Exemplary post-discharge stroke rehabilitation programs: A multiple case study

Egan, Mary; Rudman, Debbie Laliberté; Lanoix, Monique; Meyer, Matthew J.; Linkewich, Elizabeth; Montgomery, Phyllis; Fearn, Jenn; Donnelly, Beth; Collver, Margo; Daly, Shauna

doi:10.1177/02692155221144891

Cited by 2 publications

(1 citation statement)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many clients describe the importance of camaraderie and interpersonal relationships with the therapist and other clients within rehabilitation as supporting their engagement. The therapist is seen as a friend and source of valued support, which is consistent with prior literature exploring engagement in post‐discharge stroke rehabilitation programmes (Egan et al., 2022). The current study was conducted in the inpatient rehabilitation setting where clients often interact with a consistent team of hospital providers and therapists over the course of their admission; thus, allowing opportunities for relationship building between the client and therapist.…”

Section: Discussionsupporting

confidence: 80%

‘It's been an extraordinary journey’: Experience of engagement from the perspectives of people with post‐stroke aphasia

Tierney‐Hendricks,

Miller,

Lopez

et al. 2023

Intl J Lang & Comm Disor

View full text Add to dashboard Cite

BackgroundEngagement is recognized as an important factor in aphasia treatment response and outcomes, yet gaps remain in our understanding of engagement and practices that promote engagement from the client perspective.AimsThe purpose of this phenomenological study was to explore how clients with aphasia experience engagement during their inpatient aphasia rehabilitation.Methods & ProceduresAn interpretative phenomenological analysis approach guided the study design and analysis. Data were collected through in‐depth interviews with nine clients with aphasia, recruited through purposive sampling, during their inpatient rehabilitation admission. Analysis was completed using a variety of analytic techniques including coding, memoing, triangulation between coders and team discussion.Outcomes & ResultsThe analysis revealed that for clients with aphasia in the acute phrase of recovery, the rehabilitation process resembles travelling on a journey through a foreign land. Successful engagement in the journey was accomplished when one had a therapist who served as a trusted guide and was able to be a friend, invested, adaptable, a co‐creator, encouraging and dependable.Conclusions & ImplicationsEngagement is a dynamic, multifaceted and person‐centred process involving the client, provider and rehabilitation context. Findings from this work have implications for measuring engagement, training student clinicians to be skilled facilitators in engaging their clients and implementing person‐centred practices that promote engagement within clinical settings.WHAT THIS PAPER ADDSWhat is already known on the subject Engagement is recognized as an important factor in rehabilitation treatment response and outcomes. Prior literature suggests that the therapist plays a critical role in facilitating engagement within the client–provider relationship. Communication impairments associated with aphasia may negatively impact a client's ability to develop interpersonal connections and participate in the rehabilitation process. There is a dearth of research directly exploring the topic of engagement in aphasia rehabilitation, particularly from the perspective of clients with aphasia. Capturing the client perspective can provide novel insights regarding practices to foster and maintain engagement in aphasia rehabilitation.What this paper adds to existing knowledge This interpretative phenomenological study revealed that for individuals with aphasia in the acute phase of recovery, the rehabilitation process resembles travelling on a sudden and foreign journey. Successful engagement in the journey was accomplished when one had a therapist who served as a ‘trusted guide’ and was able to be a friend, invested, adaptable, a co‐creator, encouraging and dependable. Through the client experience, engagement is seen as a dynamic, multifaceted and person‐centred process involving the client, provider and rehabilitation context.What are the potential or actual clinical implications of this work? The current study highlights the complexity and nuance of engagement within the rehabilitation context, which has implications for measuring engagement, training student clinicians to be skilled in engaging their clients and implementing person‐centred practices that promote engagement within clinical settings. It is necessary to recognize that client and provider interactions (and thus engagement) are embedded in and influenced by the broader healthcare system. With this in mind, a patient‐centred approach to engagement in aphasia care delivery cannot be achieved through individual efforts only and may require prioritization and action at the systems level. Future work is needed to explore barriers and facilitators to enacting engagement practices, in order to develop and test strategies to support practice change.

show abstract

Section: Discussionsupporting

confidence: 80%

‘It's been an extraordinary journey’: Experience of engagement from the perspectives of people with post‐stroke aphasia

Tierney‐Hendricks,

Miller,

Lopez

et al. 2023

Intl J Lang & Comm Disor

View full text Add to dashboard Cite

show abstract

Person Centred Care in Neurological Rehabilitation: A Case Study and Critical Reflection

Wilkinson

2024

AJNS

View full text Add to dashboard Cite

Healthcare systems and organizations consider maintaining and improving the quality of their service provisions whilst also being mindful of strategies to mitigate identified gaps in their clinical services. One such approach that has found favour among healthcare teams and institutions is that of person centered care. Person centered care places emphasis on situating the individual at the core of the decision-making process, identifying, and illuminating what is of greatest importance to the concerned person. The approach fosters a belief in equal and collaborative goal setting between the person and their healthcare team, respecting the individual’s needs and their preferences as people. One area where this approach can be adopted is that of neurological rehabilitation. The ethos of mutual respect and partnership between the individual and the multidisciplinary team can guide and inform the process of rehabilitation. This paper aims to deliver a critical appraisal of the application of the principles of person centered care in neurological rehabilitation. This will be referenced to a clinical scenario involving a young person with a stroke. The case will link the theory of person centered care discussing the models and frameworks realised in the clinical story. This will lead to a discussion and conclusion on the value of person centered care for people, professionals, teams, and organizations.

show abstract

Exemplary post-discharge stroke rehabilitation programs: A multiple case study

Cited by 2 publications

References 28 publications

‘It's been an extraordinary journey’: Experience of engagement from the perspectives of people with post‐stroke aphasia

‘It's been an extraordinary journey’: Experience of engagement from the perspectives of people with post‐stroke aphasia

Person Centred Care in Neurological Rehabilitation: A Case Study and Critical Reflection

Contact Info

Product

Resources

About