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Factors shaping the delivery of acute inpatient stroke therapy: a narrative synthesis

Research output: Contribution to journalReview article

Original languageEnglish
Pages (from-to)107-119
Number of pages13
JournalJournal of Rehabilitation Medicine
Volume47
Issue number2
Early online date1 Dec 2014
DOIs
Publication statusPublished - 19 Jan 2015

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King's Authors

Abstract

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 ana-lysis 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.

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