Primary Care. Region Västra Götaland, Primary Health Care, Närhälsan Sollebrunn Rehabmottagning, Sollebrunn, Sweden.
Research, Education, Development and Innovation Primary Health Care, Region Västra Götaland, Borås, Sweden.
Ann Med. 2024 Dec;56(1):2413921. doi: 10.1080/07853890.2024.2413921. Epub 2024 Oct 18.
JEMS (Joanne Elphinston Movement Systems) described as a systematic, holistic approach to analyze and create sound foundations for movement, is increasing in popularity among physiotherapists. The aim of this study was to investigate and capture the experiences and narratives of physiotherapists (PTs) using JEMS for rehabilitation with patients in primary healthcare.
In this qualitative description study, we invited 13 PTs to focus group discussions (FGD). Four groups were conducted, three FGD at different locations in Region Västra Götaland, Sweden, and one FGD using Skype. The groups met on one occasion. The FGD method has a qualitative semi-structured research design based on a social constructivist tradition of research. Data were analyzed using the Kreuger method, considering the content of the discussion in a collective understanding of the subject and the interaction taking place among participants.
Three themes were identified: how the PTs describe their practical and emotional experiences, and how JEMS has changed their clinical work. Most clearly emerged subjects considering the interaction and communication with the patient, about finding a structure in clinical practice and about the development the informants experience in their role as a physiotherapist and as an individual.
The FGD was chosen to capture the variety and width of experiences of the PTs using JEMS. The opportunity for learning and reflecting in the FGDs was appreciated by the PTs. The interaction between the patient and the PT was described as fundamental in establishing foundations for movement. Opportunities to meet and treat patients regardless of functional limitations elaborated and were in that way applicable in primary healthcare where patients seek a physiotherapist for a variety of reasons.
JEMS（乔安妮·埃尔芬斯顿运动系统）被描述为一种系统的、整体的方法，用于分析和为运动奠定坚实的基础，在物理治疗师中越来越受欢迎。本研究旨在调查和捕捉物理治疗师（PT）在初级保健中使用 JEMS 为患者进行康复治疗的经验和叙述。
在这项定性描述研究中，我们邀请了 13 名物理治疗师参加焦点小组讨论（FGD）。共进行了 4 组，3 组在瑞典西约塔兰地区的不同地点进行，1 组通过 Skype 进行。小组一次开会。FGD 方法采用基于社会建构主义研究传统的定性半结构化研究设计。使用 Kreuger 方法分析数据，考虑讨论的内容，从集体理解主题和参与者之间的互动的角度考虑。
确定了三个主题：PT 如何描述他们的实践和情感经验，以及 JEMS 如何改变他们的临床工作。考虑到与患者的互动和沟通，在临床实践中找到结构以及受访者在他们作为物理治疗师和个人的角色中体验到的发展方面，最明显的主题出现了。
选择 FGD 来捕捉使用 JEMS 的 PT 的各种经验。PT 们赞赏在 FGD 中学习和反思的机会。患者和 PT 之间的互动被描述为建立运动基础的基础。有机会遇到和治疗患者，无论其功能限制如何，都进行了详细说明，并且在初级保健中是适用的，因为患者出于各种原因寻求物理治疗师。
