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ABSTRACT: Aim
This qualitative study explores with health professionals the provision of, and challenges for, postdischarge stroke care, focussing on eating, drinking and psychological support across India.Design
Qualitative semistructured interviews.Setting
Seven geographically diverse hospitals taking part in a Global Health Research Programme on Improving Stroke Care in India.Participants
A purposive sample of healthcare professionals with current experience of working with patients who had a stroke.Results
Interviews with 66 healthcare professionals (23 nurses (14 staff nurses; 7 senior nurse officers; 1 intensive care unit nurse; 1 palliative care nurse)); 16 doctors (10 neurologists; 6 physicians); 10 physiotherapists; 5 speech and language therapists; 4 occupational therapists; 4 dieticians; 2 psychiatrists; and 2 social workers resulted in three main themes: integrated inpatient discharge care planning processes; postdischarge patient and caregiver role and challenges; patient and caregiver engagement post discharge.Conclusions
Discharge planning was integrated and customised, although resources were limited in some sites. Task shifting compensated for a lack of specialists but was limited by staff education and training. Caregivers faced challenges in accessing and providing postdischarge care. Postdischarge care was mainly hospital based, supported by teleservices, especially for rural populations. Further research is needed to understand postdischarge care provision and the needs of stroke survivors and their caregivers.
SUBMITTER: Jones SP
PROVIDER: S-EPMC10603406 | biostudies-literature | 2023 Oct
REPOSITORIES: biostudies-literature
Jones Stephanie P SP Injety Ranjit J RJ Pandian Jeyaraj D JD Ratra Sanjali S Sylaja P N PN Babu Veena V Srivastava Mv Padma MP Sharma Sakshi S Sharma Sudhir S Webster Jemin J Koirala Amrit A Kaushal Pawna P Kulkarni Girish Baburao GB Dixit Anand A Sharma Arvind A Prajapati Jagruti J Weldon Jo Catherine JC Kuroski Jennifer A JA Watkins Caroline Leigh CL Lightbody Catherine Elizabeth CE
BMJ open 20231025 10
<h4>Aim</h4>This qualitative study explores with health professionals the provision of, and challenges for, postdischarge stroke care, focussing on eating, drinking and psychological support across India.<h4>Design</h4>Qualitative semistructured interviews.<h4>Setting</h4>Seven geographically diverse hospitals taking part in a Global Health Research Programme on Improving Stroke Care in India.<h4>Participants</h4>A purposive sample of healthcare professionals with current experience of working w ...[more]