Edel Burton, Irene Hartigan, Claire M Buckley, Patricia M Kearney, Siobhan Masterson, Áine Merwick, Vera J C Mc Carthy, Aoife Fleming
{"title":"导航急性中风：2019冠状病毒病期间爱尔兰幸存者、护理人员和医疗保健专业人员的观点：一项定性研究。","authors":"Edel Burton, Irene Hartigan, Claire M Buckley, Patricia M Kearney, Siobhan Masterson, Áine Merwick, Vera J C Mc Carthy, Aoife Fleming","doi":"10.2147/JMDH.S486369","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Evaluating time-sensitive conditions like acute stroke and transient ischemic attack (TIA) provides insight into the impact of the COVID-19 pandemic on healthcare access and delivery. Our aim was to investigate the perspectives of stroke/TIA survivors, caregivers, and healthcare professionals, on the emergency/pre-treatment phase of acute stroke care in Ireland during the COVID-19 pandemic.</p><p><strong>Patients and methods: </strong>During April-August 2023, we conducted semi-structured interviews with stroke/TIA survivors, caregivers and healthcare professionals involved in prehospital and hospital-based stroke care during the COVID-19 pandemic in Ireland (March 2020-February 2022). Participants were purposively sampled from four hospitals and one ambulance service region in the South of Ireland. Data analysis involved reflexive thematic analysis and patient journey mapping.</p><p><strong>Results: </strong>Thirty participants were interviewed: eight stroke/TIA survivors, seven caregivers and fifteen healthcare professionals (seven prehospital practitioners, four nurses, four doctors). Data analysis revealed five main themes: (i) Triage of stroke onset and transport to hospital; (ii) Treatment: navigating the hospital-based stroke pathway; (iii) Importance of time in stroke care; (iv) Navigating communication and connectivity in an era of COVID-19 risk and stroke care; (v) COVID-19 public health measures. These themes remained consistent across all three groups, although the depth of coverage varied. Patient journeys exhibited wide variation, with all groups noting the impact of COVID-19 on acute stroke/TIA care.</p><p><strong>Conclusion: </strong>This multi-stakeholder study revealed that the integrity of the acute stroke pathway remained intact during the COVID-19 pandemic. However, overall patient experience and willingness to seek care for suspected stroke or TIA were negatively impacted. Delays were observed across all stages of the stroke chain of survival during COVID-19, highlighting the importance of healthcare system resilience in this context. Additionally, it is important to consider how healthcare professionals can address the needs of individuals during times of increased demand on the healthcare system.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3563-3591"},"PeriodicalIF":2.7000,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12184683/pdf/","citationCount":"0","resultStr":"{\"title\":\"Navigating Acute Stroke: Perspectives from Survivors, Caregivers, and Healthcare Professionals in Ireland During COVID-19: A Qualitative Study.\",\"authors\":\"Edel Burton, Irene Hartigan, Claire M Buckley, Patricia M Kearney, Siobhan Masterson, Áine Merwick, Vera J C Mc Carthy, Aoife Fleming\",\"doi\":\"10.2147/JMDH.S486369\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Evaluating time-sensitive conditions like acute stroke and transient ischemic attack (TIA) provides insight into the impact of the COVID-19 pandemic on healthcare access and delivery. Our aim was to investigate the perspectives of stroke/TIA survivors, caregivers, and healthcare professionals, on the emergency/pre-treatment phase of acute stroke care in Ireland during the COVID-19 pandemic.</p><p><strong>Patients and methods: </strong>During April-August 2023, we conducted semi-structured interviews with stroke/TIA survivors, caregivers and healthcare professionals involved in prehospital and hospital-based stroke care during the COVID-19 pandemic in Ireland (March 2020-February 2022). Participants were purposively sampled from four hospitals and one ambulance service region in the South of Ireland. Data analysis involved reflexive thematic analysis and patient journey mapping.</p><p><strong>Results: </strong>Thirty participants were interviewed: eight stroke/TIA survivors, seven caregivers and fifteen healthcare professionals (seven prehospital practitioners, four nurses, four doctors). Data analysis revealed five main themes: (i) Triage of stroke onset and transport to hospital; (ii) Treatment: navigating the hospital-based stroke pathway; (iii) Importance of time in stroke care; (iv) Navigating communication and connectivity in an era of COVID-19 risk and stroke care; (v) COVID-19 public health measures. These themes remained consistent across all three groups, although the depth of coverage varied. Patient journeys exhibited wide variation, with all groups noting the impact of COVID-19 on acute stroke/TIA care.</p><p><strong>Conclusion: </strong>This multi-stakeholder study revealed that the integrity of the acute stroke pathway remained intact during the COVID-19 pandemic. However, overall patient experience and willingness to seek care for suspected stroke or TIA were negatively impacted. Delays were observed across all stages of the stroke chain of survival during COVID-19, highlighting the importance of healthcare system resilience in this context. Additionally, it is important to consider how healthcare professionals can address the needs of individuals during times of increased demand on the healthcare system.</p>\",\"PeriodicalId\":16357,\"journal\":{\"name\":\"Journal of Multidisciplinary Healthcare\",\"volume\":\"18 \",\"pages\":\"3563-3591\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-06-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12184683/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Multidisciplinary Healthcare\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/JMDH.S486369\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Multidisciplinary Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JMDH.S486369","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Navigating Acute Stroke: Perspectives from Survivors, Caregivers, and Healthcare Professionals in Ireland During COVID-19: A Qualitative Study.
Purpose: Evaluating time-sensitive conditions like acute stroke and transient ischemic attack (TIA) provides insight into the impact of the COVID-19 pandemic on healthcare access and delivery. Our aim was to investigate the perspectives of stroke/TIA survivors, caregivers, and healthcare professionals, on the emergency/pre-treatment phase of acute stroke care in Ireland during the COVID-19 pandemic.
Patients and methods: During April-August 2023, we conducted semi-structured interviews with stroke/TIA survivors, caregivers and healthcare professionals involved in prehospital and hospital-based stroke care during the COVID-19 pandemic in Ireland (March 2020-February 2022). Participants were purposively sampled from four hospitals and one ambulance service region in the South of Ireland. Data analysis involved reflexive thematic analysis and patient journey mapping.
Results: Thirty participants were interviewed: eight stroke/TIA survivors, seven caregivers and fifteen healthcare professionals (seven prehospital practitioners, four nurses, four doctors). Data analysis revealed five main themes: (i) Triage of stroke onset and transport to hospital; (ii) Treatment: navigating the hospital-based stroke pathway; (iii) Importance of time in stroke care; (iv) Navigating communication and connectivity in an era of COVID-19 risk and stroke care; (v) COVID-19 public health measures. These themes remained consistent across all three groups, although the depth of coverage varied. Patient journeys exhibited wide variation, with all groups noting the impact of COVID-19 on acute stroke/TIA care.
Conclusion: This multi-stakeholder study revealed that the integrity of the acute stroke pathway remained intact during the COVID-19 pandemic. However, overall patient experience and willingness to seek care for suspected stroke or TIA were negatively impacted. Delays were observed across all stages of the stroke chain of survival during COVID-19, highlighting the importance of healthcare system resilience in this context. Additionally, it is important to consider how healthcare professionals can address the needs of individuals during times of increased demand on the healthcare system.
期刊介绍：
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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