Clinician perspectives on implementing a team-based metacognitive strategy training approach to stroke rehabilitation
| Autor: | Sara McEwen, Michelle Donald, Katherine Dittmann, Kay-Ann Allen, Anne Hunt, Elizabeth Linkewich, Alexandra Patel, Jennifer Hutter |
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| Rok vydání: | 2021 |
| Předmět: |
Medical education
Rehabilitation Health Policy medicine.medical_treatment Public Health Environmental and Occupational Health Psychological intervention Allied Health Personnel Stroke Rehabilitation Metacognition Focus Groups Focus group Experiential learning Physical Therapists Stroke 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Knowledge translation medicine Humans 030212 general & internal medicine InformationSystems_MISCELLANEOUS Thematic analysis Psychology 030217 neurology & neurosurgery |
| Zdroj: | Journal of evaluation in clinical practiceREFERENCES. 28(2) |
| ISSN: | 1365-2753 |
| Popis: | Introduction The objective of this research study was to explore site and clinician specific experiences, successes and challenges in implementing a complex intervention (cognitive orientation to daily occupational performance approach) to enhance stroke team's ability to address cognitive impairments as part of comprehensive stroke rehabilitation. Methods A focus group was held with clinicians from five study sites, all rehabilitation stroke hospitals in a large urban setting, to discuss implementation experiences. Participants were clinicians (site champions) from each of the five participating stroke program study sites and included four occupational therapists, three physiotherapists and one speech-language pathologist. Thematic analysis was used to identify themes that represented clinicians' perspectives. Results Implementing this complex team-based intervention was influenced by three themes-organizational support, experiential evidence, and clinicians' perspectives. Continued implementation of the intervention following the withdrawal of study support was represented on a continuum that ranged from not using the approach at all to implementing it with all patients. Sites where managers encouraged and supported use of the intervention within teams (organization support), continued to use it after the study support period as did clinicians who were willing to try new interventions (clinicians' perspectives). Development of iterative conclusions through implementation or attempts to implement the intervention had both positive and negative effects on continued implementation (experiential evidence). Conclusions Strategies that reinforce development of positive experiential evidence and building organizational support for innovative practice were found to be useful adjuncts in facilitating implementation of complex interprofessional interventions. |
| Databáze: | OpenAIRE |
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