/3189/files/Schoeb_2018_the_impact_of_documentation_on_communication.pdf
L2  - https://arodes.hes-so.ch/record/3189/files/Schoeb_2018_the_impact_of_documentation_on_communication.pdf
L4  - https://arodes.hes-so.ch/record/3189/files/Schoeb_2018_the_impact_of_documentation_on_communication.pdf
LA  - eng
LK  - https://arodes.hes-so.ch/record/3189/files/Schoeb_2018_the_impact_of_documentation_on_communication.pdf
N2  - 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.
PY  - 2018-11
SN  - 0959-3985
T1  - The impact of documentation on communication during patient-physiotherapist interactions :a qualitative observational study
TI  - The impact of documentation on communication during patient-physiotherapist interactions :a qualitative observational study
UR  - https://arodes.hes-so.ch/record/3189/files/Schoeb_2018_the_impact_of_documentation_on_communication.pdf
VL  - 2018, vol. 34, no. 11, pp. 861–871
Y1  - 2018-11
ER  -