| 1. |
- Gard, Gunvor
(författare)
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Increased focus on values. A tool in stress prevention?
- 2003
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Ingår i: Physiotherapy. - 1873-1465 .- 0031-9406. ; 89:5, s. 282-289
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Tidskriftsartikel (refereegranskat)abstract
- Background and purpose Can an increased focus on values in working life be a factor in stress prevention? Values are defined as the shared principles which guide behaviour in an organisation. The purpose of this study was to describe how patients with musculoskeletal pain perceive the importance of values in relation to coping with daily stress and in relation to health. Methods Patients receiving physiotherapy for various musculoskeletal disorders at three primary healthcare centres in the north of Sweden participated in the study, in total 95 patients. They answered a questionnaire covering values, work situation, coping behaviour and health and the relationship between these aspects. Results All patients perceived that it was important to have values to follow at work, such as doing one's best, setting priorities, following one's priorities and having open and direct communicationwith others. A significant positive relationship was shown between having motivating values and low emotion-focused strategies, in this case behavioural and cognitive coping strategies. A positive relationship was also shown between having motivating values and low occurrence of symptoms (good perceived health). Conclusion Values and effective coping strategies may be motivating factors preserving health.
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| 2. |
- Gard, Gunvor, et al.
(författare)
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Life-views of Physiotherapy students compared to medical and nursing students
- 2000
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Ingår i: Physiotherapy. - 0031-9406 .- 1873-1465. ; 86:11, s. 576-582
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Tidskriftsartikel (refereegranskat)abstract
- A life-view is an overall view of man and the world, forming a central value system and giving expression to a fundamental attitude. Research has shown that life-views are established early in childhood, are influenced by social environment and are relatively constant over time. An individual's view of life determines the response to reality and influences decision-making and treatment of other people. The aim of this study was to compare life-views and ethical standpoints of physiotherapy, nursing and medical students at the beginning of their professional education. All physiotherapy students beginning their education at Lund University during 1996 to 1998 answered a questionnaire developed by Josephsson (1994), in total 187 students. The life-views of the physiotherapy students were compared with those of 385 medical students from the Karolinska Institute in Stockholm and 36 student nurses from Luleå University who answered the same questionnaire, which required them to indicate their agreement or otherwise with statements reflecting different life-views. The result showed that all student groups had high or moderate levels of agreement with the sentences reflecting a religious and evolutionary life-view and low agreement with a scientific life-view in Josephsson's terms. When comparing the groups, medical students had the lowest and nursing students the highest agreement with the religious life-view. Physiotherapy students had the highest agreement with the evolutionary life-view. No significant differences were noted between physiotherapy and nursing students in religious, scientific or evolutionary life-views. Women had higher agreements than men with the religious life-view. Men had higher agreements than women with the scientific and evolutionary life-view. No significant differences were noted in life-views between younger and older students within any student group. All student groups were patient-centred in their opinions on clinical ethical questions.
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| 3. |
- Gard, Gunvor, et al.
(författare)
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Physical Therapists´ emotional expressions in interviews about factors important for interaction with patients
- 2000
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Ingår i: Physiotherapy. - 1873-1465 .- 0031-9406. ; 86:5, s. 229-240
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Tidskriftsartikel (refereegranskat)abstract
- Interactions between patients and physiotherapists have been studied by various researchers. Some results indicate that physiotherapists have an awareness of underlying emotions, but often respond only on an intellectual level. It seems that verbally expressed emotions may be important for interaction between physiotherapists and patients during treatment. Aim The aim of this study was to investigate how many and what verbally expressed emotions physiotherapists state during interviews between physiotherapists and patients. Method The study was a qualitative case study with cross-case analysis according to Shepard et al (1993) and Merriam (1988). Ten informants participated, all of them 'experts in interaction with patients', women, Swedish-speaking, and with at least five years' experience in primary health care. The physiotherapists' emotions were categorised according to Tomkins (1984) and Izard (1977) in the categories of interest/excitement, surprise/startle, enjoyment/joy, sadness, anger/rage, fear/terror, shame/humiliation, contempt and disgust. Results Positive emotions such as interest and joy were expressed most often in the interviews, in situations where physiotherapy had been successful, as joyful contacts with colleagues, or in situations where humour was used as a therapeutic instrument. Surprise, sadness and anger were expressed more seldom and contempt or disgust were not expressed at all in the interviews. Conclusion Verbal expressions of emotions in treatment situations in physiotherapy practice should be promoted more emphatically. This may start a reflective process in both patients and physiotherapists and deepen the understanding of the interaction.
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| 4. |
- Overmeer, Thomas, 1960-, et al.
(författare)
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Do physical therapists recognise established risk factors? : Swedish physical therapists' evaluation in comparison to guidelines
- 2004
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Ingår i: Physiotherapy. - Amsterdam : Elsevier. - 0031-9406 .- 1873-1465. ; 90:1, s. 35-41
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Tidskriftsartikel (refereegranskat)abstract
- Background and purpose The Swedish Council on Technology Assessment in Health Care has widely distributed the most recent Swedish evidence-based review on neck and back pain. In this review psychosocial factors were acknowledged as important risk factors for developing chronic pain. We surveyed physical therapists’ evaluation of risk factors for the development of chronic pain. The results were compared to the review of the Swedish Council on Technology Assessment in Health Care.Methods A postal questionnaire was sent to all 117 physical therapists working in primary care in Örebro County, Sweden.Results The survey was responded to by 102 physical therapists (87%). Over 50% of them indicated as important more than twice as many risk factors than are supported by the evidence-based review.More than 50% of the physical therapists pointed out all eight evidence-based factors described in the evidence-based review but they also indicated a median of 10 additional factors with little or no support in the literature. More than 80% of the physical therapists responded according to the recommendations of the evidence-based review concerning sick leave and instructions to patients regarding activities and pain relief. Forty-four physical therapists (43%) indicated that they could predict which patients would develop chronic pain in the future.Conclusions Physical therapists represented by this sample were well aware of the importance of psychosocial risk factors, but because of the large number of additional factors indicated it seems physical therapists lack specificity about which factors are important.
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