Methodologic support in habilitation and rehabilitation: communicative action between practice and science.
This study evaluated the early phase of development of a model for quality improvement of habilitation and rehabilitation project processes. The focus of the methodologic support in habilitation and rehabilitation model was on cooperation between practice contexts and science. Habermas' theory about communicative action was a theoretical frame of reference. Three project coordinators and ten project leaders were interviewed. The results revealed different attitudes towards methodologic support activities, demonstrating the importance of acknowledging cognitive and social functions, the process of legitimization, different approaches of practice versus science, and problems regarding information and communication. The model was shown to be important in bridging the gap between practice and science. To support reflective and emancipatory cognitive learning, more efforts to foster communicative action are called for, and more attention must be paid to the importance different missions and organizational structures have for the development of the dialog between practitioners and researchers.
Iwarsson
S
S
Department of Clinical Neuroscience, Division of Occupational Therapy, Box 157, S-221 00 Lund, Sweden.
Jernryd
E
E
Rutström
C
C
Boqvist
A
A
D000488:Allied Health Personnel; D003299:Cooperative Behavior; D019317:Evidence-Based Medicine; D006126:Group Processes; D006302:Health Services Research; D006801:Humans; D007407:Interviews as Topic; D007857:Leadership; D017146:Models, Organizational; D010348:Patient Care Team; D017064:Process Assessment, Health Care; D020127:Recovery of Function; D012046:Rehabilitation / Q000379:methods* / Q000592:standards; D013192:Staff Development; D013548:Sweden; D017749:Total Quality Management / Q000379:methods*