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Psychosocial well-being after stroke in Aotearoa New Zealand: a qualitative metasynthesis
CONCLUSION: Well-being is multi-faceted. In Aotearoa, it is inherently collective while also deeply personal. Well-being is collectively achieved through connections with self, others, community and culture, and embedded within personal and collective temporal worlds. These rich understandings of well-being can open up different considerations of how well-being is supported by and within stroke services.PMID:37198959 | DOI:10.1080/09638288.2023.2212178
Source: Disability and Rehabilitation - May 18, 2023 Category: Rehabilitation Authors: Felicity A S Bright Claire Ibell-Roberts Bobbie-Jo Wilson Source Type: research

Patient, carer and health worker perspectives of stroke care in New Zealand: a mixed methods survey
CONCLUSIONS: Perceptions of stroke care differed between consumers and health workers, highlighting the importance of involving both in service co-design. Improving communication, post-hospital follow-up, and geographic equity are key areas for improvement.Implications for rehabilitationProvision of detailed information on stroke recovery and available services in the community is recommended.Improvements in the delivery of post-hospital stroke care are required to optimise stroke care, with options including routine phone follow up appointments and wider development of early supported discharge services.Stroke rehabilitat...
Source: Disability and Rehabilitation - September 5, 2022 Category: Rehabilitation Authors: Stephanie Thompson William Levack Jeroen Douwes Jackie Girvan Ginny Abernethy P Alan Barber John Fink John Gommans Alan Davis Matire Harwood Dominique A Cadilhac Harry McNaughton Valery Feigin Andrew Wilson Hayley Denison Marine Corbin Joosup Kim Annemare Source Type: research

The experiences of Indian people living in New Zealand with stroke.
CONCLUSION: All participants felt well looked after within the New Zealand healthcare context but highlighted the need for long term support. Self-management strategies participants considered important included changes to their diet, acceptance by oneself and society, returning to work, the role of family, and the use of technology and social media. Health professionals should consider these factors when providing self-management support to individuals of Indian ethnicity. IMPLICATIONS FOR REHABILITATION Advice and help around diet, lifestyle, and return to work were important priorities identified by our Indian stroke su...
Source: Disability and Rehabilitation - February 4, 2021 Category: Rehabilitation Authors: Singh P, Jayakaran P, Mani R, Hale L Tags: Disabil Rehabil Source Type: research

Community reintegration post-stroke in New Zealand: understanding the experiences of stroke survivors in the lower South Island.
CONCLUSIONS: Stroke survivors in New Zealand hold many similar perceptions about optimal community reintegration with those living elsewhere. Key to successful community reintegration, irrespective of geography, culture and ethnicity, appears to be involvement in meaningful activities, and reduced reliance on others whilst maintaining or developing good social relationships. These fundamental components are then contextually nuanced by what is meaningful and important to the individual. IMPLICATIONS FOR REHABILITATION Optimal community reintegration post-stroke is arguably the key goal of rehabilitation, and thus should be...
Source: Disability and Rehabilitation - November 2, 2020 Category: Rehabilitation Authors: Becker I, Maleka MD, Stewart A, Jenkins M, Hale L Tags: Disabil Rehabil Source Type: research

What influences the implementation of the New Zealand stroke guidelines for physiotherapists and occupational therapists?
Conclusion Alignment to the guidelines in NZ is influenced both positively and negatively by a range of interacting factors, consistent with other studies. Alignment might be improved by the introduction of some relatively simple strategies, such as ring-fencing time for access to resources and training in the use of the guidelines. Many of the barriers and related interventions are likely to be more complex. Implications for rehabilitation Alignment with stroke guidelines has been shown to improve patient outcomes. Therapist alignment with the implementation of the New Zealand stroke guidelines is influenced by guideline ...
Source: Disability and Rehabilitation - March 4, 2016 Category: Rehabilitation Authors: Mudge S, Hart A, Murugan S, Kersten P Tags: Disabil Rehabil Source Type: research