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.
Karen Rachael Fellows
Nikola Sprigg Nikola.Sprigg@nottingham.ac.uk
Professor MARION WALKER email@example.com
Professor of Stroke Rehabilitation
Avril E.R. Drummond Avril.Drummond@nottingham.ac.uk
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.
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.
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.
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.
|Journal Article Type||Article|
|Publication Date||Aug 15, 2014|
|Journal||British Journal of Occupational Therapy|
|Publisher||SAGE Publications (UK and US)|
|Peer Reviewed||Peer Reviewed|
|APA6 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), doi:10.4276/030802214X14071472109752|
|Keywords||Pre-discharge home assessment visits, stroke rehabilitation|
|Copyright Statement||Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf|
Senior_OT_Paper_BJOT_Final_Version PJW AAM.pdf
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf