Article

OBJECTIVE: To evaluate the impact of a toolkit of psychometrically robust
measurement tools, the Greater Manchester Assessment for Stroke Rehabilitation
(G-MASTER) toolkit, on the use of measurement tools during stroke rehabilitation
DESIGN: Mixed methods cohort design using non-participant observation of
multi-disciplinary team meetings and semi-structured interviews with members of
the team over three months before and three months after implementation of the
assessment toolkit. Development and implementation of the toolkit are also
described. SETTING: Ten in-patient stroke services in a large UK city. SUBJECTS:
Members of the participating multi-disciplinary stroke teams. RESULTS: Before
implementation standardised measures were seldom used in team meetings. After
implementation, use of all measurement tools significantly increased (36% to 81%
of occasions, P<0.000). Staff were generally positive about the toolkit and felt
it enabled more accurate problem identification, effective progress monitoring,
timely decision-making, communication and promoted inter-team relationships.
CONCLUSIONS: A toolkit of standardised measurement tools can be feasibly and
acceptably implemented into stroke rehabilitation. It increases the use of
measurement tools by the multi-disciplinary team and improves the processes and
quality of care.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS