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IMPLEMENTATION OF EVIDENCE-BASED INTERVENTIONS ACCORDING TO THE SWEDISH NATIONAL GUIDELINES FOR STROKECARE : A NATIONWIDE SURVEY AMONG PHYSIOTHERAPISTS

Brycke, Sara LU ; Bråndal, Anna and Brogårdh, Christina LU (2024) In Journal of Rehabilitation Medicine 56.
Abstract

Objective: To investigate (i) to what extent physiotherapists (PTs) working in stroke rehabilitation in various parts of the stroke care chain have implemented interventions according to the national guidelines for stroke (NGS), (ii) facilita-ting and hindering factors for the implementation, and (iii) differences between various care settings. Design: A cross-sectional study. Subjects: 148 PTs working in stroke rehabilitation in various parts of the care chain in Sweden. Methods: Data were collected by a web-based survey. Results: Task-specific training for walking (80–98%), impaired motor function (64–100%) and fall prevention (73–92%) were most implemented. Factors that facilitated implementation were: important to comply with the... (More)

Objective: To investigate (i) to what extent physiotherapists (PTs) working in stroke rehabilitation in various parts of the stroke care chain have implemented interventions according to the national guidelines for stroke (NGS), (ii) facilita-ting and hindering factors for the implementation, and (iii) differences between various care settings. Design: A cross-sectional study. Subjects: 148 PTs working in stroke rehabilitation in various parts of the care chain in Sweden. Methods: Data were collected by a web-based survey. Results: Task-specific training for walking (80–98%), impaired motor function (64–100%) and fall prevention (73–92%) were most implemented. Factors that facilitated implementation were: important to comply with the NGS, that PTs had confidence to per-form the interventions, and that interventions were clearly described. Limited time, lack of resources, no clear goals or routines at the workplace hindered the implementation. Significant differences (p < 0.05) between the settings existed. Municipal and primary care reported most challenges in implementing the NGS and providing evidence-based interventions. Conclusion: Most interventions, with high priority according to NGS, are provided by PTs working in stroke rehabilitation, although differences in various parts of the care chain exist. Knowledge, time, education and supportive management are important factors when implementing evidence-based interventions.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
implementation, national guidelines, physiotherapy, rehabilitation, stroke
in
Journal of Rehabilitation Medicine
volume
56
article number
jrm18444
publisher
Taylor & Francis
external identifiers
  • pmid:38501731
  • scopus:85188554380
ISSN
1650-1977
DOI
10.2340/jrm.v56.18444
language
English
LU publication?
yes
id
27154d5f-0284-4c4d-8c36-3d7a754305b9
date added to LUP
2024-04-11 14:10:43
date last changed
2024-04-25 17:07:43
@article{27154d5f-0284-4c4d-8c36-3d7a754305b9,
  abstract     = {{<p>Objective: To investigate (i) to what extent physiotherapists (PTs) working in stroke rehabilitation in various parts of the stroke care chain have implemented interventions according to the national guidelines for stroke (NGS), (ii) facilita-ting and hindering factors for the implementation, and (iii) differences between various care settings. Design: A cross-sectional study. Subjects: 148 PTs working in stroke rehabilitation in various parts of the care chain in Sweden. Methods: Data were collected by a web-based survey. Results: Task-specific training for walking (80–98%), impaired motor function (64–100%) and fall prevention (73–92%) were most implemented. Factors that facilitated implementation were: important to comply with the NGS, that PTs had confidence to per-form the interventions, and that interventions were clearly described. Limited time, lack of resources, no clear goals or routines at the workplace hindered the implementation. Significant differences (p &lt; 0.05) between the settings existed. Municipal and primary care reported most challenges in implementing the NGS and providing evidence-based interventions. Conclusion: Most interventions, with high priority according to NGS, are provided by PTs working in stroke rehabilitation, although differences in various parts of the care chain exist. Knowledge, time, education and supportive management are important factors when implementing evidence-based interventions.</p>}},
  author       = {{Brycke, Sara and Bråndal, Anna and Brogårdh, Christina}},
  issn         = {{1650-1977}},
  keywords     = {{implementation; national guidelines; physiotherapy; rehabilitation; stroke}},
  language     = {{eng}},
  publisher    = {{Taylor & Francis}},
  series       = {{Journal of Rehabilitation Medicine}},
  title        = {{IMPLEMENTATION OF EVIDENCE-BASED INTERVENTIONS ACCORDING TO THE SWEDISH NATIONAL GUIDELINES FOR STROKECARE : A NATIONWIDE SURVEY AMONG PHYSIOTHERAPISTS}},
  url          = {{http://dx.doi.org/10.2340/jrm.v56.18444}},
  doi          = {{10.2340/jrm.v56.18444}},
  volume       = {{56}},
  year         = {{2024}},
}