Jason Bransby-Bell, Christian Minett, Liesel Jeffers, Melanie Sauer, Zoe A Michaleff
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引用次数: 0
摘要
创伤性脑损伤的成年人经常遇到认知、情感、身体和交流功能方面的挑战,他们需要专业的康复和支持。本研究的目的是确定和优先考虑脑损伤康复服务的特征,这些特征对一个地区的卫生专业人员和消费者(客户和家庭)很重要。方法采用名义分组技术方法学。在2022年7月至9月期间,与保健专业人员(HCPs, n =19)和消费者(n =3)举行了四次讲习班。对讲习班讨论进行了记录和专题分析,以确定每组和总体的最重要主题。结果确定了6个关键主题。这些与脑损伤康复服务有关:(1)公平和以人为本,(2)能够根据客户的需要提供专业服务,(3)联系良好并具有中心协调作用,(4)提供宣传,教育和促进同伴支持,(5)建立更广泛的工作人员的能力,以及(6)具有明确和透明的临床流程。HCPs和消费者的主题之间有实质性的一致性。结论本研究结果为区域性脑损伤康复服务的重新设计、战略规划和加强提供了有价值的见解。
Health professionals' and consumers' perspectives of the important features of a community brain injury rehabilitation service.
Background Adults with traumatic brain injuries frequently encounter challenges with cognitive, emotional, physical and communicative function, and they require specialist rehabilitation and support. The aim of this study was to identify and prioritise features of a brain injury rehabilitation service that are important to health professionals and consumers (clients and family) in a regional area. Methods The nominal group technique methodology was used. Between July and September 2022, four workshops were held with healthcare professionals (HCPs, n =19) and consumers (n =3). Workshop discussions were recorded and thematically analysed to identify the most important themes per group and overall. Results Six key themes were identified. These related to a brain injury rehabilitation service being: (1) equitable and person-centred, (2) able to provide specialised services in response to client's needs, (3) well-connected and having a central coordinating role, (4) providing advocacy, education and facilitation of peer support, (5) building the capacity of the wider workforce, and (6) having clear and transparent clinical processes. There was substantial alignment between the themes of HCPs and consumers. Conclusion The findings of this study offer valuable insights for the redesign, strategic planning and enhancement of brain injury rehabilitation services especially in regional areas.
期刊介绍:
The journal addresses topics related to the aetiology, epidemiology, treatment and outcomes of brain impairment with a particular focus on the implications for functional status, participation, rehabilitation and quality of life. Disciplines reflect a broad multidisciplinary scope and include neuroscience, neurology, neuropsychology, psychiatry, clinical psychology, occupational therapy, physiotherapy, speech pathology, social work, and nursing. Submissions are welcome across the full range of conditions that affect brain function (stroke, tumour, progressive neurological illnesses, dementia, traumatic brain injury, epilepsy, etc.) throughout the lifespan.