000003189 001__ 3189 000003189 005__ 20240819141353.0 000003189 022__ $$a0959-3985 000003189 0247_ $$2DOI$$a10.1080/09593985.2018.1429036 000003189 037__ $$aARTICLE 000003189 039_9 $$a2024-08-19 14:13:53$$b1$$c2023-09-05 15:19:41$$d1$$c2021-12-17 15:23:22$$d0$$c2021-11-17 11:18:19$$d1001252$$c2020-10-27 22:57:52$$d0$$c2020-10-26 23:02:40$$d0$$c2019-12-12 16:47:08$$dNone$$c2019-02-28 20:51:14$$dNone$$c2019-02-28 09:07:07$$dNone$$c2019-02-21 09:09:30$$dNone$$c2019-02-18 23:16:31$$dNone$$c2019-02-18 09:29:00$$dNone$$y2019-02-17 17:10:36$$zNone 000003189 041__ $$aeng 000003189 245__ $$aThe impact of documentation on communication during patient-physiotherapist interactions :$$ba qualitative observational study 000003189 269__ $$a2018-11 000003189 300__ $$a11 p. 000003189 506__ $$avisible 000003189 520__ $$9eng$$aDocumentation 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. 000003189 540__ $$acorrect 000003189 592__ $$aHESAV 000003189 592__ $$bUnité de recherche en santé, HESAV 000003189 592__ $$cSanté 000003189 592__ $$dPhysiothérapie 000003189 65017 $$aSanté 000003189 6531_ $$9eng$$acommunication 000003189 6531_ $$9eng$$apatient-practitioner 000003189 6531_ $$9eng$$ainteraction 000003189 6531_ $$9eng$$adocumentation 000003189 6531_ $$9eng$$aphysiotherapy 000003189 6531_ $$9eng$$aqualitative research 000003189 655__ $$ascientifique 000003189 700__ $$aSchoeb, Veronika$$uDepartment of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China ; HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland 000003189 700__ $$aHiller, Amy$$uDepartment of Physiotherapy, University of Melbourne, Melbourne, Australia 000003189 773__ $$j2018, vol. 34, no. 11, pp. 861–871$$tPhysiotherapy theory and practice 000003189 8564_ $$s1339088$$uhttps://arodes.hes-so.ch/record/3189/files/Schoeb_2018_the_impact_of_documentation_on_communication.pdf$$9c1c21599-3aff-4228-b821-4db343f57b97 000003189 906__ $$aNONE 000003189 909CO $$ooai:hesso.tind.io:3189$$pGLOBAL_SET 000003189 950__ $$aSan2 000003189 980__ $$ascientifique 000003189 981__ $$ascientifique