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dc.contributor.authorMjølstad, Bente Prytz,
dc.contributor.authorKirkengen, Anna Luise
dc.contributor.authorGetz, Linn
dc.contributor.authorHetlevik, Irene
dc.date.accessioned2015-10-08T11:05:49Z
dc.date.available2015-10-08T11:05:49Z
dc.date.issued2013
dc.identifier.issn1748-2623
dc.identifier.urihttp://hdl.handle.net/11250/2353283
dc.description.abstractBackground: Repeated encounters over time enable general practitioners (GPs) to accumulate biomedical and biographical knowledge about their patients. A growing body of evidence documenting the medical relevance of lifetime experiences indicates that health personnel ought to appraise this type of knowledge and consider how to incorporate it into their treatment of patients. In order to explore the interdisciplinary communication of such knowledge within Norwegian health care, we conducted a research project at the interface between general practice and a nursing home. Methods: In the present study, nine Norwegian GPs were each interviewed about one of their patients who had recently been admitted to a nursing home for short-term rehabilitation. A successive interview conducted with each of these patients aimed at both validating the GP’s information and exploring the patient’s life story. The GP’s treatment opinions and the patient’s biographical information and treatment preferences were condensed into a biographical record presented to the nursing home staff. The transcripts of the interviews and the institutional treatment measures were compared and analysed, applying a phenomenological–hermeneutical framework. In the present article, we compare and discuss: (1) the GPs’ specific recommendations for their patients; (2) the patients’ own wishes and perceived needs; and (3) if and how this information was integrated into the institution’s interventions and priorities. Results: Each GP made rehabilitation recommendations, which included statements regarding both the patient’s personality and life circumstances. The nursing home staff individualized their selection of therapeutic interventions based on defined standardized treatment approaches, without personalizing them. Conclusion: We found that the institutional voice of medicine consistently tends to override the voice of the patient’s lifeworld. Thus, despite the institution’s best intentions, their efforts to provide appropriate rehabilitation seem to have been jeopardized to some extent.nb_NO
dc.language.isoengnb_NO
dc.publisherCo-Action Publishingnb_NO
dc.rightsCreative Commons Attribution 3.0 Unported (CC BY 3.0) Licence (http://creativecommons.org/licenses/by/3.0/), permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/
dc.subjectBiographical knowledge, lifetime experience, phenomenology, general practice, rehabilitation, standard treatment, person-centered medicine, narrative medicinenb_NO
dc.titleStandardization meets stories: contrasting perspectives on the needs of frail individuals at a rehabilitation unitnb_NO
dc.typeJournal articlenb_NO
dc.typePeer revieweden_GB
dc.rights.holder© 2013 B. P. Mjølstad et al.
dc.source.pagenumber21498-nb_NO
dc.source.volume8nb_NO
dc.source.journalInternational Journal of Qualitative Studies on Health and Well-beingnb_NO
dc.identifier.doi10.3402/qhw.v8i0.21498


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Creative Commons Attribution 3.0 Unported (CC BY 3.0) Licence (http://creativecommons.org/licenses/by/3.0/), permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Med mindre annet er angitt, så er denne innførselen lisensiert som Creative Commons Attribution 3.0 Unported (CC BY 3.0) Licence (http://creativecommons.org/licenses/by/3.0/), permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.