Understanding the Professional Care Experience of Patients with Stroke: A Qualitative Study Using In-Depth Interviews

Int J Integr Care. 2022 Oct 7;22(4):2. doi: 10.5334/ijic.6526. eCollection 2022 Oct-Dec.

Abstract

Background: Professional support and communication stimulates the professional-patient relationship and supports the recovery of stroke patients.

Objectives: To describe the perspectives of patients with stroke regarding communication, professional support, and their ability to participate in processes and integrated care with health providers.

Methods: A qualitative study was conducted. A purposeful sampling and snowball-technique were used. Patients diagnosed with moderate or severe stroke in the post-acute or chronic stage of the disease were included. Data collection consisted of in-depth interviews and researcher field notes. A thematic analysis was performed.

Results: Thirty-one patients were included. Three themes were identified: 1) Providing support, with four categories, professional behavior, personalized attention, the heart of the professional and building a bond with the patient; 2) Facilitating communication, with three categories, the patient as the recipient, the content of the message and the channel, and the professional as the person that conveys the message; and 3) Promoting participation, with two categories, barriers, and incentives to participate.

Conclusions: When providing support, professionals should consider communicating information and encouraging the participation of stroke patients for integrated care.

Keywords: (MeSH): stroke; integrated care; professional-patient relations; qualitative research; stroke rehabilitation; therapeutic alliance.

Publication types

  • Case Reports

Grants and funding

This research was funded by a grant from la Sociedad Española de Calidad Asistencial (SECA) and la Fundación Española de Calidad Asistencial (FECA) [the Spanish Society for the Quality of Care (SECA) and the Spanish Foundation for the Quality of Care (FECA)] (2019/2020 RESEARCH GRANTS). The SECA-FECA has not been specifically involved in the research. The authors report no involvement in the research by the sponsor that could have influenced the outcome of this work.