IMPLEMENTATION OF EVIDENCE-BASED INTERVENTIONS ACCORDING TO THE SWEDISH NATIONAL GUIDELINES FOR STROKECARE: A NATIONWIDE SURVEY AMONG PHYSIOTHERAPISTS.

Objective: To investigate (i) to what extent physiotherapists (PTs) working in stroke rehabilitation in various parts of the stroke care chain have implemented interventions according to the national guidelines for stroke (NGS), (ii) facilitating and hindering factors for the implementation, and (ii...

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Publicado en:Journal of Rehabilitation Medicine (Medical Journals Sweden AB) Vol. 56; pp. 1 - 9
Autores principales: BRYCKE, Sara, BRÅNDAL, Anna, BROGÅRDH, Christina
Formato: research tables/charts Journal Article
Publicado: Medical Journals Sweden AB 2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2024
      vid: 56
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      pub: Medical Journals Sweden AB
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        10.2340/jrm.v56.18444
        182282838
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        atl: IMPLEMENTATION OF EVIDENCE-BASED INTERVENTIONS ACCORDING TO THE SWEDISH NATIONAL GUIDELINES FOR STROKECARE: A NATIONWIDE SURVEY AMONG PHYSIOTHERAPISTS.
      aug:
        au:
          BRYCKE, Sara
          BRÅNDAL, Anna
          BROGÅRDH, Christina
        affil: Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, Lund, Sweden
      sug:
        subj:
          Physical Therapists Standards
          Stroke Rehabilitation
          Guideline Adherence
          Implementation Science
          Health Services Accessibility
          Medical Practice, Evidence-Based
          Human
          Sweden
          Cross Sectional Studies
          Descriptive Statistics
          Accidental Falls Prevention and Control
          Data Analysis Software
          Kruskal-Wallis Test
          Male
          Female
          Adult
          Middle Age
          Aged
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objective: To investigate (i) to what extent physiotherapists (PTs) working in stroke rehabilitation in various parts of the stroke care chain have implemented interventions according to the national guidelines for stroke (NGS), (ii) facilitating and hindering factors for the implementation, and (iii) differences between various care settings. Design: A cross-sectional study. Subjects: 148 PTs working in stroke rehabilitation in various parts of the care chain in Sweden. Methods: Data were collected by a web-based survey. Results: Task-specific training for walking (80-98%), impaired motor function (64-100%) and fall prevention (73-92%) were most implemented. Factors that facilitated implementation were: important to comply with the NGS, that PTs had confidence to perform the interventions, and that interventions were clearly described. Limited time, lack of resources, no clear goals or routines at the workplace hindered the implementation. Significant differences (p< 0.05) between the settings existed. Municipal and primary care reported most challenges in implementing the NGS and providing evidence-based interventions. Conclusion: Most interventions, with high priority according to NGS, are provided by PTs working in stroke rehabilitation, although differences in various parts of the care chain exist. Knowledge, time, education and supportive management are important factors when implementing evidence-based interventions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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