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Challenges in building interpersonal care in organized hospital stroke units: The perspectives of stroke survivors, family caregivers and the multidisciplinary team.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Oct2017, Vol. 73 Issue 10, p2351-2360, 10p
- Publication Year :
- 2017
-
Abstract
- Aims To explore the organized stroke unit experience from the multiple perspectives of stroke survivor, family carer and the multi-disciplinary team. Background Organized stroke unit care reduces morbidity, mortality and institutionalization and is promoted globally as the most effective form of acute and postacute provision. Little research has focused on how care is experienced in this setting from the perspectives of those who receive and provide care. Design This study used a qualitative approach, employing Framework Analysis. This methodology allows for a flexible approach to data collection and a comprehensive and systematic method of analysis. Method Semi-structured interviews were undertaken during 2011 and 2012 with former stroke unit stroke survivors, family carers and senior stroke physicians. In addition, eight focus groups were conducted with members of the multi-disciplinary team. Results One hundred and twenty-five participants were recruited. Three key themes were identified across all data sets. First, two important processes are described: responses to the impact of stroke and seeking information and stroke-specific knowledge. These are underpinned by a third theme: the challenge in building relationships in organized stroke unit care. Conclusions Stroke unit care provides satisfaction for stroke survivors, particularly in relation to highly specialized medical and nursing care and therapy. It is proposed that moves towards organized stroke unit care, particularly with the emphasis on reduction of length of stay and a focus on hyper-acute models, have implications for interpersonal care practices and the sharing of stroke-specific knowledge. [ABSTRACT FROM AUTHOR]
- Subjects :
- STROKE treatment
ACADEMIC medical centers
ATTITUDE (Psychology)
COMMUNICATION
FAMILIES
FOCUS groups
HEALTH
HEALTH care teams
LENGTH of stay in hospitals
HOSPITALS
HOSPITAL admission & discharge
INTERPERSONAL relations
INTERVIEWING
RESEARCH methodology
MEDICAL personnel
PATIENT-professional relations
PATIENT satisfaction
PHYSICIANS
PUBLIC hospitals
RESEARCH
RESEARCH funding
INFORMATION resources
QUALITATIVE research
PROFESSIONAL practice
SOCIAL support
INFORMATION-seeking behavior
THEMATIC analysis
PATIENT-centered care
PATIENTS' families
PATIENTS' attitudes
STROKE rehabilitation
STROKE patients
FAMILY attitudes
STROKE units
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 73
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 125109984
- Full Text :
- https://doi.org/10.1111/jan.13313