Deans' stroke musings: Challenges in applying evidence-based practice in stroke rehabilitation: A qualitative description of experiences of health professionals from low, middle, and high-income countries

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, February 26, 2022

Challenges in applying evidence-based practice in stroke rehabilitation: A qualitative description of experiences of health professionals from low, middle, and high-income countries

These challenges are NOTHING compared to the challenges of stroke recovery with NO PROTOCOLS. So put on your big person pants and solve the fucking problems. 100% recovery is the only goal in stroke. GET THERE!

Challenges in applying evidence-based practice in stroke rehabilitation: A qualitative description of experiences of health professionals from low, middle, and high-income countries

DOI:https://doi.org/10.1016/j.physio.2021.12.143

Keywords: Evidence-based practice; Stroke rehabilitation; International health problems

Purpose: Evidence-based practice (EBP) is considered central to ethical, effective service delivery in rehabilitation, and the implementation of the World Health Organization's Rehabilitation Strategy 2030. This study aimed to explore and compare the experiences of health professionals regarding their application of EBP in stroke rehabilitation in low, middle and high-income countries. Specifically, we were interested in the influences on evidence-based stroke rehabilitation in each participant's region and country.

Methods: Interviews were conducted by videoconference with 12 experienced rehabilitation professionals from 12 different countries (5 high-income, 2 upper-middle income, 3 lower-middle income, and 2 low-income countries). The main influences were derived from qualitative descriptive analysis of the verbatim transcriptions.

Results: Nine factors that influenced evidence-based stroke rehabilitation were: (1) the complexity of rehabilitation research; (2) the (ir)relevance of research to local context; (3) lack of time for EBP; (4) minimal training in EBP; (5) changing health professional behaviours; (6) poor access to resources for developing EBP; (7) influence of culture, patients, and families; (8) language barriers; and (9) lack of access to research evidence. Economic constraints contributed to many of these challenges; but not all challenges related to the economic classification of a country.

Conclusion(s): These results show that there is a need for global approach to share knowledge about EBP especially scientific evidence and innovative thinking about its application to clinical practice.

Impact: This research will impact current rehabilitation practices by providing insight to the barriers to evidence-based practice. Collaborations both informal and formal can be used globally to help improve rehabilitation services.

Funding acknowledgements: Not funded.