TY - JOUR
T1 - Factors shaping the delivery of acute inpatient stroke therapy: A narrative synthesis
AU - Taylor, Elizabeth
AU - McKevitt, Christopher
AU - Jones, Fiona
PY - 2015/2/1
Y1 - 2015/2/1
N2 - Objective: To investigate factors shaping the delivery of acute inpatient stroke therapy (i.e. occupational therapy, physiotherapy, and speech and language therapy). Data sources: A systematic search using electronic databases: AMED, CINAHL, Medline, Web of Knowledge and EMBASE. Study selection: Qualitative studies (n = 31) investigating delivery of inpatient stroke therapy, published since 1998, were included. Data extraction: Narrative synthesis was used as the review method. Textual descriptions, tabulation and thematic analysis were used to categorize findings and explore relationships between studies. Data synthesis: Data synthesis generated the following themes: the need for a therapeutic environment; power and decision-making; intensity, motivation and appropriateness for active therapy; therapy behind the scenes; the role of teamwork in creating a therapeutic environment. Delivery of therapy was influenced by conceptual, individual and professional factors. Conclusion: Conceptual, individual and professional factors impact on the delivery of rehabilitation. Further research is needed to examine how therapists negotiate the sometimes conflicting factors shaping delivery of therapy.
AB - Objective: To investigate factors shaping the delivery of acute inpatient stroke therapy (i.e. occupational therapy, physiotherapy, and speech and language therapy). Data sources: A systematic search using electronic databases: AMED, CINAHL, Medline, Web of Knowledge and EMBASE. Study selection: Qualitative studies (n = 31) investigating delivery of inpatient stroke therapy, published since 1998, were included. Data extraction: Narrative synthesis was used as the review method. Textual descriptions, tabulation and thematic analysis were used to categorize findings and explore relationships between studies. Data synthesis: Data synthesis generated the following themes: the need for a therapeutic environment; power and decision-making; intensity, motivation and appropriateness for active therapy; therapy behind the scenes; the role of teamwork in creating a therapeutic environment. Delivery of therapy was influenced by conceptual, individual and professional factors. Conclusion: Conceptual, individual and professional factors impact on the delivery of rehabilitation. Further research is needed to examine how therapists negotiate the sometimes conflicting factors shaping delivery of therapy.
KW - Hospital
KW - Inpatient
KW - Rehabilitation
KW - Stroke
KW - Stroke unit
KW - Therapy
UR - http://www.scopus.com/inward/record.url?scp=84929245107&partnerID=8YFLogxK
U2 - 10.2340/16501977-1918
DO - 10.2340/16501977-1918
M3 - Review article
SN - 1650-1977
VL - 47
SP - 107
EP - 119
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
IS - 2
ER -