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A value-based practice model of rehabilitation: consumers' recommendations in action

机译：基于价值的康复实践模型：消费者的建议在行动

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The purpose of this paper is to present a model of rehabilitation practice that is based on the recommendations of consumers who used rehabilitation services and have a life-changing physical impairment (spinal cord injury - SCI). This value-based practice model is based on two qualitative studies. The first study developed the framework(social adaptation) fora new practice model based on values. The second study, described in this paper, used the framework to learn about recommendations for change in there habilitation process. Participants in the second study were 80 volunteers who live with a SCI in the community, across the province of Ontario, Canada. A snowball strategy was used to recruit interested participants. Participants were involved in face-to-face interviews which included questions on what helped and hindered their initial rehabilitation process, and their recommendations for change. In this paper, we described a model that demonstrates how consumer input is essential in shaping a comprehensive rehabilitation process. The model is based on overarching value statements that express the worthiness of all individuals, the value of the lived experience of disability and the responsibility of the rehabilitation process to enable client autonomy. Four "values in action'' are articulated: caring and respect for the individual and his/her personhood; applying the lived experience of disability; fostering autonomy; and promoting hopefulness. These values have been initially described in another paper based on a specific subset of 15 women living with SCI related to body issues during rehabilitation. This paper builds on this value work and we develop key practices for a progressive rehabilitation culture and model, based on the larger study group of 80 participants (men and women with SCI). This value-based model, when integrated with traditional, physical improvement-focused rehabilitation, has the potential to create a more effective process by offering clients better support as they go through the complex process of re-building their lives and making the transition back to the community.
机译：本文的目的是提出一种康复实践模型，该模型基于使用康复服务并有改变生命的身体损伤（脊髓损伤-SCI）的消费者的建议。这种基于价值的实践模型基于两个定性研究。第一项研究为基于价值的新实践模型开发了框架（社会适应）。本文描述的第二项研究使用该框架来学习有关适应训练过程中的更改的建议。第二项研究的参与者是80名志愿者，他们与加拿大安大略省的社区中的SCI一起生活。采用滚雪球策略招募感兴趣的参与者。参与者进行了面对面的采访，其中包括有关哪些因素有助于和阻碍其最初的康复过程以及他们提出的改革建议。在本文中，我们描述了一个模型，该模型演示了消费者的投入对于塑造全面的康复过程至关重要。该模型基于总体价值陈述，这些价值陈述表达了所有个人的价值，残障生活经验的价值以及康复过程的责任，以实现客户的自主权。阐述了四个“行动中的价值观”：关怀和尊重个人及其人格;运用残障生活经验;促进自主权;促进希望。这些价值观最初是在另一篇基于特定子集的论文中描述的在15名患有SCI的妇女中，他们与康复期间的身体问题相关，本文基于这项有价值的工作，我们在80名参与者（患有SCI的男性和女性）的较大研究组的基础上，为渐进式康复文化和模型开发了关键实践。这种以价值为基础的模型与传统的以身体改善为重点的康复相结合，有可能通过为客户提供更好的支持，从而帮助他们经历复杂的重建生活过程并向其过渡，从而创建一个更有效的过程。社区。

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