@article{147ed5a96f974fc1bdcaf56c56f44668,
title = "The provision of person-centred care for care home residents with stroke: An ethnographic study",
abstract = "Care home residents with stroke have higher levels of disability and poorer access to health services than those living in their own homes. We undertook observations and semi-structured interviews (n = 28 participants) with managers, staff, residents who had experienced a stroke and their relatives in four homes in London, England, in 2018/2019. Thematic analysis revealed that residents' needs regarding valued activity and stroke-specific care and rehabilitation were not always being met. This resulted from an interplay of factors: staff's lack of recognition of stroke and its effects; gaps in skills; time pressures; and the prioritisation of residents' safety. To improve residential care provision and residents' quality of life, care commissioners, regulators and providers may need to re-examine how care homes balance safety and limits on staff time against residents' valued activity, alongside improving access to specialist healthcare treatment and support.",
keywords = "care homes, nursing homes, person-centred care, qualitative research, residential facilities*, stroke",
author = "Eleanor Stevens and Clarke, {Stephanie G.} and Jean Harrington and Jill Manthorpe and Martin, {Finbarr C.} and Catherine Sackley and Christopher McKevitt and Marshall, {Iain J.} and David Wyatt and Charles Wolfe",
note = "Funding Information: This paper presents independent research funded/supported by The Dunhill Medical Trust (grant R537/0217), the National Institute for Health and Care Research (NIHR) Biomedical Research Centre at Guy's and St Thomas{\textquoteright} NHS Foundation Trust and King's College London, the NIHR Applied Research Collaboration South London, and the NIHR Policy Research Unit in Health & Social Care Workforce. IJM is funded by the UK Medical Research Council (MRC), through its Skills Development Fellowship programme, MR/N015185/. We would like to thank the residents, relatives, care home managers and staff who participated in the study. Funding Information: This paper presents independent research funded/supported by The Dunhill Medical Trust (grant R537/0217), the National Institute for Health and Care Research (NIHR) Biomedical Research Centre at Guy's and St Thomas{\textquoteright} NHS Foundation Trust and King's College London, the NIHR Applied Research Collaboration South London, and the NIHR Policy Research Unit in Health & Social Care Workforce. IJM is funded by the UK Medical Research Council (MRC), through its Skills Development Fellowship programme, MR/N015185/. We would like to thank the residents, relatives, care home managers and staff who participated in the study. Publisher Copyright: {\textcopyright} 2022 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd.",
year = "2022",
month = nov,
doi = "10.1111/hsc.13936",
language = "English",
volume = "30",
pages = "e5186--e5195",
journal = "Health and Social Care in the Community",
issn = "0966-0410",
publisher = "Wiley-Blackwell",
number = "6",
}
