2017
DOI: 10.1186/s13012-017-0599-3
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Abstract: BackgroundAdoption of contemporary evidence-based guidelines for acute stroke management is often delayed due to a range of key enablers and barriers. Recent reviews on such barriers focus mainly on specific acute stroke therapies or generalised stroke care guidelines. This review examined the overall barriers and enablers, as perceived by health professionals which affect how evidence-based practice guidelines (stroke unit care, thrombolysis administration, aspirin usage and decompressive surgery) for acute s… Show more

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Cited by 79 publications
(113 citation statements)
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References 72 publications
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“…Inadequate staffing was identified as the leading barrier in providing stroke‐rehabilitation nursing, which was similar to the results reported in previous studies (Baatiema et al, ; Gache et al, ; Loft et al, ; Seneviratne et al, ). Contrary to the findings of previous studies (Baatiema et al, ; Plant et al, ), nurses possessing knowledge and skills related to rehabilitation nursing stated that they could not practice appropriate rehabilitation nursing because of limited nursing time. Moreover, lack of policy support was identified as a significant barrier from the participants' perspective, which was not addressed in previous studies, and could be related to different cultural backgrounds.…”
Section: Discussionsupporting
confidence: 89%
See 1 more Smart Citation
“…Inadequate staffing was identified as the leading barrier in providing stroke‐rehabilitation nursing, which was similar to the results reported in previous studies (Baatiema et al, ; Gache et al, ; Loft et al, ; Seneviratne et al, ). Contrary to the findings of previous studies (Baatiema et al, ; Plant et al, ), nurses possessing knowledge and skills related to rehabilitation nursing stated that they could not practice appropriate rehabilitation nursing because of limited nursing time. Moreover, lack of policy support was identified as a significant barrier from the participants' perspective, which was not addressed in previous studies, and could be related to different cultural backgrounds.…”
Section: Discussionsupporting
confidence: 89%
“…Other rehabilitation professionals and patients might also not appreciate nurses' contribution to stroke rehabilitation (Digby, Bolster, Perta, & Bucknall, 2018;Kirkevold, 2010;Loft et al, 2017;Nolan & Nolan, 2014). Furthermore, some qualitative studies have explored barriers hindering nurses' engagement in stroke-rehabilitation care, including nurses' attitudes and beliefs (Loft et al, 2017); lack of time, inadequate nursing staff, or work overload (Baatiema et al, 2017;Gache et al, 2014;Loft et al, 2017;Seneviratne, Mather, & Then, 2009); lack of rehabilitation knowledge and skills (Baatiema et al, 2017;Plant, Tyson, Kirk, & Parsons, 2016); and limited understanding of rehabilitation nursing care and lack of cooperation from other healthcare professionals (Digby et al, 2018), the overcoming of which might help develop effective strategies for integrating nursing practice with stroke-rehabilitation care.…”
mentioning
confidence: 99%
“…Other stroke rehabilitation researchers have suggested barriers to implementing guidelines in clinical practice. Consistent with the work of Bayley et al () the therapists involved in our study also discussed difficulties selecting interventions; and like most previous rehabilitation researchers, we also identified the barrier of insufficient resources to deliver recommended interventions (Baatiema et al , ; Bayley et al , ; McCluskey et al , ; Scurlock‐Evans et al , ). Unique findings of our study were the acknowledgement that there is a lack of accountability (no monitoring of therapist decision‐making) which prevented therapists implementing the guideline interventions, and difficulty choosing between two interventions (clinical decision making).…”
Section: Discussionsupporting
confidence: 86%
“…Recommendations by participants on the need for adequate human workforce to support stroke care are consistent with similar recommendations in the past . These are issues which have also been noted in previous studies conducted in HICs, suggesting the global dimension of the problem.…”
Section: Discussionsupporting
confidence: 80%