Factors That Influence the Decision-Making of an Integrated Rehabilitation Team When Choosing a Post-Hospital Discharge Destination For Survivors of Stroke

Stroke is one of the more disabling conditions which may result in the inability for survivors to care for themselves independently. Stroke survivors benefit most when they receive early onset assessment, treatment, and rehabilitation. Increasingly, stroke care in Canadian hospitals relies on an interdisciplinary rehabilitation team approach to provide immediate rehabilitation services and to make decisions about discharge destination for stroke survivors. Currently, there is little research on how interdisciplinary rehabilitation teams decide upon rehabilitation placements for stroke survivors or how individuals on the team, stroke survivors, or their families participate in and contribute to this decision. This research studied the culture of the interdisciplinary rehabilitation team to understand the specific client, clinical, and family situations considered by team members and how that information was communicated and evaluated by them during their decision-making. To address the research question, the researcher undertook an ethnographic study of a health care team on a stroke unit of a Canadian hospital. Based on observations of the interdisciplinary rehabilitation team and interviews with team members, the study found that decisions about post-hospital discharge destination were conditioned by variables related to the social, economic, and policy context; interactions among members of the team; and the condition of stroke survivors or their families and their ability and willingness to contribute to home care.

Grantor dc:publisher

Edith Cowan University, Research Online, Perth, Western Australia

Year dc:date

2014

Author dc:creator

• Johnson, Jessie M.

• Decision-making
• Interdisciplinary rehabilitation teams
• Interdisciplinary teams
• Stroke
• Team-work
• Decision-making models
• Cerebrovascular disease - Patients - Rehabilitation - Services - Canada
• Medicine and Health Sciences

Repository record dc:identifier

https://ro.ecu.edu.au/theses/1420

OAI identifier oai:identifier

oai:ro.ecu.edu.au:theses-2421