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Experiences of chain of care and rehabilitation after stroke : a qualitative study of persons discharged to skilled nursing facilities before returning home

Fors, Sofie LU ; Bråndal, Anna ; Pessah-Rasmussen, Hélène LU and Lindgren, Ingrid LU orcid (2024) In Journal of Rehabilitation Medicine 56.
Abstract

OBJECTIVE: To explore how people with stroke, discharged to skilled nursing facilities before returning home, experience the chain of care and rehabilitation.

DESIGN: Qualitative, semi-structured interview design.

METHODS: Thirteen stroke survivors discharged from a stroke unit to a skilled nursing facility before returning to independent living participated. Semi-structured telephone interviews were conducted 2-5 months after stroke and analysed with content analysis.

RESULTS: The analysis resulted in three categories, Organizational processes, critical and complex, Rehabilitation, the right support at the right time and Adaptation to the changed situation, with a total of 9 subcategories. The informants perceived low... (More)

OBJECTIVE: To explore how people with stroke, discharged to skilled nursing facilities before returning home, experience the chain of care and rehabilitation.

DESIGN: Qualitative, semi-structured interview design.

METHODS: Thirteen stroke survivors discharged from a stroke unit to a skilled nursing facility before returning to independent living participated. Semi-structured telephone interviews were conducted 2-5 months after stroke and analysed with content analysis.

RESULTS: The analysis resulted in three categories, Organizational processes, critical and complex, Rehabilitation, the right support at the right time and Adaptation to the changed situation, with a total of 9 subcategories. The informants perceived low participation in planning and goalsetting and limited information. Support from the healthcare services was important to proceed with improvements although the amount of supported training varied. Factors hindering and facilitating managing everyday life were described, as well as lingering uncertainty of what the future would be like.

CONCLUSION: Support and rehabilitation as well as individuals' needs varied, throughout the chain of care. To enable participation in the rehabilitation, assistance in setting goals and repeated information is warranted. Tailored care and rehabilitation throughout the chain of care should be provided, followed up at home, and coordinated for smooth transitions between organizations.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Humans, Stroke Rehabilitation/methods, Skilled Nursing Facilities, Female, Male, Patient Discharge, Aged, Middle Aged, Qualitative Research, Aged, 80 and over, Stroke, Continuity of Patient Care
in
Journal of Rehabilitation Medicine
volume
56
article number
jrm35240
pages
8 pages
publisher
Taylor & Francis
external identifiers
  • pmid:38899476
ISSN
1651-2081
DOI
10.2340/jrm.v56.35240
language
English
LU publication?
yes
id
175e9ca6-3b1c-40e0-a465-d310f488a412
date added to LUP
2024-09-25 16:14:29
date last changed
2024-09-25 16:44:02
@article{175e9ca6-3b1c-40e0-a465-d310f488a412,
  abstract     = {{<p>OBJECTIVE: To explore how people with stroke, discharged to skilled nursing facilities before returning home, experience the chain of care and rehabilitation.</p><p>DESIGN: Qualitative, semi-structured interview design.</p><p>METHODS: Thirteen stroke survivors discharged from a stroke unit to a skilled nursing facility before returning to independent living participated. Semi-structured telephone interviews were conducted 2-5 months after stroke and analysed with content analysis.</p><p>RESULTS: The analysis resulted in three categories, Organizational processes, critical and complex, Rehabilitation, the right support at the right time and Adaptation to the changed situation, with a total of 9 subcategories. The informants perceived low participation in planning and goalsetting and limited information. Support from the healthcare services was important to proceed with improvements although the amount of supported training varied. Factors hindering and facilitating managing everyday life were described, as well as lingering uncertainty of what the future would be like.</p><p>CONCLUSION: Support and rehabilitation as well as individuals' needs varied, throughout the chain of care. To enable participation in the rehabilitation, assistance in setting goals and repeated information is warranted. Tailored care and rehabilitation throughout the chain of care should be provided, followed up at home, and coordinated for smooth transitions between organizations.</p>}},
  author       = {{Fors, Sofie and Bråndal, Anna and Pessah-Rasmussen, Hélène and Lindgren, Ingrid}},
  issn         = {{1651-2081}},
  keywords     = {{Humans; Stroke Rehabilitation/methods; Skilled Nursing Facilities; Female; Male; Patient Discharge; Aged; Middle Aged; Qualitative Research; Aged, 80 and over; Stroke; Continuity of Patient Care}},
  language     = {{eng}},
  month        = {{06}},
  publisher    = {{Taylor & Francis}},
  series       = {{Journal of Rehabilitation Medicine}},
  title        = {{Experiences of chain of care and rehabilitation after stroke : a qualitative study of persons discharged to skilled nursing facilities before returning home}},
  url          = {{http://dx.doi.org/10.2340/jrm.v56.35240}},
  doi          = {{10.2340/jrm.v56.35240}},
  volume       = {{56}},
  year         = {{2024}},
}