Olle Höök Lectureship 2019: The changing world of stroke rehabilitation

Sunnerhagen, Katharina S.

doi:10.2340/16501977-2670

Cited by 1 publication

(1 citation statement)

References 37 publications

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“…Stroke continues to be a major cause of disability [ 2 , 3 ] with most people after stroke discharged from hospital to the home environment [ 4 ]. Despite the evidence for stroke rehabilitation [ 5 , 6 ], rehabilitation service delivery may be variable in relation to quality and distribution [ 7 ] and can be fragmented with gaps in care [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

A qualitative evidence synthesis exploring people after stroke, family members, carers and healthcare professionals’ experiences of early supported discharge (ESD) after stroke

Connor

Horgan²,

Galvin³

et al. 2023

PLoS ONE

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Objective Early supported discharge (ESD) after stroke has been shown to generate significant cost savings and reduce both hospital length of stay, and long-term dependency. This study aimed to systematically review and synthesise qualitative studies of the experiences and views of ESD from the perspective of people after stroke, their family members, carers and healthcare professionals. Method A systematic search of eleven databases; CINAHL, PubMed Central, Embase, MEDLINE, PsycINFO, Sage, Academic Search Complete, Directory of Open Access Journal, The Cochrane Library, PsycARTICLES and SCOPUS, was conducted from 1995 to January 2022. Qualitative or mixed methods studies that included qualitative findings on the perspectives or experiences of people after stroke, family members, carers and healthcare professionals of an ESD service were included. The protocol was registered with the Prospero database (Registration: CRD42020135197). The methodological quality of studies was assessed using the 10-item CASP checklist for qualitative studies. Results were synthesised using Thomas and Harden’s three step approach for thematic synthesis. Results Fourteen studies were included and five key themes were identified (1) ESD eases the transition home, but not to community services, (2) the home environment enhances rehabilitation, (3) organisational, and interprofessional factors are critical to the success of ESD, (4) ESD is experienced as a goal-focused and collaborative process, and (5) unmet needs persisted despite ESD. Conclusion The findings of this qualitative evidence synthesis highlight that experiences of ESD were largely very positive. The transition from ESD to community services was deemed to be problematic and other unmet needs such as information needs, and carer support require further investigation.

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