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dc.contributor.authorKlinke, Marianne E
dc.contributor.authorHjartardóttir, Thórdís Edda
dc.contributor.authorHauksdóttir, Aldís
dc.contributor.authorJónsdóttir, Helga
dc.contributor.authorHjaltason, Haukur
dc.contributor.authorAndrésdóttir, GuĐbjörg Thóra
dc.date.accessioned2019-10-18T15:21:46Z
dc.date.available2019-10-18T15:21:46Z
dc.date.issued2019-09-17
dc.date.submitted2019-10
dc.identifier.citationMoving from stigmatization toward competent interdisciplinary care of patients with functional neurological disorders: focus group interviews. 2019,en_US
dc.identifier.issn1464-5165
dc.identifier.pmid31526059
dc.identifier.doi10.1080/09638288.2019.1661037
dc.identifier.urihttp://hdl.handle.net/2336/621105
dc.descriptionTo access publisher's full text version of this article click on the hyperlink belowen_US
dc.description.abstractPurpose: To explore facilitating and inhibiting factors in the inpatient care of patients with functional neurological disorders as experienced by interdisciplinary teams of healthcare professionals. Method: Qualitative focus group interviews were conducted with 18 healthcare professionals of various professions. Data were analyzed using qualitative content analysis with inductive coding of data. Results: Two main categories were formulated: (a) Giving the diagnosis to patients - a moment of fragility and opportunities, and (b) Organization of care - ensuring the continuity and protecting patients' self-image. One overarching theme tied the two categories together: Establishing coherence in the inpatient trajectory - moving from stigmatization toward competent care. Coherence and steadiness in care was a prerequisite for transparency in goalsetting and for designating the responsibilities of individual healthcare professionals. Stigma and having clinical experience and knowledge of functional neurological disorders, as two counter-factors, influenced the extent to which this was achieved. Examples of facilitating factors for enhancing competent care were documentation of symptoms, effective ways of passing on clinical information, education, professional dialog, and organizational support. Discussion: To nurture competent care, guidelines, structured educational initiatives and other supportive actions should be promoted. We provide ideas for the next logical steps for clinical practice and research. IMPLICATIONS FOR REHABILITATION Close collaboration between interdisciplinary healthcare professionals plays an important role for reaching optimal results in the rehabilitation of inpatients with functional neurological disorder. There is currently limited knowledge regarding the facilitating and inhibiting features encountered by interdisciplinary healthcare professionals in the provision of care for patients with a functional neurological disorder. The findings show that a working environment that endorses a skillful culture of practice and which facilitates actions to reduce problems that hamper effective teamwork needs to be promoted. Solutions that help to solve many obstacles encountered by the team of healthcare professionals in the care provision of patients with functional neurological disorders include open dialog regarding symptoms, diagnosis and treatment, effective ways of documenting and reporting symptoms, and availability of guidelines and supporting educational material.en_US
dc.language.isoenen_US
dc.publisherTaylor & Francisen_US
dc.relation.urlhttps://www.tandfonline.com/doi/abs/10.1080/09638288.2019.1661037?journalCode=idre20en_US
dc.subjectConversion disorderen_US
dc.subjectclinical knowledgeen_US
dc.subjectdissociative disorderen_US
dc.subjectfocus groupsen_US
dc.subjectinterdisciplinary teamen_US
dc.subjectstigmaen_US
dc.subjectTaugasjúkdómaren_US
dc.subjectUmönnunen_US
dc.subjectHeilbrigðisstéttiren_US
dc.subject.meshNervous System Diseasesen_US
dc.subject.meshPatient Care Teamen_US
dc.subject.meshFocus Groupsen_US
dc.titleMoving from stigmatization toward competent interdisciplinary care of patients with functional neurological disorders: focus group interviews.en_US
dc.typeArticleen_US
dc.contributor.department1 Faculty of Nursing, School of Health Sciences, University of Iceland , Reykjavik , Iceland. 2 The National University Hospital of Iceland , Reykjavik , Iceland. 3 Víðihlíð Nursing Home and Health Care Clinic , Grindavík , Iceland. 4 Faculty of Medicine, School of Health Sciences, University of Iceland , Reykjavik , Iceland.en_US
dc.identifier.journalDisability and Rehabilitationen_US
dc.rights.accessLandspitali Access - LSH-aðganguren_US
dc.departmentcodeEAN12
dc.departmentcodeRAN12
dc.departmentcodeCAD12
dc.departmentcodePTY12
dc.departmentcodeNEU12
dc.source.journaltitleDisability and rehabilitation


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