PDF(Pubmed)
Abstract：
OBJECTIVE: To explore healthcare professionals\' experiences of the development and delivery of Early Supported Discharge for people after stroke, including experiences of the COVID-19 pandemic.
METHODS: Qualitative descriptive study using one-to-one semi-structured interviews. Data were analysed using reflexive thematic analysis.
METHODS: Nine Early Supported Discharge service sites in Ireland.
METHODS: Purposive sampling identified 16 healthcare professionals.
RESULTS: Five key themes were identified (1) Un-coordinated development of services, (2) Staff shortages limit the potential of Early Supported Discharge, (3) Limited utilisation of telerehabilitation post COVID-19 pandemic, (4) Families need information and support, and (5) Early Supported Discharge involves collaboration with people after stroke and their families.
CONCLUSIONS: Findings highlight how Early Supported Discharge services adapted during the COVID-19 pandemic and how gaps in the service impacts on service delivery. Practice implications include the need to address staff recruitment and retention issues to prevent service shortages and ensure consistent access to psychology services. Early Supported Discharge services should continue to work closely with families and address their information and support needs. Future research on how telerehabilitation can optimally be deployed and the impact of therapy assistants in Early Supported Discharge is needed.
METHODS: Qualitative descriptive study using one-to-one semi-structured interviews. Data were analysed using reflexive thematic analysis.
METHODS: Nine Early Supported Discharge service sites in Ireland.
METHODS: Purposive sampling identified 16 healthcare professionals.
RESULTS: Five key themes were identified (1) Un-coordinated development of services, (2) Staff shortages limit the potential of Early Supported Discharge, (3) Limited utilisation of telerehabilitation post COVID-19 pandemic, (4) Families need information and support, and (5) Early Supported Discharge involves collaboration with people after stroke and their families.
CONCLUSIONS: Findings highlight how Early Supported Discharge services adapted during the COVID-19 pandemic and how gaps in the service impacts on service delivery. Practice implications include the need to address staff recruitment and retention issues to prevent service shortages and ensure consistent access to psychology services. Early Supported Discharge services should continue to work closely with families and address their information and support needs. Future research on how telerehabilitation can optimally be deployed and the impact of therapy assistants in Early Supported Discharge is needed.
摘要：
目的：探索医疗保健专业人员在中风后早期支持出院的发展和实施方面的经验，包括COVID-19大流行的经验。
方法：使用一对一半结构化访谈的定性描述性研究。使用反身性主题分析对数据进行了分析。
方法：爱尔兰有9个早期支持的出院服务站点。
方法：目的抽样确定了16名医疗保健专业人员。
结果：确定了五个关键主题（1）服务的非协调发展，(2)人员短缺限制了早期支持出院的潜力，（3）COVID-19大流行后远程康复的利用有限，（4）家庭需要信息和支持，（5）早期支持出院涉及与中风后患者及其家人的合作。
结论：研究结果强调了在COVID-19大流行期间早期支持出院服务的适应方式，以及服务差距如何影响服务交付。实践影响包括需要解决工作人员招聘和留用问题，以防止服务短缺并确保一致获得心理服务。早期支持出院服务应继续与家庭密切合作，并满足他们的信息和支持需求。未来研究如何最佳地部署远程康复，以及需要治疗助手对早期支持出院的影响。
方法：使用一对一半结构化访谈的定性描述性研究。使用反身性主题分析对数据进行了分析。
方法：爱尔兰有9个早期支持的出院服务站点。
方法：目的抽样确定了16名医疗保健专业人员。
结果：确定了五个关键主题（1）服务的非协调发展，(2)人员短缺限制了早期支持出院的潜力，（3）COVID-19大流行后远程康复的利用有限，（4）家庭需要信息和支持，（5）早期支持出院涉及与中风后患者及其家人的合作。
结论：研究结果强调了在COVID-19大流行期间早期支持出院服务的适应方式，以及服务差距如何影响服务交付。实践影响包括需要解决工作人员招聘和留用问题，以防止服务短缺并确保一致获得心理服务。早期支持出院服务应继续与家庭密切合作，并满足他们的信息和支持需求。未来研究如何最佳地部署远程康复，以及需要治疗助手对早期支持出院的影响。
