Health professionals' practices and perspectives of post-stroke coordinated discharge planning: a national survey

Lara Ingram; Rachelle Pitt; Kirstine Shrubsole

doi:10.1071/IB23092

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Health professionals' practices and perspectives of post-stroke coordinated discharge planning: a national survey

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Health professionals' practices and perspectives of post-stroke coordinated discharge planning: a national survey

Lara Ingram, Rachelle Pitt and Kirstine Shrubsole

Brain impairment, Vol.25, IB23092

03/2024

DOI: https://doi.org/10.1071/IB23092

PMID: 38566295

Appears in Recent Faculty of Health Publications

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Abstract

barriers

coordinated discharge planning

discharge planning

facilitators

health professional perspectives

implementation

stroke

survey

Background It is best practice for stroke services to coordinate discharge care plans with primary/community care providers to ensure continuity of care. This study aimed to describe health professionals’ practices in stroke discharge planning within Australia and the factors influencing whether discharge planning is coordinated between hospital and primary/community care providers. Methods A mixed-methods survey informed by the Theoretical Domains Framework was distributed nationally to stroke health professionals regarding post-stroke discharge planning practices and factors influencing coordinated discharge planning (CDP). Data were analysed using descriptive statistics and content analysis. Results Data from 42 participants working in hospital-based services were analysed. Participants reported that post-stroke CDP did not consistently occur across care providers. Three themes relating to perceived CDP needs were identified: (1) a need to improve coordination between care providers, (2) service-specific management of the discharge process, and (3) addressing the needs of the stroke survivor and family. The main perceived barriers were the socio-political context and health professionals’ beliefs about capabilities. The main perceived facilitators were health professionals’ social/professional role and identity, knowledge, and intentions. The organisation domain was perceived as both a barrier and facilitator to CDP. Conclusion Australian health professionals working in hospital-based services believe that CDP promotes optimal outcomes for stroke survivors, but experience implementation challenges. Efforts made by organisations to ensure workplace culture and resources support the CDP process through policies and procedures may improve practice. Tailored implementation strategies need to be designed and tested to address identified barriers.

Details

Title: Health professionals' practices and perspectives of post-stroke coordinated discharge planning: a national survey
Creators: Lara Ingram - University of Queensland
Rachelle Pitt - University of Queensland
Kirstine Shrubsole - University of Queensland
Publication Details: Brain impairment, Vol.25, IB23092
Publisher: Cambridge University Press
Identifiers: 991013179812602368
Copyright: © 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the Australasian Society for the Study of Brain Impairment. This is an open access article distributed under the Creative Commons AttributionNonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).
Academic Unit: Faculty of Health; Allied Health and Midwifery
Language: English
Resource Type: Journal article

Health professionals' practices and perspectives of post-stroke coordinated discharge planning: a national survey

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