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Health professionals’ perspectives on the discharge process and continuity of care for stroke survivors discharged home in regional Australia: A qualitative, descriptive study

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  • Ashley Kable
  • Amanda Baker
  • Dimity Pond
  • Erica Southgate
  • Alyna Turner
  • Christopher Levi

Abstract

Many stroke patients are discharged home due to advances in treatment approaches and reduced residual disability. The aim of this study was to understand health professionals’ perspectives on the discharge process and continuity of care during the transition between hospital and home for stroke survivors. In this qualitative, descriptive study, we used focus groups with 25 health professionals involved in discharge processes for transition from hospital to home in 2014, in a regional area of Australia. Discontinuity in the discharge process was affected by pressure to discharge patients, discharge medications and associated risks, inadequate or late discharge summaries, and challenges involving carers. Discontinuity in post‐discharge services and follow up was affected by availability of post‐discharge services, number of services arranged at the time of discharge, general practitioner follow up after discharge, delays and waiting lists, carer problems, and long‐term follow up. There were complex organizational barriers to the continuity of care for stroke survivors discharged home. It is important to address these deficits so that stroke survivors and their carers can make the transition home with minimal risk and adequate support following a stroke.

Suggested Citation

  • Ashley Kable & Amanda Baker & Dimity Pond & Erica Southgate & Alyna Turner & Christopher Levi, 2019. "Health professionals’ perspectives on the discharge process and continuity of care for stroke survivors discharged home in regional Australia: A qualitative, descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 21(2), pages 253-261, June.
    • Handle: RePEc:wly:nuhsci:v:21:y:2019:i:2:p:253-261
    DOI: 10.1111/nhs.12590
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    References listed on IDEAS

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    1. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    2. Ashley Kable & Dimity Pond & Amanda Baker & Alyna Turner & Christopher Levi, 2018. "Evaluation of discharge documentation after hospitalization for stroke patients discharged home in Australia: A cross‐sectional, pilot study," Nursing & Health Sciences, John Wiley & Sons, vol. 20(1), pages 24-30, March.
    3. Deborah Jacks Camak, 2015. "Addressing the burden of stroke caregivers: a literature review," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(17-18), pages 2376-2382, September.
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