Show simple item record

dc.contributor.authorRosbergen, ICM
dc.contributor.authorBrauer, SG
dc.contributor.authorFitzhenry, S
dc.contributor.authorGrimley, RS
dc.contributor.authorHayward, KS
dc.date.accessioned2020-03-18T04:37:43Z
dc.date.available2020-03-18T04:37:43Z
dc.date.issued2017
dc.identifier.issn2044-6055
dc.identifier.doi10.1136/bmjopen-2017-018226
dc.identifier.urihttp://hdl.handle.net/10072/392427
dc.description.abstractObjective An enriched environment embedded in an acute stroke unit can increase activity levels of patients who had stroke, with changes sustained 6 months post-implementation. The objective of this study was to understand perceptions and experiences of nursing and allied health professionals involved in implementing an enriched environment in an acute stroke unit. Design A descriptive qualitative approach. Setting An acute stroke unit in a regional Australian hospital. Participants We purposively recruited three allied health and seven nursing professionals involved in the delivery of the enriched environment. Face-to-face, semistructured interviews were conducted 8 weeks post-completion of the enriched environment study. One independent researcher completed all interviews. Voice-recorded interviews were transcribed verbatim and analysed by three researchers using a thematic approach to identify main themes. Results Three themes were identified. First, staff perceived that the road to recovery had started' for patients. An enriched environment was described to shift the focus to recovery in the acute setting, which was experienced through increased patient activity, greater psychological well-being and empowering patients and families. Second, 'it takes a team' to successfully create an enriched environment. Integral to building the team were positive interdisciplinary team dynamics and education. The impact of the enriched environment on workload was diversely experienced by staff. Third, 'keeping it going' was perceived to be challenging. Staff reflected that changing work routines was difficult. Contextual factors such as a supportive physical environment and variety in individual enrichment opportunities were indicated to enhance implementation. Key to sustaining change was consistency in staff and use of change management strategies. Conclusion Investigating staff perceptions and experiences of an enrichment model in an acute stroke unit highlighted the need for effective teamwork. To facilitate staff in their new work practice, careful selection of change management strategies are critical to support clinical translation of an enriched environment. Trial registration number ANZCTN12614000679684; Results.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherBMJ
dc.relation.ispartofpagefrome018226:1
dc.relation.ispartofpagetoe018226:11
dc.relation.ispartofissue12
dc.relation.ispartofjournalBMJ Open
dc.relation.ispartofvolume7
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchOther Medical and Health Sciences
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1199
dc.subject.keywordsenriched environment
dc.subject.keywordsenvironment design
dc.subject.keywordsqualitative research
dc.subject.keywordsstroke rehabilitation
dc.titleQualitative investigation of the perceptions and experiences of nursing and allied health professionals involved in the implementation of an enriched environment in an Australian acute stroke unit
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationRosbergen, ICM; Brauer, SG; Fitzhenry, S; Grimley, RS; Hayward, KS, Qualitative investigation of the perceptions and experiences of nursing and allied health professionals involved in the implementation of an enriched environment in an Australian acute stroke unit, BMJ Open, 2017, 7 (12), pp. e018226:1-e018226:11
dcterms.licensehttps://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated2020-03-18T04:35:17Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
gro.hasfulltextFull Text
gro.griffith.authorGrimley, Rohan


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record