Physiotherapy as part of collaborative and person-centered rehabilitation services: the social systems constraining an innovative practice

Figures & data

Figure 1. Design process of the larger project inspired by the double diamond (Design Council UK, 2023).

Figure 2. The all-day workshop with presentation of trigger material and the 8 focus groups where PTs participated.

Table 1. Participants of the eight focus groups where physiotherapists participated during the all-day workshop.

Mixed group A1 (service providers)	Physiotherapists (n = 2) occupational therapists (n = 3), nurse (n = 1).
Mixed group A2 (Service providers)	Physiotherapists (n = 2), occupational therapist (n = 1), department managers (nurses) (n = 2)
Mixed group A3 (Service providers)	Physiotherapists (n = 2), occupational therapists (n = 2), nurse (n = 1).
Break
Mixed group B1 (Service providers and users)	Physiotherapists (n = 2), occupational therapists (n = 2), nurse (n = 1), person with ABI (n = 1), next of kin (n = 1).
Mixed group B2 (Service providers and users)	Physiotherapist (n = 1), occupational therapist (n = 1), nurse (n = 1), person with ABI (n = 1).
Mixed group B3 (Service providers and users)	Physiotherapist (n = 2), occupational therapist (n = 1), department manager (n = 1), person with ABI(n = 1), next of kin (n = 1).
Mixed group B4 (Service providers and users)	Physiotherapist (n = 1), occupational therapist (n = 2), department manager (n = 1), next of kin (n = 1).
Break
Physiotherapists only C1	Focus group with physiotherapists from various organizational settings (n = 6)

Table 2. The various organizational settings where the participating physiotherapists worked.

PT number 1	Hospital-based outpatient rehabilitation team
PT number 2	Municipality-based private physiotherapy clinic
PT number 3	Municipality-based public physiotherapy services
PT number 4	Hospital-based inpatient ward
PT number 5	Hospital-based coordinating unit
PT number 6	Hospital-based outpatient health care team

Table 3. User in video interview used as trigger material introducing workshop 1.

Case

“…and then I returned home to a new everyday life with my two children. It was the end of July, so things were relatively calm before school started. However, soon after, everything that needed to be established began. I was referred to a speech therapist and a physiotherapist, and the occupational therapy service in the municipality conducted a home visit to assess my needs. They wanted to know if I required any assistance with tasks such as dressing, showering, and cooking. Although everything seemed fine, I was convinced that I would be back at work soon since my sick leave only lasted through August. However, I did not have any assessment with me from the hospital, which was scheduled several weeks ahead. Therefore, they had nothing to work with other than what I said, and I had no insight into my injury. It took me years to understand the extent of my injury. Looking back, we needed help with the kids. I was the one responsible for taking them to their sports activities, but I made mistakes due to misunderstanding e-mails or mixing up the dates and times. As a result, my children stopped participating in all leisure activities after that fall.”

Figure 3. The analytic process inspired by Tjora (2021) stepwise deductive induction: From empirical data to theorization and generalization of results applying a theoretical lens.

Design Council UK 2023 Framework for innovation. Design Council. London, England. https://www.designcouncil.org.uk/our-resources/framework-for-innovation/

 Google Scholar

Tjora A 2021 Kvalitative Forskningsmetoder i Praksis (4^th ed). [qualitative research Methods]. Oslo: Gyldendal Akademisk.

 Google Scholar