Department of Health and Care Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Physiother Theory Pract. 2020 Jan;36(1):108-121. doi: 10.1080/09593985.2018.1481162. Epub 2018 Jun 6.
: Reablement aims to improve the self-dependence of people with or at risk of functional decline. Physiotherapists (PTs) are responsible for assessments, developing interventions and supervising home trainers (HTs), who mostly conduct the reablement training. The content of reablement practice is not clearly described. This study explores how physiotherapy practice is performed in reablement settings and the content of the service provided to reablement users. : Fieldwork was performed in seven Norwegian reablement teams. We conducted observations of seven triads, including PTs, HTs, and reablement users, followed by interviews with the PTs and HTs. We then conducted a systematic content analysis. : Three themes emerged from the analysis: 1) division of labor; 2) assessment; and 3) intervention. Different practices within these three characteristics of practice revealed two typologies of reablement teams. Teams with a fixed division of labor provided limited assessments and a nonspecific approach. Teams with a flexible division of labor were characterized by interdisciplinary collaboration, thorough assessments, and user-tailored interventions. : Values emphasizing responsivity enable a flexible and individually tailored reablement approach, in contrast to values emphasizing efficiency, which facilitate a nonspecific approach.
: 再能力化旨在提高有或有功能下降风险的人的自理能力。物理治疗师(PT)负责评估、制定干预措施和监督家庭训练师(HT),而 HT 主要进行再能力化训练。再能力化实践的内容没有明确描述。本研究探讨了物理治疗实践在再能力化环境中的执行情况以及为再能力化使用者提供的服务内容。 : 在七个挪威再能力化团队中进行了实地考察。我们对包括物理治疗师、家庭训练师和再能力化使用者在内的七个三人小组进行了观察,然后对物理治疗师和家庭训练师进行了访谈。我们随后进行了系统的内容分析。 : 分析产生了三个主题:1)分工;2)评估;3)干预。这三个实践特征中的不同实践揭示了两种再能力化团队的类型。分工固定的团队提供有限的评估和非特定的方法。分工灵活的团队的特点是跨学科合作、全面评估和针对用户的干预措施。 : 强调响应性的价值观使再能力化方法具有灵活性和个性化,而强调效率的价值观则有利于非特定的方法。