This is so damned simple. Patient engagement is less than optimal because you fucking idiots have NO PROTOCOLS LEADING TO 100% RECOVERY. Talk to some intelligent patients sometime, I'm available.
Authors:
Last, Nicole
Advisor:
Harris, Jocelyn
Department:
Rehabilitation Science
Keywords: stroke rehabilitation;participation;facilitator;barrier;qualitative;interpretive description
Publication Date: 2019
Abstract:
Though
patient participation is recognized as an important element of
rehabilitation, few studies have used a qualitative lens to specifically
examine factors influencing patient-participation in stroke
rehabilitation. Thus, the purpose of this work was to explore factors
perceived by service users to influence their participation in
hospital-based stroke rehabilitation activities and to use this
information to generate knowledge relevant for the clinical context of
stroke rehabilitation. The following research gaps provided rationale
for this work: 1) no published studies from the patients’ perspective on
influencers of participating in hospital-based stroke rehabilitation
programs, and 2) limited studies about influences on participation in
hospital-based stroke rehabilitation. The first manuscript (chapter two)
was designed to specifically address these gaps while the second
manuscript (chapter three) was developed to highlight important findings
surrounding rehabilitation intensity from chapter two. This thesis has
discussed a number of patient-perceived barriers and facilitators to
participating in stroke rehabilitation, which the final chapter
conceptualizes into a framework of personalized rehabilitation
representing a patient-centred approach to providing rehabilitation that
encourages patient participation. Together, this thesis contributes
knowledge about: 1) patient perspectives on factors affecting
participation in stroke rehabilitation, 2) promoting patient
participation, 3) shortcomings in closing the evidence-to-practice gap
with respect to therapy intensity during inpatient stroke
rehabilitation, and 4) insights into an exploratory framework of
personalized rehabilitation developed from service users’ perspectives
of stroke rehabilitation. In addition, this work emphasizes a call to
action for the delivery of user-centered stroke care, specifically in
regard to rehabilitation intensity during inpatient stroke
rehabilitation. The implications of this work are directed at stroke
rehabilitation providers as well as policy makers and stroke health
system planners in order to develop appropriate and effective services
and strategies for optimal recovery and successful implementation of
best practice recommendations.URI:
http://hdl.handle.net/11375/25303Appears in Collections:
Open Access Dissertations and Theses
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