Experiences of persons with spinal cord injury, their family members, and health care providers during transitions in care in Alberta: a qualitative reflexive thematic analysis.

IF 2.1 4区 医学 Q1 REHABILITATION
Rija Kamran, Chester Ho, Katharina Kovacs Burns, Ingris Pelaez Ballestas, Olaleye Olayinka, Jeffery Bakal, Srijan Raha, Rebecca Charbonneau, Ana Rame, Rob MacIsaac, Rita Henderson, Adalberto-Loyola Sanchez
{"title":"Experiences of persons with spinal cord injury, their family members, and health care providers during transitions in care in Alberta: a qualitative reflexive thematic analysis.","authors":"Rija Kamran, Chester Ho, Katharina Kovacs Burns, Ingris Pelaez Ballestas, Olaleye Olayinka, Jeffery Bakal, Srijan Raha, Rebecca Charbonneau, Ana Rame, Rob MacIsaac, Rita Henderson, Adalberto-Loyola Sanchez","doi":"10.1080/09638288.2025.2509791","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>People with Spinal cord injuries (SCI) experience multiple transitions during their healthcare journey. This qualitative study aims to understand experiences of people with SCI, and perceptions from family members, and some healthcare providers on the transitions through the healthcare system in Alberta, Canada.</p><p><strong>Methods: </strong>Using purposive sampling, 49 participants were interviewed, including 22 people with SCI and 27 stakeholders, including family members and providers, a community-based participatory research study was conducted. Data were analyzed using reflexive thematic inductive comparative analyses of transcripts along with interviewers' field notes.</p><p><strong>Results: </strong>We identified the following nine overarching themes identifying 9 key areas (1) communication; (2) compassion, (3) healthcare providers' empathy, and humility; (4) continuity of care; (5) adequate preparation for discharge; (6) availability and accessibility of resources in the community; (7) mental health supports; (8) peer support and support from community-based organizations; and (9) education and managing of healing expectations. Interpreting these themes allowed us to identify key areas of opportunity to improve the transitions of people living with SCI in Alberta.</p><p><strong>Conclusions: </strong>Transitions in care after SCI is a complex phenomenon. In the absence of continuity of care across the healthcare services, people with SCI are susceptible to adverse health outcomes. Addressing the identified gaps within these transitions will improve their quality.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.1000,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Disability and Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09638288.2025.2509791","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: People with Spinal cord injuries (SCI) experience multiple transitions during their healthcare journey. This qualitative study aims to understand experiences of people with SCI, and perceptions from family members, and some healthcare providers on the transitions through the healthcare system in Alberta, Canada.

Methods: Using purposive sampling, 49 participants were interviewed, including 22 people with SCI and 27 stakeholders, including family members and providers, a community-based participatory research study was conducted. Data were analyzed using reflexive thematic inductive comparative analyses of transcripts along with interviewers' field notes.

Results: We identified the following nine overarching themes identifying 9 key areas (1) communication; (2) compassion, (3) healthcare providers' empathy, and humility; (4) continuity of care; (5) adequate preparation for discharge; (6) availability and accessibility of resources in the community; (7) mental health supports; (8) peer support and support from community-based organizations; and (9) education and managing of healing expectations. Interpreting these themes allowed us to identify key areas of opportunity to improve the transitions of people living with SCI in Alberta.

Conclusions: Transitions in care after SCI is a complex phenomenon. In the absence of continuity of care across the healthcare services, people with SCI are susceptible to adverse health outcomes. Addressing the identified gaps within these transitions will improve their quality.

阿尔伯塔省脊髓损伤患者、其家庭成员和卫生保健提供者在护理过渡期间的经历:定性反身性专题分析。
目的:脊髓损伤(SCI)的人在他们的医疗保健旅程中经历了多次转变。本定性研究旨在了解脊髓损伤患者的经历,以及家庭成员和一些医疗保健提供者对加拿大阿尔伯塔省医疗保健系统过渡的看法。方法:采用有目的抽样的方法,对49名SCI患者进行访谈,其中包括22名SCI患者和27名SCI患者的家庭成员和医疗服务提供者。数据分析使用反身性主题归纳比较分析成绩单以及采访者的现场笔记。结果:我们确定了以下9个总体主题,确定了9个关键领域(1)传播;(2)同情心,(3)医护人员的同理心和谦逊;(4)护理的连续性;(五)有充分的排放准备;(6)社区资源的可得性和可及性;(7)心理健康支持;(8)同伴支持和社区组织的支持;(9)治疗期望的教育和管理。解释这些主题使我们能够确定关键的机会领域,以改善阿尔伯塔省脊髓损伤患者的过渡。结论:脊髓损伤后护理转变是一个复杂的现象。在医疗保健服务缺乏连续性的情况下,脊髓损伤患者容易受到不良健康结果的影响。解决这些过渡中已确定的差距将提高其质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Disability and Rehabilitation
Disability and Rehabilitation 医学-康复医学
CiteScore
5.00
自引率
9.10%
发文量
415
审稿时长
3-6 weeks
期刊介绍: Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信