Factors shaping the delivery of acute inpatient stroke therapy: A narrative synthesis
Data sources: A systematic search using electronic databases: AMED, CINAHL, Medline, Web of Knowledge and EMBASE.
Study selection: Qualitative studies (n = 31) investigating delivery of inpatient stroke therapy, published since 1998, were included.
Data extraction: Narrative synthesis was used as the review method. Textual descriptions, tabulation and thematic analysis were used to categorize findings and explore relationships between studies.
Data synthesis: Data synthesis generated the following themes: the need for a therapeutic environment; power and decision-making; intensity, motivation and appropriateness for active therapy; therapy behind the scenes; the role of teamwork in creating a therapeutic environment. Delivery of therapy was influenced by conceptual, individual and professional factors.
Conclusion: Conceptual, individual and professional factors impact on the delivery of rehabilitation. Further research is needed to examine how therapists negotiate the sometimes conflicting factors shaping delivery of therapy.
Document Type: Review Article
Publication date: February 1, 2015
Journal of Rehabilitation Medicine is the international peer-reviewed journal published in English, with at least 10 issues published per year.
Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.
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