Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views
Introduction: The number of patients who have a pre-discharge home assessment visit following a stroke has been reported to vary nationally. The purpose of this research was to explore the factors influencing occupational therapists' decisions to complete such visits. Method: Semi-structur...
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| Format: | Article |
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SAGE
2014
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| Online Access: | https://eprints.nottingham.ac.uk/43785/ |
| _version_ | 1848796768054018048 |
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| author | Whitehead, Phillip J. Fellows, Karen Rachael Sprigg, Nikola Walker, Marion F. Drummond, Avril E.R. |
| author_facet | Whitehead, Phillip J. Fellows, Karen Rachael Sprigg, Nikola Walker, Marion F. Drummond, Avril E.R. |
| author_sort | Whitehead, Phillip J. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Introduction:
The number of patients who have a pre-discharge home assessment visit following a stroke has been reported to vary nationally. The purpose of this research was to explore the factors influencing occupational therapists' decisions to complete such visits.
Method:
Semi-structured interviews were completed with 20 senior occupational therapists working with stroke in-patients, from a range of urban and rural locations in the United Kingdom. The interviews explored their views about those patients for whom a pre-discharge home assessment visit would and would not be required. The interviews were analysed using thematic analysis.
Findings:
Three themes were identified: the patient's level of physical, cognitive, or perceptual impairment and its impact on performance in activities of daily living; factors relating to the patient's home environment, including the availability of support within the home environment; and other influences on occupational therapists. The presence of a cognitive impairment was a particularly important factor.
Conclusions:
Occupational therapists balanced aspects from each of these themes in order to determine whether a visit was needed or not. Although the level of impairment was important, the most dependent patients were not necessarily those believed to be the most likely to need a visit. |
| first_indexed | 2025-11-14T19:53:13Z |
| format | Article |
| id | nottingham-43785 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:53:13Z |
| publishDate | 2014 |
| publisher | SAGE |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-437852020-05-04T16:52:27Z https://eprints.nottingham.ac.uk/43785/ Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views Whitehead, Phillip J. Fellows, Karen Rachael Sprigg, Nikola Walker, Marion F. Drummond, Avril E.R. Introduction: The number of patients who have a pre-discharge home assessment visit following a stroke has been reported to vary nationally. The purpose of this research was to explore the factors influencing occupational therapists' decisions to complete such visits. Method: Semi-structured interviews were completed with 20 senior occupational therapists working with stroke in-patients, from a range of urban and rural locations in the United Kingdom. The interviews explored their views about those patients for whom a pre-discharge home assessment visit would and would not be required. The interviews were analysed using thematic analysis. Findings: Three themes were identified: the patient's level of physical, cognitive, or perceptual impairment and its impact on performance in activities of daily living; factors relating to the patient's home environment, including the availability of support within the home environment; and other influences on occupational therapists. The presence of a cognitive impairment was a particularly important factor. Conclusions: Occupational therapists balanced aspects from each of these themes in order to determine whether a visit was needed or not. Although the level of impairment was important, the most dependent patients were not necessarily those believed to be the most likely to need a visit. SAGE 2014-08-15 Article PeerReviewed Whitehead, Phillip J., Fellows, Karen Rachael, Sprigg, Nikola, Walker, Marion F. and Drummond, Avril E.R. (2014) Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views. British Journal of Occupational Therapy, 77 (8). pp. 384-391. ISSN 1477-6006 Pre-discharge home assessment visits stroke rehabilitation http://journals.sagepub.com/doi/abs/10.4276/030802214X14071472109752 doi:10.4276/030802214X14071472109752 doi:10.4276/030802214X14071472109752 |
| spellingShingle | Pre-discharge home assessment visits stroke rehabilitation Whitehead, Phillip J. Fellows, Karen Rachael Sprigg, Nikola Walker, Marion F. Drummond, Avril E.R. Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views |
| title | Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views |
| title_full | Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views |
| title_fullStr | Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views |
| title_full_unstemmed | Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views |
| title_short | Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views |
| title_sort | who should have a pre–discharge home assessment visit after a stroke? a qualitative study of occupational therapists' views |
| topic | Pre-discharge home assessment visits stroke rehabilitation |
| url | https://eprints.nottingham.ac.uk/43785/ https://eprints.nottingham.ac.uk/43785/ https://eprints.nottingham.ac.uk/43785/ |