Exploring relational engagement practices in stroke rehabilitation using the Voice Centred Relational Approach

How can practitioners be engaged in their patients stroke recovery when they know damn well that only 10% get to full recovery and they don't have any protocols with efficacy ratings to give their patients?  I don't give a shit how well you engage me. Get me to 100% recovery.
http://www.tandfonline.com/doi/abs/10.1080/13645579.2017.1316044

Felicity A. S. Bright, Nicola M. Kayes, Linda M. Worrall & Kathryn M. McPherson

Pages 1-14 | Received 20 Oct 2016, Accepted 03 Apr 2017, Published online: 24 Apr 2017

• Download citation
• http://dx.doi.org/10.1080/13645579.2017.1316044

Abstract

While discussions on patient engagement commonly focus on patient behaviors, a small body of research highlights the patient-practitioner relationship as critical in engagement. Understanding this relationship might be facilitated through a relationally-oriented methodology. The Voice Centred Relational Approach is one such qualitative methodology. Within this paper, we present one turn in a long conversation about this methodology. Drawing on our longitudinal observational study of engagement practices in stroke rehabilitation in New Zealand, we explicate how a theoretical framework can inform how the Voice Centred Relational Approach is enacted in the research process, from entering the field to dissemination. We detail how we adapted the associated analytic techniques (the Listening Guide and i-poems) for use with multiple forms and sources of data. We propose that the underlying relational ontology and relational orientation of this methodology makes it a useful approach in researching relational practice in healthcare.