Article

In this paper we aim to develop the understanding of what constitutes a
'good' or 'poor' experience in relation to the transition from hospital to home
following a stroke. METHOD: Semi-structured interviews were carried out with 20
people and 13 carers within one month of being discharged from hospital following
a stroke. Interviews covered views of mobility recovery and support from therapy
and services. Interviews were transcribed verbatim, coded and analysed in depth
in order to explore the discharge process. RESULTS: Participants described models
of recovery, which involved a sense of momentum and getting on with their life.
Discharge was successful if: (i) This sense of momentum was maintained, (ii) they
felt supported, and (iii) they felt informed about what was happening. Discharge
was seen as difficult when: (a) Momentum was perceived to be lost, (b) people did
not feel supported, or (c) they felt in the dark about the plans or their
recovery. CONCLUSIONS: The discharge experience could be improved by healthcare
professionals understanding and exploring patients' individual models of
recovery. This would allow professionals to: (a) Access patients concerns, (b)
develop programmes addressing these, (c) correct misinterpretations, (d) keep
people fully informed, and (e) share and validate the experience, to reduce their
sense of isolation.

Langue : ANGLAIS