What are the barriers and facilitators to goal-setting during rehabilitation for stroke and other acquired brain injuries? A systematic review and meta-synthesis.
Clin Rehabil
; 30(9): 921-30, 2016 Sep.
Article
en En
| MEDLINE
| ID: mdl-27496701
ABSTRACT
OBJECTIVE:
To identify the barriers and facilitators to goal-setting during rehabilitation for stroke and other acquired brain injuries. DATA SOURCES AMED, Proquest, CINAHL and MEDLINE. REVIEWMETHODS:
Two reviewers independently screened, extracted data and assessed study quality using the Mixed Methods Appraisal Tool and undertook thematic content analysis for papers examining the barriers and facilitators to goal-setting during stroke/neurological rehabilitation (any design). Last searches were completed in May 2016.RESULTS:
Nine qualitative papers were selected, involving 202 participants in total 88 patients, 89 health care professionals and 25 relatives of participating patients. Main barriers were Differences in staff and patients perspectives of goal-setting; patient-related barriers; staff-related barriers, and organisational level barriers. Main facilitators were individually tailored goal-setting processes, strategies to promote communication and understanding, and strategies to avoid disappointment and unrealistic goals. In addition, patients' and staff's knowledge, experience, skill, and engagement with goal-setting could be either a barrier (if these aspects were absent) or a facilitator (if they were present).CONCLUSION:
The main barriers and facilitators to goal-setting during stroke rehabilitation have been identified. They suggest that current methods of goal-setting during inpatient/early stage stroke or neurological rehabilitation are not fit for purpose.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Planificación de Atención al Paciente
/
Lesiones Encefálicas
/
Rehabilitación de Accidente Cerebrovascular
/
Accesibilidad a los Servicios de Salud
Tipo de estudio:
Etiology_studies
/
Qualitative_research
/
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
Clin Rehabil
Asunto de la revista:
REABILITACAO
Año:
2016
Tipo del documento:
Article
País de afiliación:
Reino Unido