Barriers to optimal stroke service care and solutions: a qualitative study engaging people with stroke and their whānau

Matire Harwood; Anna Ranta; Stephanie Thompson; Syrah Ranta; Karen Brewer; John Gommans; Alan Davis; P. Alan Barber; Marine Corbin; John Fink; Harry McNaughton; Virginia Abernethy; Jackie Girvan; Valery Feigin; Andrew Wilson; Dominique Cadilhac; Hayley Denison; Joosup Kim; William Levack; Jeroen Douwes

Barriers to optimal stroke service care and solutions: a qualitative study engaging people with stroke and their whānau

Matire Harwood, Anna Ranta, Stephanie Thompson, Syrah Ranta, Karen Brewer, John Gommans, Alan Davis, P. Alan Barber, Marine Corbin, John Fink, Harry McNaughton, Virginia Abernethy, Jackie Girvan, Valery Feigin, Andrew Wilson, Dominique Cadilhac, Hayley Denison, Joosup Kim, William Levack, Jeroen Douwes

Medicine Monash Health

Research output: Contribution to journal › Article › Research › peer-review

6 Citations (Scopus)

Abstract

Aim: The aim of this study was to explore the perspectives of people with stroke and their whānau on barriers to accessing best practice care across Aotearoa, and to brainstorm potential solutions. method: We conducted ten focus groups nationwide and completed a thematic analysis. results: Analysis of the data collected from the focus groups identified five themes: (1) inconsistencies in stroke care; (2) importance of effective communication; (3) the role of whānau support; (4) the need for more person-rather than stroke-centred processes; and (5) experienced inequities. Participants also identified potential solutions. conclusion: Key recommendations include the need for improved access to stroke unit care for rural residents, improved post-discharge support and care coordination involving the whānau, improved communication across the patient journey, and a concerted effort to improve culturally safe care. Next step is to implement and monitor these recommendations.

Original language	English
Pages (from-to)	81-93
Number of pages	13
Journal	New Zealand Medical Journal
Volume	135
Issue number	1556
Publication status	Published - 10 Jun 2022

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Harwood, M., Ranta, A., Thompson, S., Ranta, S., Brewer, K., Gommans, J., Davis, A., Barber, P. A., Corbin, M., Fink, J., McNaughton, H., Abernethy, V., Girvan, J., Feigin, V., Wilson, A., Cadilhac, D., Denison, H., Kim, J., Levack, W., & Douwes, J. (2022). Barriers to optimal stroke service care and solutions: a qualitative study engaging people with stroke and their whānau. New Zealand Medical Journal, 135(1556), 81-93. https://www.proquest.com/docview/2678515598/fulltextPDF/24B11B3413694E0FPQ/1?accountid=12528&sourcetype=Scholarly%20Journals

@article{62cc48fa7d1e481a9eae5882d292ebc4,

title = "Barriers to optimal stroke service care and solutions: a qualitative study engaging people with stroke and their whānau",

abstract = "Aim: The aim of this study was to explore the perspectives of people with stroke and their whānau on barriers to accessing best practice care across Aotearoa, and to brainstorm potential solutions. method: We conducted ten focus groups nationwide and completed a thematic analysis. results: Analysis of the data collected from the focus groups identified five themes: (1) inconsistencies in stroke care; (2) importance of effective communication; (3) the role of whānau support; (4) the need for more person-rather than stroke-centred processes; and (5) experienced inequities. Participants also identified potential solutions. conclusion: Key recommendations include the need for improved access to stroke unit care for rural residents, improved post-discharge support and care coordination involving the whānau, improved communication across the patient journey, and a concerted effort to improve culturally safe care. Next step is to implement and monitor these recommendations.",

author = "Matire Harwood and Anna Ranta and Stephanie Thompson and Syrah Ranta and Karen Brewer and John Gommans and Alan Davis and Barber, {P. Alan} and Marine Corbin and John Fink and Harry McNaughton and Virginia Abernethy and Jackie Girvan and Valery Feigin and Andrew Wilson and Dominique Cadilhac and Hayley Denison and Joosup Kim and William Levack and Jeroen Douwes",

note = "Funding Information: The study was funded by the Health Research Council of New Zealand (HRC 17/037). Some of the authors receive other grant funding, but none that relates to this study, and report no competing interests. Funding Information: Focus group participants were sent information sheets prior to the meeting and given an opportunity to ask questions at the beginning of the session before providing written consent. The study was funded by the Health Research Council of New Zealand (HRC 2017/037) and received ethics approval from the Health and Disability Central Ethics Committee (17/CEN/164). Publisher Copyright: {\textcopyright} 2022 New Zealand Medical Association. All rights reserved.",

year = "2022",

month = jun,

day = "10",

language = "English",

volume = "135",

pages = "81--93",

journal = "New Zealand Medical Journal",

issn = "1175-8716",

publisher = "New Zealand Medical Association",

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Harwood, M, Ranta, A, Thompson, S, Ranta, S, Brewer, K, Gommans, J, Davis, A, Barber, PA, Corbin, M, Fink, J, McNaughton, H, Abernethy, V, Girvan, J, Feigin, V, Wilson, A, Cadilhac, D, Denison, H, Kim, J, Levack, W & Douwes, J 2022, 'Barriers to optimal stroke service care and solutions: a qualitative study engaging people with stroke and their whānau', New Zealand Medical Journal, vol. 135, no. 1556, pp. 81-93. <https://www.proquest.com/docview/2678515598/fulltextPDF/24B11B3413694E0FPQ/1?accountid=12528&sourcetype=Scholarly%20Journals>

TY - JOUR

T1 - Barriers to optimal stroke service care and solutions

T2 - a qualitative study engaging people with stroke and their whānau

AU - Harwood, Matire

AU - Ranta, Anna

AU - Thompson, Stephanie

AU - Ranta, Syrah

AU - Brewer, Karen

AU - Gommans, John

AU - Davis, Alan

AU - Barber, P. Alan

AU - Corbin, Marine

AU - Fink, John

AU - McNaughton, Harry

AU - Abernethy, Virginia

AU - Girvan, Jackie

AU - Feigin, Valery

AU - Wilson, Andrew

AU - Cadilhac, Dominique

AU - Denison, Hayley

AU - Kim, Joosup

AU - Levack, William

AU - Douwes, Jeroen

N1 - Funding Information: The study was funded by the Health Research Council of New Zealand (HRC 17/037). Some of the authors receive other grant funding, but none that relates to this study, and report no competing interests. Funding Information: Focus group participants were sent information sheets prior to the meeting and given an opportunity to ask questions at the beginning of the session before providing written consent. The study was funded by the Health Research Council of New Zealand (HRC 2017/037) and received ethics approval from the Health and Disability Central Ethics Committee (17/CEN/164). Publisher Copyright: © 2022 New Zealand Medical Association. All rights reserved.

PY - 2022/6/10

Y1 - 2022/6/10

N2 - Aim: The aim of this study was to explore the perspectives of people with stroke and their whānau on barriers to accessing best practice care across Aotearoa, and to brainstorm potential solutions. method: We conducted ten focus groups nationwide and completed a thematic analysis. results: Analysis of the data collected from the focus groups identified five themes: (1) inconsistencies in stroke care; (2) importance of effective communication; (3) the role of whānau support; (4) the need for more person-rather than stroke-centred processes; and (5) experienced inequities. Participants also identified potential solutions. conclusion: Key recommendations include the need for improved access to stroke unit care for rural residents, improved post-discharge support and care coordination involving the whānau, improved communication across the patient journey, and a concerted effort to improve culturally safe care. Next step is to implement and monitor these recommendations.

AB - Aim: The aim of this study was to explore the perspectives of people with stroke and their whānau on barriers to accessing best practice care across Aotearoa, and to brainstorm potential solutions. method: We conducted ten focus groups nationwide and completed a thematic analysis. results: Analysis of the data collected from the focus groups identified five themes: (1) inconsistencies in stroke care; (2) importance of effective communication; (3) the role of whānau support; (4) the need for more person-rather than stroke-centred processes; and (5) experienced inequities. Participants also identified potential solutions. conclusion: Key recommendations include the need for improved access to stroke unit care for rural residents, improved post-discharge support and care coordination involving the whānau, improved communication across the patient journey, and a concerted effort to improve culturally safe care. Next step is to implement and monitor these recommendations.

UR - http://www.scopus.com/inward/record.url?scp=85132289723&partnerID=8YFLogxK

M3 - Article

C2 - 35728251

AN - SCOPUS:85132289723

SN - 1175-8716

VL - 135

SP - 81

EP - 93

JO - New Zealand Medical Journal

JF - New Zealand Medical Journal

IS - 1556

ER -

Barriers to optimal stroke service care and solutions: a qualitative study engaging people with stroke and their whānau

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