Background Person-centred care (PCC) has considerable effects on the clinical practice of health professionals. The purpose of this study was to describe the perspectives and perceived barriers and enablers of individuals with stroke regarding the PCC model in stroke rehabilitation. Methods A qualitative exploratory study was conducted based on an interpretive framework. Participants were recruited using non-probabilistic purposeful sampling and a snowball-technique strategy. The inclusion criteria consisted of: (a) individuals > 18 years, (b) diagnosed with moderate or severe stroke according to the National Institutes of Health Stroke Scale and (c) in the post-acute or chronic stage of the disease. In total, 31 individuals with stroke were included. In-depth interviews and researchers’ field notes were used to collect the data. A thematic analysis was performed. Also, credibility, transferability, dependability and confirmability techniques were followed to establish trustworthiness of the data. Results Thirty-one individuals with stroke (11 women) were included. Three main themes were identified: (a) The person behind the “patient” label, recognizing the person beyond their illness and valuing their identity and individual characteristics, (b) The person at the centre of care, considering themselves as an active agent in their own care and respecting their preferences and expectations for their care process and (c) Training for PCC, providing health professionals with tools to achieve professional skills for the implementation and development of the PCC model. Conclusions and significance This paper describes relevant aspects that health professionals should consider when providing PCC in the context of the rehabilitation of individuals with stroke. Key messages The individuals’ perspective regarding person-centred care (PCC) has considerable effects on the clinical practice of health professionals. Individuals with stroke describe how there is a person behind the "patient" label, with identity, needs and desire to participate in decision making. Training in the PCC model helps healthcare professionals identify the needs of individuals with stroke during rehabilitation.
Background: Professional support and communication stimulates the professionalpatient relationship and supports the recovery of stroke patients. Objectives:To describe the perspectives of patients with stroke regarding communication, professional support, and their ability to participate in processes and integrated care with health providers.Methods: A qualitative study was conducted. A purposeful sampling and snowballtechnique were used. Patients diagnosed with moderate or severe stroke in the postacute or chronic stage of the disease were included. Data collection consisted of indepth interviews and researcher field notes. A thematic analysis was performed.Results: Thirty-one patients were included. Three themes were identified: 1) Providing support, with four categories, professional behavior, personalized attention, the heart of the professional and building a bond with the patient; 2) Facilitating communication, with three categories, the patient as the recipient, the content of the message and the channel, and the professional as the person that conveys the message; and 3) Promoting participation, with two categories, barriers, and incentives to participate. Conclusions:When providing support, professionals should consider communicating information and encouraging the participation of stroke patients for integrated care.
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