Cristin-resultat-ID: 1925249
Sist endret: 10. februar 2022, 09:58
NVI-rapporteringsår: 2021
Resultat
Vitenskapelig artikkel
2021

Nurses’ and occupational therapists’ experiences of conducting a home-based psychosocial intervention following stroke: a qualitative process evaluation

Bidragsytere:
  • Randi Martinsen
  • Gabriele Kitzmüller
  • Margrete Mangset
  • Kari Johanne Kvigne
  • Anne Svelstad Evju
  • Berit Arnesveen Bronken
  • mfl.

Tidsskrift

BMC Health Services Research
ISSN 1472-6963
e-ISSN 1472-6963
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2021
Publisert online: 2021
Hefte: 21
Artikkelnummer: 791
Open Access

Importkilder

Scopus-ID: 2-s2.0-85112316290

Beskrivelse Beskrivelse

Tittel

Nurses’ and occupational therapists’ experiences of conducting a home-based psychosocial intervention following stroke: a qualitative process evaluation

Sammendrag

Background: Persons with stroke are susceptible to psychosocial problems, and express disappointment at how health care professionals fail to meet their psychosocial needs following discharge to home. The responsibility of nurses and occupational therapists in stroke rehabilitation is to assist the persons and their families during the recovery and adjustment process. A home-based dialogical intervention aiming to enhance psychosocial support was therefore developed and tested in a randomized controlled trial. This study is a part of the process evaluation conducted alongside the trial. The aim was to explore the nurses’ and occupational therapists’ experiences of conducting the intervention. Methods: Eighteen nurses and four occupational therapists participated in six focus groups to explore their experiences when providing the intervention. The themes discussed in the focus groups were the aspects that facilitated the delivering of the intervention and the challenges they encountered during the study period. The interviews were analysed using qualitative content analysis. Results: The analysis generated two themes. The theme Developing a supportive relationship to facilitate the adjustment process following stroke had two subthemes: Getting personally involved and Handling challenges. This theme reveals how the nurses and occupational therapists experienced their relationship with the persons with stroke and potential threats which challenged them while conducting the intervention. The theme Developing professional skills in providing psychosocial support had two subthemes: Becoming confident in conducting dialogues and Integrating psychosocial topics. This theme reveals the aspects that the nurses and occupational therapists perceived as facilitating the development of their professional skills in conducting the dialogues. Conclusion: Delivering the psychosocial intervention was perceived as deeply meaningful and increased the nurses’ and occupational therapists’ understanding of how to support stroke survivors to live with the consequences of stroke. However, balancing the professional and the personal relationship was challenging. A basic educational programme, training, supervision and having dedicated time were crucial elements to instil confidence in professionals conducting theme-based dialogues to promote post-stroke psychosocial well-being. Individual clinical experience and knowledge of stroke care were considering important to enable professionals to integrate psychosocial rehabilitation into community health care.

Bidragsytere

Aktiv cristin-person

Randi Elisabeth Martinsen

Bidragsyterens navn vises på dette resultatet som Randi Martinsen
  • Tilknyttet:
    Forfatter
    ved Institutt for helse- og sykepleievitenskap ved Høgskolen i Innlandet
Aktiv cristin-person

Gabriele Kitzmüller

  • Tilknyttet:
    Forfatter
    ved Forskningsgruppe for liv og livsmot ved UiT Norges arktiske universitet

Margrete Mangset

  • Tilknyttet:
    Forfatter
    ved Geriatrisk avdeling ved Oslo universitetssykehus HF

Kari Johanne Kvigne

  • Tilknyttet:
    Forfatter
    ved Institutt for helse- og sykepleievitenskap ved Høgskolen i Innlandet

Anne Svelstad Evju

  • Tilknyttet:
    Forfatter
    ved Sykepleie Bsc og videreutdanning i Narvik ved UiT Norges arktiske universitet
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