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Need for structured healthcare organization and support for return to work after stroke in Sweden : Experiences of stroke survivors

Gard, Gunvor LU ; Pessah-Rasmussen, Hélène LU ; Brogårdh, Christina LU ; Nilsson, Åsa LU and Lindgren, Ingrid LU (2019) In Journal of Rehabilitation Medicine 51(10). p.741-748
Abstract

OBJECTIVE: To explore stroke survivors' experiences of healthcare-related facilitators and barriers concerning return to work after stroke. DESIGN: A qualitative study. SETTING: Outpatient stroke rehabilitation unit at a University Hospital in southern Sweden. PARTICIPANTS: A convenient sample of 20 persons admitted to Skåne University Hospital for acute stroke care (median age 52 years), in employment of at least 10 h per week at stroke onset and having been referred to stroke rehabilitation within 180 days. METHODS: The interviews were performed by focus groups, and the data were analysed by content analysis. RESULTS: Facilitating factors were a tailored rehabilitation content with relevant treatments, adequate timing and a structured... (More)

OBJECTIVE: To explore stroke survivors' experiences of healthcare-related facilitators and barriers concerning return to work after stroke. DESIGN: A qualitative study. SETTING: Outpatient stroke rehabilitation unit at a University Hospital in southern Sweden. PARTICIPANTS: A convenient sample of 20 persons admitted to Skåne University Hospital for acute stroke care (median age 52 years), in employment of at least 10 h per week at stroke onset and having been referred to stroke rehabilitation within 180 days. METHODS: The interviews were performed by focus groups, and the data were analysed by content analysis. RESULTS: Facilitating factors were a tailored rehabilitation content with relevant treatments, adequate timing and a structured stepwise return-to-work process. A lack of sufficient early healthcare information, rehabilitation planning and coordination were perceived as barriers. An early rehabilitation plan, a contact person, and improved communication between rehabilitation actors were requested, as well as help with work transport, home care, children and psychosocial support for families. CONCLUSION: Tailored rehabilitation content and a structured stepwise return-to-work process facilitated return to work. Insufficient structure within the healthcare system and lack of support in daily life were perceived barriers to return to work, and need to be improved. These aspects should be considered in the return-to-work process after stroke.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
healthcare, qualitative research, return to work, stroke
in
Journal of Rehabilitation Medicine
volume
51
issue
10
pages
8 pages
publisher
Taylor & Francis
external identifiers
  • pmid:31468058
  • scopus:85074242523
ISSN
1651-2081
DOI
10.2340/16501977-2591
language
English
LU publication?
yes
id
265fe162-0b6f-457b-8afb-de57e3c53be1
date added to LUP
2019-11-15 13:58:06
date last changed
2024-05-16 00:30:44
@article{265fe162-0b6f-457b-8afb-de57e3c53be1,
  abstract     = {{<p>OBJECTIVE: To explore stroke survivors' experiences of healthcare-related facilitators and barriers concerning return to work after stroke. DESIGN: A qualitative study. SETTING: Outpatient stroke rehabilitation unit at a University Hospital in southern Sweden. PARTICIPANTS: A convenient sample of 20 persons admitted to Skåne University Hospital for acute stroke care (median age 52 years), in employment of at least 10 h per week at stroke onset and having been referred to stroke rehabilitation within 180 days. METHODS: The interviews were performed by focus groups, and the data were analysed by content analysis. RESULTS: Facilitating factors were a tailored rehabilitation content with relevant treatments, adequate timing and a structured stepwise return-to-work process. A lack of sufficient early healthcare information, rehabilitation planning and coordination were perceived as barriers. An early rehabilitation plan, a contact person, and improved communication between rehabilitation actors were requested, as well as help with work transport, home care, children and psychosocial support for families. CONCLUSION: Tailored rehabilitation content and a structured stepwise return-to-work process facilitated return to work. Insufficient structure within the healthcare system and lack of support in daily life were perceived barriers to return to work, and need to be improved. These aspects should be considered in the return-to-work process after stroke.</p>}},
  author       = {{Gard, Gunvor and Pessah-Rasmussen, Hélène and Brogårdh, Christina and Nilsson, Åsa and Lindgren, Ingrid}},
  issn         = {{1651-2081}},
  keywords     = {{healthcare; qualitative research; return to work; stroke}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{741--748}},
  publisher    = {{Taylor & Francis}},
  series       = {{Journal of Rehabilitation Medicine}},
  title        = {{Need for structured healthcare organization and support for return to work after stroke in Sweden : Experiences of stroke survivors}},
  url          = {{http://dx.doi.org/10.2340/16501977-2591}},
  doi          = {{10.2340/16501977-2591}},
  volume       = {{51}},
  year         = {{2019}},
}