Perceived barriers and enablers for implementing water protocols in acute stroke care: A qualitative study using the Theoretical Domains Framework

2019 ◽  
Vol 21 (3) ◽  
pp. 286-294 ◽  
Author(s):  
Allison Barker ◽  
Sebastian Doeltgen ◽  
Elizabeth Lynch ◽  
Joanne Murray
Keyword(s):  
Qualitative Study ◽  
Acute Stroke ◽  
Theoretical Domains Framework ◽  
Stroke Care ◽  
Perceived Barriers ◽  
Acute Stroke Care ◽  
Barriers And Enablers

Is the practice of goal-setting for patients in acute stroke care patient-centred and what factors influence this? A qualitative study

2015 ◽  
Vol 30 (5) ◽  
pp. 508-519 ◽  
Author(s):  
Sheeba Rosewilliam ◽  
Carron Sintler ◽  
Anand D Pandyan ◽  
John Skelton ◽  
Carolyn A Roskell
Keyword(s):  
Qualitative Study ◽  
Acute Stroke ◽  
Goal Setting ◽  
Stroke Care ◽  
Care Patient ◽  
Acute Stroke Care

scholarly journals Barriers to evidence-based acute stroke care in Ghana: a qualitative study on the perspectives of stroke care professionals

BMJ Open ◽  
2017 ◽  
Vol 7 (4) ◽  
pp. e015385 ◽  
Author(s):  
Leonard Baatiema ◽  
Ama de-Graft Aikins ◽  
Adem Sav ◽  
George Mnatzaganian ◽  
Carina K Y Chan ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Acute Stroke ◽  
Stroke Care ◽  
Evidence Based ◽  
Acute Stroke Care

scholarly journals Patient‐centredness in acute stroke care – a qualitative study from the perspectives of patients, relatives and staff

2020 ◽  
Vol 27 (8) ◽  
pp. 1638-1646
Author(s):  
L. Busetto ◽  
C. Stang ◽  
J. Hoffmann ◽  
H. Amiri ◽  
F. Seker ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Acute Stroke ◽  
Stroke Care ◽  
Acute Stroke Care ◽  
Patient Centredness

scholarly journals Health care providers’ perceptions of factors that influence the provision of acute stroke care in urban and rural settings: A qualitative study

2020 ◽  
Vol 8 ◽  
pp. 205031212092108
Author(s):  
Mitchell Dwyer ◽  
Gregory M. Peterson ◽  
Seana Gall ◽  
Karen Francis ◽  
Karen M. Ford
Keyword(s):  
Qualitative Study ◽  
Focus Groups ◽  
Acute Stroke ◽  
Stroke Care ◽  
Rural Hospitals ◽  
Public Hospitals ◽  
Barriers And Facilitators ◽  
Care Providers ◽  
Acute Stroke Care ◽  
Data Set

Objectives: Individuals living in rural areas have comparatively less access to acute stroke care than their urban counterparts. Understanding the local barriers and facilitators to the use of current best practice for acute stroke may inform efforts to reduce this disparity. Methods: A qualitative study featuring semi-structured interviews and focus groups was conducted in the Australian state of Tasmania. Clinical staff from a range of disciplines involved in acute stroke care were recruited from three of the state’s four major public hospitals (one urban and two rural). A semi-structured interview guide based on the findings of an earlier quantitative study was used to elicit discussion about the barriers and facilitators associated with providing acute stroke care. An inductive process of thematic analysis was then used to identify themes and subthemes across the data set. Results: Two focus groups and five individual interviews were conducted. Four major themes were identified from analysis of the data: systemic issues, clinician factors, additional support and patient-related factors. Acute stroke care within the study’s urban hospital was structured and comprehensive, aided by the hospital’s acute stroke unit and specialist nursing support. In contrast, care provided in the study’s rural hospitals was somewhat less comprehensive, and often constrained by an absence of infrastructure or poor access to existing resources. Conclusion: The identified factors help to characterise acute stroke care within urban and rural hospitals and will assist quality improvement efforts in Tasmania’s hospitals.

scholarly journals A qualitative study of clinical champions in context: Clinical champions across three levels of acute care

2018 ◽  
Vol 6 ◽  
pp. 205031211879242 ◽  
Author(s):  
Mindy E Flanagan ◽  
Laurie Plue ◽  
Kristine K Miller ◽  
Arlene A Schmid ◽  
Laura Myers ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Acute Stroke ◽  
Stroke Care ◽  
Three Dimensions ◽  
Complex Care ◽  
Acute Stroke Care ◽  
Cross Sectional ◽  
Care Processes ◽  
Veterans Affairs Medical Centers ◽  
The Right

Objectives: To compare activities and field descriptions of clinical champions across three levels of stroke centers. Methods: A cross-sectional qualitative study using quota sampling was conducted. The setting for this study was 38 acute stroke centers based in US Veterans Affairs Medical Centers with 8 designated as Primary, 24 as Limited Hours, and 6 as Stroke Support Centers. Key informants involved in stroke care were interviewed using a semi-structured approach. A cross-case synthesis approach was used to conduct a qualitative analysis of clinical champions’ behaviors and characteristics. Clinical champion behaviors were described and categorized across three dimensions: enthusiasm, persistence, and involving the right people. Results: Clinical champions at Primary Stroke Centers represented diverse medical disciplines and departments (education, quality management); directed implementation of acute stroke care processes; coordinated processes across service lines; and benefited from supportive contexts for implementation. Clinical champions at Limited Hours Stroke Centers varied in steering implementation efforts, building collaboration across disciplines, and engaging in other clinical champion activities. Clinical champions at Stroke Support Centers were implementing limited changes to stroke care and exhibited few behaviors fitting the three clinical champion dimensions. Other clinical champion behaviors included educating colleagues, problem-solving, implementing new care pathways, monitoring progress, and standardizing processes. Conclusion: These data demonstrate clinical champion behaviors for implementing changes to complex care processes such as acute stroke care. Changes to complex care processes involved coordination among clinicians from multiple services lines, persistence facing obstacles to change, and enthusiasm for targeted practice changes.

scholarly journals Adopting evidence-based guidelines for acute stroke care: barriers and enablers for health professionals

2020 ◽  
Vol 16 (1) ◽  
pp. 8-11
Author(s):  
Joanna Harrison ◽  
Anne-Marie Timoroksa ◽  
Bindu Gregary ◽  
James Edward Hill
Keyword(s):  
Systematic Review ◽  
Clinical Practice ◽  
Acute Stroke ◽  
Health Professionals ◽  
Evidence Based Practice ◽  
Stroke Care ◽  
Evidence Based ◽  
Acute Stroke Care ◽  
Barriers And Enablers ◽  
Evidence Summary

An evidence summary based on the systematic review: Baatiema L, Otim ME, Mnatzaganian G, de-Graft Aikins A, Coombes J, Somerset S. Health professionals' views on the barriers and enablers to evidence-based practice for acute stroke care: a systematic review. Implement Sci. 2017;12:74. 10.1186/s13012-017-0599-3 Evidence-based practice is the keystone of clinical practice, policy and management. Despite this, a knowledge-to-practice gap still exists, and it is estimated to take 17 years for evidence to be translated into clinical practice. The reasons for slow translation in acute stroke care are not completely understood.

scholarly journals Patients’ and carers’ experiences of gaining access to acute stroke care: a qualitative study: Table 1

2012 ◽  
Vol 30 (12) ◽  
pp. 1033-1037 ◽  
Author(s):  
Madeleine Harrison ◽  
Tony Ryan ◽  
Clare Gardiner ◽  
Amanda Jones
Keyword(s):  
Qualitative Study ◽  
Acute Stroke ◽  
Stroke Care ◽  
Acute Stroke Care
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