Article

OBJECTIVE: To explore respiratory physiotherapists' views and experiences of
using goal-setting with people with chronic obstructive pulmonary disease in
rehabilitation settings. PARTICIPANTS: A total of 17 respiratory physiotherapists
with 12 months current or previous experience of working with patients with
chronic obstructive pulmonary disease in a non-acute setting. Participants were
diverse in relation to age (25-49 years), sex (13 women), experience (Agenda for
Change bands 6-8) and geographic location. METHOD: Data were collected via
face-to-face qualitative in-depth interviews (40-70 minutes) using a
semi-structured interview guide. Interview locations were selected by
participants (included participants' homes, public places and University).
Interviews followed an interview guide, were audio-recorded and transcribed
verbatim. DATA ANALYSIS: Data were analysed using thematic analysis; constant
comparison was made within and between accounts, and negative case analysis was
used. RESULTS: Three themes emerged through the process of analysis: (1)
'Explaining goal-setting'; (2) 'Working with goals'; and (3) 'Influences on
collaborative goal-setting'. Goal-setting practices among respiratory
physiotherapists varied considerably. Collaborative goal-setting was described as
challenging and was sometimes driven by service need rather than patient values.
Lack of training in collaborative goal-setting at both undergraduate and
postgraduate level was also seen as an issue. CONCLUSION: Respiratory
physiotherapists reflected uncertainties around the use of goal-setting in their
practice, and conflict between patients' goals and organisational demands. This
work highlights a need for wider discussion to clarify the purpose and
implementation of goal-setting in respiratory rehabilitation.

Langue : ANGLAIS