Phillip J. Whitehead
Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views
Whitehead, Phillip J.; Fellows, Karen Rachael; Sprigg, Nikola; Walker, Marion F.; Drummond, Avril E.R.
Authors
Karen Rachael Fellows
NIKOLA SPRIGG nikola.sprigg@nottingham.ac.uk
Professor of Stroke Medicine
Marion F. Walker
AVRIL DRUMMOND avril.drummond@nottingham.ac.uk
Professor of Healthcare Research
Abstract
Introduction:
The number of patients who have a pre-discharge home assessment visit following a stroke has been reported to vary nationally. The purpose of this research was to explore the factors influencing occupational therapists' decisions to complete such visits.
Method:
Semi-structured interviews were completed with 20 senior occupational therapists working with stroke in-patients, from a range of urban and rural locations in the United Kingdom. The interviews explored their views about those patients for whom a pre-discharge home assessment visit would and would not be required. The interviews were analysed using thematic analysis.
Findings:
Three themes were identified: the patient's level of physical, cognitive, or perceptual impairment and its impact on performance in activities of daily living; factors relating to the patient's home environment, including the availability of support within the home environment; and other influences on occupational therapists. The presence of a cognitive impairment was a particularly important factor.
Conclusions:
Occupational therapists balanced aspects from each of these themes in order to determine whether a visit was needed or not. Although the level of impairment was important, the most dependent patients were not necessarily those believed to be the most likely to need a visit.
Citation
Whitehead, P. J., Fellows, K. R., Sprigg, N., Walker, M. F., & Drummond, A. E. (2014). Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views. British Journal of Occupational Therapy, 77(8), https://doi.org/10.4276/030802214X14071472109752
Journal Article Type | Article |
---|---|
Acceptance Date | Nov 13, 2013 |
Publication Date | Aug 15, 2014 |
Deposit Date | Jul 5, 2017 |
Publicly Available Date | Mar 28, 2024 |
Journal | British Journal of Occupational Therapy |
Print ISSN | 0308-0226 |
Electronic ISSN | 1477-6006 |
Publisher | SAGE Publications |
Peer Reviewed | Peer Reviewed |
Volume | 77 |
Issue | 8 |
DOI | https://doi.org/10.4276/030802214X14071472109752 |
Keywords | Pre-discharge home assessment visits, stroke rehabilitation |
Public URL | https://nottingham-repository.worktribe.com/output/734177 |
Publisher URL | http://journals.sagepub.com/doi/abs/10.4276/030802214X14071472109752 |
Files
Senior_OT_Paper_BJOT_Final_Version PJW AAM.pdf
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