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dc.contributor.authorMartinsen, Randi
dc.contributor.authorKitzmüller, Gabriele
dc.contributor.authorMangset, Margrete
dc.contributor.authorKvigne, Kari Johanne
dc.contributor.authorEvju, Anne Svelstad
dc.contributor.authorBronken, Berit Arnesveen
dc.contributor.authorBragstad, Line Kildal
dc.contributor.authorHjelle, Ellen Gabrielsen
dc.contributor.authorSveen, Unni
dc.contributor.authorKirkevold, Marit
dc.date.accessioned2021-08-12T07:56:39Z
dc.date.available2021-08-12T07:56:39Z
dc.date.issued2021-08-11
dc.description.abstractBackground - Persons with stroke are susceptible to psychosocial problems, and express disappointment at how health care professionals fail to meet their psychosocial needs following discharge to home. The responsibility of nurses and occupational therapists in stroke rehabilitation is to assist the persons and their families during the recovery and adjustment process. A home-based dialogical intervention aiming to enhance psychosocial support was therefore developed and tested in a randomized controlled trial. This study is a part of the process evaluation conducted alongside the trial. The aim was to explore the nurses’ and occupational therapists’ experiences of conducting the intervention.<p> <p>Methods - Eighteen nurses and four occupational therapists participated in six focus groups to explore their experiences when providing the intervention. The themes discussed in the focus groups were the aspects that facilitated the delivering of the intervention and the challenges they encountered during the study period. The interviews were analysed using qualitative content analysis.<p> <p>Results - The analysis generated two themes. The theme Developing a supportive relationship to facilitate the adjustment process following stroke had two subthemes: <i>Getting personally involved</i> and <i>Handling challenges</i>. This theme reveals how the nurses and occupational therapists experienced their relationship with the persons with stroke and potential threats which challenged them while conducting the intervention. The theme Developing professional skills in providing psychosocial support had two subthemes: <i>Becoming confident in conducting dialogues</i> and <i>Integrating psychosocial topics</i>. This theme reveals the aspects that the nurses and occupational therapists perceived as facilitating the development of their professional skills in conducting the dialogues.<p> <p>Conclusion - Delivering the psychosocial intervention was perceived as deeply meaningful and increased the nurses’ and occupational therapists’ understanding of how to support stroke survivors to live with the consequences of stroke. However, balancing the professional and the personal relationship was challenging. A basic educational programme, training, supervision and having dedicated time were crucial elements to instil confidence in professionals conducting theme-based dialogues to promote post-stroke psychosocial well-being. Individual clinical experience and knowledge of stroke care were considering important to enable professionals to integrate psychosocial rehabilitation into community health care.en_US
dc.identifier.citationMartinsen RE, Kitzmüller GE, Mangset M, Kvigne K, Evju AS, Bronken B, Bragstad LK, Hjelle EGH, Sveen US, Kirkevold M. Nurses’ and occupational therapists’ experiences of conducting a home-based psychosocial intervention following stroke: a qualitative process evaluation. BMC Health Services Research. 2021(21)en_US
dc.identifier.cristinIDFRIDAID 1925249
dc.identifier.doihttps://doi.org/10.1186/s12913-021-06857-8
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/10037/21999
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalBMC Health Services Research
dc.relation.projectIDinfo:eu-repo/grantAgreement/EC/SCIENTIA-FELLOWS/609020/Norway/SCIENTIA-FELLOWS: International Postdoctoral Fellowship Programme//en_US
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Nursing science: 808en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Sykepleievitenskap: 808en_US
dc.titleNurses’ and occupational therapists’ experiences of conducting a home-based psychosocial intervention following stroke: a qualitative process evaluationen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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