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  • Exploring self-management within hospital-based stroke care: current and future opportunities

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    Embargoed until: 2021-10-14
    Author(s)
    Greenway, Amelia
    Gustafsson, Louise
    Bower, Kylie
    Walder, Kim
    Griffith University Author(s)
    Gustafsson, Louise
    Walder, Kim A.
    Bower, Kylie
    Year published
    2020
    Metadata
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    Abstract
    Purpose: This study explored stroke self-management within a tertiary hospital setting from the perspectives of health professionals working across the continuum of stroke care. Materials and methods: A qualitative descriptive design guided five focus groups in the acute stroke service (n = 2), inpatient rehabilitation (n = 2), and outpatient day hospital service (n = 1). Focus groups were transcribed verbatim and analysed using thematic analysis. Results: Twenty-eight health professionals participated representing medical, nursing, and allied health services. Two themes emerged from the data: Pieces of the puzzle illustrates ...
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    Purpose: This study explored stroke self-management within a tertiary hospital setting from the perspectives of health professionals working across the continuum of stroke care. Materials and methods: A qualitative descriptive design guided five focus groups in the acute stroke service (n = 2), inpatient rehabilitation (n = 2), and outpatient day hospital service (n = 1). Focus groups were transcribed verbatim and analysed using thematic analysis. Results: Twenty-eight health professionals participated representing medical, nursing, and allied health services. Two themes emerged from the data: Pieces of the puzzle illustrates the inconsistent understanding about self-management with elements of the puzzle described but rarely within the full concept of self-management; Readiness for self-management highlighted that although self-management should commence in the acute setting, there were many factors influencing why this was not always happening. Conclusions: A consistent conceptualisation and approach to stroke self-management in the hospital setting is required. Interprofessional education and shared intentional language can enhance understanding and practice.IMPLICATIONS FOR REHABILITATION Understanding and application of stroke self-management varies among members of hospital-based stroke teams. Health professionals working in hospital-based stroke care should use the term self-management with their patients. Education of healthcare teams is necessary to develop knowledge about self-management and develop consistent practices across the continuum of care.
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    Journal Title
    Disability and Rehabilitation
    DOI
    https://doi.org/10.1080/09638288.2020.1833092
    Copyright Statement
    This is an Author's Accepted Manuscript of an article published in Disability and Rehabilitation, 14 Oct 2020, copyright Taylor & Francis, available online at: https://doi.org/10.1080/09638288.2020.1833092
    Note
    This publication has been entered as an advanced online version in Griffith Research Online.
    Subject
    Clinical Sciences
    Medical and Health Sciences
    Science & Technology
    Life Sciences & Biomedicine
    Rehabilitation
    Multidisciplinary team
    acute setting
    Publication URI
    http://hdl.handle.net/10072/402227
    Collection
    • Journal articles

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