Qualitative investigation of the perceptions and experiences of nursing and allied health professionals involved in the implementation of an enriched environment in an Australian acute stroke unit.

作者: Ingrid C M Rosbergen , Sandra G Brauer , Sarah Fitzhenry , Rohan S Grimley , Kathryn S Hayward

DOI: 10.1136/BMJOPEN-2017-018226

关键词:

摘要: Objective An enriched environment embedded in an acute stroke unit can increase activity levels of patients who had stroke, with changes sustained 6 months post-implementation. The objective this study was to understand perceptions and experiences nursing allied health professionals involved implementing unit. Design A descriptive qualitative approach. Setting a regional Australian hospital. Participants We purposively recruited three seven the delivery environment. Face-to-face, semistructured interviews were conducted 8 weeks post-completion study. One independent researcher completed all interviews. Voice-recorded transcribed verbatim analysed by researchers using thematic approach identify main themes. Results Three themes identified. First, staff perceived that ‘the road recovery started’ for patients. described shift focus setting, which experienced through increased patient activity, greater psychological well-being empowering families. Second, ‘it takes team’ successfully create Integral building team positive interdisciplinary dynamics education. impact on workload diversely staff. Third, ‘keeping it going’ be challenging. Staff reflected changing work routines difficult. Contextual factors such as supportive physical variety individual enrichment opportunities indicated enhance implementation. Key sustaining change consistency use management strategies. Conclusion Investigating model highlighted need effective teamwork. To facilitate their new practice, careful selection strategies are critical support clinical translation Trial registration number ANZCTN12614000679684; Results.

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