Consensus Recommendations for Maintaining Neurorehabilitation Quality During Healthcare Crises: A Stakeholder-Informed Mixed Methods Study.
The COVID-19 pandemic significantly disrupted neurorehabilitation practices in Inpatient Rehabilitation Facilities (IRFs), providing an opportunity to examine crisis response strategies. This mixed-methods study examined the pandemic's impact on quality of care through 3 complementary phases: (1) mu...
| Publicado en: | Inquiry (00469580) Vol. 62; pp. 1 - 19 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
11/27/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189855991&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189855991 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: 11/27/2025 vid: 62 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 189855991 189855991 189855991 10.1177/00469580251390298 189855991 ppf: 1 ppct: 18 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Consensus Recommendations for Maintaining Neurorehabilitation Quality During Healthcare Crises: A Stakeholder-Informed Mixed Methods Study. aug: au: Ferré, Perrine Zidarov, Diana Vincent, Claude Vakil, Palak Kairy, Dahlia Abdel Fattah, Nayra Huerta Castro, Gabriela Lam, Alison Reev, Joella Beaulieu, Louis-David Higgins, Johanne Milot, Marie-Hélène Boudrias, Marie-Hélène affil: School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada sug: subj: Nervous System Diseases Rehabilitation COVID-19 Pandemic Psychosocial Factors COVID-19 Therapy Cross Infection Therapy Consensus Quality of Health Care Rehabilitation Centers Patient Admission Hospital Units Quality Improvement Stakeholder Participation Human Multimethod Studies Qualitative Studies Descriptive Statistics Kruskal-Wallis Test Chi Square Test Post Hoc Analysis Regression Length of Stay Hospitalization Inpatients Discharge Planning Health Resource Utilization Social Isolation Infection Control Health Facility Environment Family Socialization Health Promotion Outcomes (Health Care) Support, Psychosocial Funding Source ab: The COVID-19 pandemic significantly disrupted neurorehabilitation practices in Inpatient Rehabilitation Facilities (IRFs), providing an opportunity to examine crisis response strategies. This mixed-methods study examined the pandemic's impact on quality of care through 3 complementary phases: (1) multivariable medical record analysis across 6 neurorehabilitation facilities in a pre-pandemic reference group (n = 134), a non-COVID group (n = 138), a COVID-positive group infected prior to admission ((COV+prior, n = 87) and a group infected during rehabilitation (COV+rehab, n = 36); (2) qualitative analysis of stakeholder consultations with patients (n = 26), staff members (n=55), and managers (n = 7); and (3) integration of quantitative and qualitative results to develop stakeholder and consensus-based recommendations (n = 12 participants). While non-COVID patients (n = 138) maintained pre-pandemic outcome levels, COVID-positive patients showed reduced functional independence at discharge, with distinct trajectories based on infection timing, even after controlling for status at admission. Patients infected during rehabilitation (n = 36) experienced longer stays and higher readmission rates compared to those infected pre-admission (n = 87). Qualitative analysis identified psychosocial, discharge planning, and resource management issues affecting both COVID-positive and non-COVID patients, emphasizing the impact of social isolation. Integration of findings led to 5 consensus-based recommendations: adaptation of COVID unit environments, family involvement, socialization promotion, safe care trajectory planning and flexible local management. These findings highlight the need for balanced approaches between infection control and rehabilitation quality during healthcare crises, guided by local leadership. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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