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The dual faces of service user participation: Implications for empowerment processes in interprofessional practice
Jönköping University, School of Health Sciences.
Jönköping University, School of Health Sciences.
Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0002-1443-5895
2012 (English)In: Journal of Social Work, ISSN 1468-0173, E-ISSN 1741-296X, Vol. 13, no 3, 287-307 p.Article in journal (Refereed) Published
Abstract [en]

Summary: This article reports on an empirical research study exploring and describingvariations in how front-line practitioners perceive service user participation (SUP),specifically in interprofessional practice. The settings comprised three Swedish healthand social care organizations where the professionals worked in interprofessionalteams: a program for chronic pain rehabilitation, a program for surgical treatment ofobesity, and a short-term municipal home for older adults. The qualitative study designwas informed by a phenomenographic approach and conducted as semi-structuredindividual interviews with 15 professionals representing nine professions, includingsocial work.

Findings: The main findings show seven qualitative variations in understanding of SUP:1) inclusion in activities and social events, 2) obtaining guidance, 3) having self-determination and choice, 4) getting confirmation from and contact with professionals, 5)negotiating for adjustment, 6) personal responsibility through insight, and 7) circumstance surrounding SUP.

Applications: The interprofessional dimensions discerned in the meaning attributed toSUP are mainly described in terms of amplified opportunities for participation.An interesting aspect of the findings is that in all the variations of perceptions of SUP,there are potentials to reverse to their opposites, that is, paradoxes that can be termed‘the dual faces of service user participation’. These aspects stress the need for continuing reflection on practices among both front-line practitioners and managers in empowering and paternalistic processes and on constantly improving organizational andpolicy conditions to facilitate SUP

Place, publisher, year, edition, pages
Sage Publications, 2012. Vol. 13, no 3, 287-307 p.
Keyword [en]
consumer participation, empowerment, interdisciplinary, interprofessional, service user participation
National Category
Social Sciences
URN: urn:nbn:se:liu:diva-82088DOI: 10.1177/1468017311433234OAI: diva2:557751
Available from: 2012-09-28 Created: 2012-09-28 Last updated: 2015-01-19

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