Article

OBJECTIVE: To identify the barriers and facilitators to goal-setting during
rehabilitation for stroke and other acquired brain injuries. DATA SOURCES: AMED,
Proquest, CINAHL and MEDLINE. REVIEW METHODS: Two reviewers independently
screened, extracted data and assessed study quality using the Mixed Methods
Appraisal Tool and undertook thematic content analysis for papers examining the
barriers and facilitators to goal-setting during stroke/neurological
rehabilitation (any design). Last searches were completed in May 2016. RESULTS:
Nine qualitative papers were selected, involving 202 participants in total: 88
patients, 89 health care professionals and 25 relatives of participating
patients. Main barriers were: Differences in staff and patients perspectives of
goal-setting; patient-related barriers; staff-related barriers, and
organisational level barriers. Main facilitators were: individually tailored
goal-setting processes, strategies to promote communication and understanding,
and strategies to avoid disappointment and unrealistic goals. In addition,
patients' and staff's knowledge, experience, skill, and engagement with
goal-setting could be either a barrier (if these aspects were absent) or a
facilitator (if they were present). CONCLUSION: The main barriers and
facilitators to goal-setting during stroke rehabilitation have been identified.
They suggest that current methods of goal-setting during inpatient/early stage
stroke or neurological rehabilitation are not fit for purpose.
CI - (c) The Author(s) 2016.

Langue : ANGLAIS