Barriers to optimal stroke service care and solutions: a qualitative study engaging people with stroke and their whānau. Harwood, M. L. N., Ranta, A., Thompson, S. G., Ranta, S. M., Brewer, K., Gommans, J. H., Davis, A., Barber, P. A., Corbin, M., Fink, J. N., McNaughton, H. K., Abernethy, G., Girvan, J., Feigin, V., Wilson, A., Cadilhac, D., Denison, H., Kim, J., Levack, W., & Douwes, J. The New Zealand Medical Journal, 135(1556):81–93, June, 2022. abstract bibtex AIM: The aim of this study was to explore the perspectives of people with stroke and their whānau on barriers to accessing best practice care across Aotearoa, and to brainstorm potential solutions. METHOD: We conducted ten focus groups nationwide and completed a thematic analysis. RESULTS: Analysis of the data collected from the focus groups identified five themes: (1) inconsistencies in stroke care; (2) importance of effective communication; (3) the role of whānau support; (4) the need for more person rather than stroke centred processes; and (5) experienced inequities. Participants also identified potential solutions. CONCLUSION: Key recommendations include the need for improved access to stroke unit care for rural residents, improved post-discharge support and care coordination involving the whānau, improved communication across the patient journey, and a concerted effort to improve culturally safe care. Next step is to implement and monitor these recommendations.
@article{harwood_barriers_2022,
title = {Barriers to optimal stroke service care and solutions: a qualitative study engaging people with stroke and their whānau},
volume = {135},
issn = {1175-8716},
shorttitle = {Barriers to optimal stroke service care and solutions},
abstract = {AIM: The aim of this study was to explore the perspectives of people with stroke and their whānau on barriers to accessing best practice care across Aotearoa, and to brainstorm potential solutions.
METHOD: We conducted ten focus groups nationwide and completed a thematic analysis.
RESULTS: Analysis of the data collected from the focus groups identified five themes: (1) inconsistencies in stroke care; (2) importance of effective communication; (3) the role of whānau support; (4) the need for more person rather than stroke centred processes; and (5) experienced inequities. Participants also identified potential solutions.
CONCLUSION: Key recommendations include the need for improved access to stroke unit care for rural residents, improved post-discharge support and care coordination involving the whānau, improved communication across the patient journey, and a concerted effort to improve culturally safe care. Next step is to implement and monitor these recommendations.},
language = {eng},
number = {1556},
journal = {The New Zealand Medical Journal},
author = {Harwood, Matire L. N. and Ranta, Anna and Thompson, Stephanie G. and Ranta, Syrah M. and Brewer, Karen and Gommans, John H. and Davis, Alan and Barber, P. Alan and Corbin, Marine and Fink, John N. and McNaughton, Harry K. and Abernethy, Ginny and Girvan, Jackie and Feigin, Valery and Wilson, Andrew and Cadilhac, Dominique and Denison, Hayley and Kim, Joosup and Levack, William and Douwes, Jeroen},
month = jun,
year = {2022},
pmid = {35728251},
keywords = {Aftercare, Humans, New Zealand, Patient Discharge, Qualitative Research, Stroke},
pages = {81--93},
}
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K.","Abernethy, G.","Girvan, J.","Feigin, V.","Wilson, A.","Cadilhac, D.","Denison, H.","Kim, J.","Levack, W.","Douwes, J."],"bibdata":{"bibtype":"article","type":"article","title":"Barriers to optimal stroke service care and solutions: a qualitative study engaging people with stroke and their whānau","volume":"135","issn":"1175-8716","shorttitle":"Barriers to optimal stroke service care and solutions","abstract":"AIM: The aim of this study was to explore the perspectives of people with stroke and their whānau on barriers to accessing best practice care across Aotearoa, and to brainstorm potential solutions. METHOD: We conducted ten focus groups nationwide and completed a thematic analysis. RESULTS: Analysis of the data collected from the focus groups identified five themes: (1) inconsistencies in stroke care; (2) importance of effective communication; (3) the role of whānau support; (4) the need for more person rather than stroke centred processes; and (5) experienced inequities. Participants also identified potential solutions. CONCLUSION: Key recommendations include the need for improved access to stroke unit care for rural residents, improved post-discharge support and care coordination involving the whānau, improved communication across the patient journey, and a concerted effort to improve culturally safe care. Next step is to implement and monitor these recommendations.","language":"eng","number":"1556","journal":"The New Zealand Medical Journal","author":[{"propositions":[],"lastnames":["Harwood"],"firstnames":["Matire","L.","N."],"suffixes":[]},{"propositions":[],"lastnames":["Ranta"],"firstnames":["Anna"],"suffixes":[]},{"propositions":[],"lastnames":["Thompson"],"firstnames":["Stephanie","G."],"suffixes":[]},{"propositions":[],"lastnames":["Ranta"],"firstnames":["Syrah","M."],"suffixes":[]},{"propositions":[],"lastnames":["Brewer"],"firstnames":["Karen"],"suffixes":[]},{"propositions":[],"lastnames":["Gommans"],"firstnames":["John","H."],"suffixes":[]},{"propositions":[],"lastnames":["Davis"],"firstnames":["Alan"],"suffixes":[]},{"propositions":[],"lastnames":["Barber"],"firstnames":["P.","Alan"],"suffixes":[]},{"propositions":[],"lastnames":["Corbin"],"firstnames":["Marine"],"suffixes":[]},{"propositions":[],"lastnames":["Fink"],"firstnames":["John","N."],"suffixes":[]},{"propositions":[],"lastnames":["McNaughton"],"firstnames":["Harry","K."],"suffixes":[]},{"propositions":[],"lastnames":["Abernethy"],"firstnames":["Ginny"],"suffixes":[]},{"propositions":[],"lastnames":["Girvan"],"firstnames":["Jackie"],"suffixes":[]},{"propositions":[],"lastnames":["Feigin"],"firstnames":["Valery"],"suffixes":[]},{"propositions":[],"lastnames":["Wilson"],"firstnames":["Andrew"],"suffixes":[]},{"propositions":[],"lastnames":["Cadilhac"],"firstnames":["Dominique"],"suffixes":[]},{"propositions":[],"lastnames":["Denison"],"firstnames":["Hayley"],"suffixes":[]},{"propositions":[],"lastnames":["Kim"],"firstnames":["Joosup"],"suffixes":[]},{"propositions":[],"lastnames":["Levack"],"firstnames":["William"],"suffixes":[]},{"propositions":[],"lastnames":["Douwes"],"firstnames":["Jeroen"],"suffixes":[]}],"month":"June","year":"2022","pmid":"35728251","keywords":"Aftercare, Humans, New Zealand, Patient Discharge, Qualitative Research, Stroke","pages":"81–93","bibtex":"@article{harwood_barriers_2022,\n\ttitle = {Barriers to optimal stroke service care and solutions: a qualitative study engaging people with stroke and their whānau},\n\tvolume = {135},\n\tissn = {1175-8716},\n\tshorttitle = {Barriers to optimal stroke service care and solutions},\n\tabstract = {AIM: The aim of this study was to explore the perspectives of people with stroke and their whānau on barriers to accessing best practice care across Aotearoa, and to brainstorm potential solutions.\nMETHOD: We conducted ten focus groups nationwide and completed a thematic analysis.\nRESULTS: Analysis of the data collected from the focus groups identified five themes: (1) inconsistencies in stroke care; (2) importance of effective communication; (3) the role of whānau support; (4) the need for more person rather than stroke centred processes; and (5) experienced inequities. Participants also identified potential solutions.\nCONCLUSION: Key recommendations include the need for improved access to stroke unit care for rural residents, improved post-discharge support and care coordination involving the whānau, improved communication across the patient journey, and a concerted effort to improve culturally safe care. Next step is to implement and monitor these recommendations.},\n\tlanguage = {eng},\n\tnumber = {1556},\n\tjournal = {The New Zealand Medical Journal},\n\tauthor = {Harwood, Matire L. N. and Ranta, Anna and Thompson, Stephanie G. and Ranta, Syrah M. and Brewer, Karen and Gommans, John H. and Davis, Alan and Barber, P. 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