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Open Access Factors shaping the delivery of acute inpatient stroke therapy: A narrative synthesis

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Objective: To investigate factors shaping the delivery of acute inpatient stroke therapy (i.e. occupational therapy, physiotherapy, and speech and language therapy).

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.

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Keywords: HOSPITAL; INPATIENT; REHABILITATION; STROKE; STROKE UNIT; THERAPY

Document Type: Review Article

Publication date: February 1, 2015

More about this publication?
  • 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.

    The journal is read by a wide group of healthcare professionals including specialists in rehabilitation medicine, neurology, clinical neurophysiology, general medicine, psychologists, physiotherapists, occupational therapists and social workers.

    Contributions from all parts of the world and from different professions in rehabilitation are welcome.

    ISI Impact Factor 2009: 1.882.

    Owned by Foundation of Rehabilitation Information.


    Since the Journal of Rehabilitation Medicine is an Open Access journal, the contents will no longer be provided via Ingenta Connect after December 31, 2020. To continue accessing the journal free of charge please go to https://www.medicaljournals.se/jrm.
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