Experiences of peer counselling during inpatient rehabilitation of patients with spinal cord injuries

Spinal Cord Ser Cases. 2019 Jan 15:5:1. doi: 10.1038/s41394-018-0144-x. eCollection 2019.

Abstract

Study design: Qualitative study.

Objectives: The aim of this study was to evaluate peer counselling during inpatient rehabilitation of patients with spinal cord injuries (SCI). This article describes the experience with peer counselling from the perspective of patients with SCI as well as from the perspective of the peer counsellors.

Setting: Inpatient rehabilitation of SCI in the Swiss Paraplegic Centre.

Methods: Six interviews with patients and one focus group interview with professional peer counsellors have been evaluated using qualitative content analysis.

Results: Patients experienced the peer counselling sessions as solution-oriented, practical, motivating and especially appreciated the authentic, open demeanor of the peer counsellors. Conversations about recreational activities, hobbies and interests supported the development of interpersonal relationships. Peer counsellors experienced the initial visits with patients with high level quadriplegia as a special challenge. The regular presence of all peer counsellors in the hospital facilitated an easier exchange with the patients.

Conclusion: Patients feel empowered by peer counselling. Special attention should be placed on the timing of the initial visit. Unplanned meetings between patient and peers seem to be essential and highly valued. Peer counsellors are confronted with stressful situations in their work, therefore the need for support and training of peer counsellors should be further investigated.

MeSH terms

  • Adult
  • Aged
  • Counseling*
  • Female
  • Focus Groups
  • Humans
  • Inpatients
  • Male
  • Middle Aged
  • Motivation
  • Paraplegia / rehabilitation
  • Patient Participation
  • Peer Group*
  • Quadriplegia / rehabilitation
  • Qualitative Research
  • Rehabilitation Centers
  • Spinal Cord Injuries / rehabilitation*