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Stroke rehabilitation and patients with multimorbidity: a scoping review protocol

Stroke care presents unique challenges for clinicians, as most strokes occur in the context of other medical diagnoses. An assessment of capacity for implementing “best practice” stroke care found clinicians reporting a strong need for training specific to patient/system complexity and multimorbidit...

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Autores principales: Nelson, Michelle L.A., Kelloway, Linda, Dawson, Deirdre, McClure, J. Andrew, McKellar, Kaileah A., Menon, Anita, Munce, Sarah, Ronald, Kara, Teasell, Robert, Wasdell, Michael, Lyons, Renee F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Swiss Medical Press GmbH 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5636031/
https://www.ncbi.nlm.nih.gov/pubmed/29090155
http://dx.doi.org/10.15256/joc.2015.5.47
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author Nelson, Michelle L.A.
Kelloway, Linda
Dawson, Deirdre
McClure, J. Andrew
McKellar, Kaileah A.
Menon, Anita
Munce, Sarah
Ronald, Kara
Teasell, Robert
Wasdell, Michael
Lyons, Renee F.
author_facet Nelson, Michelle L.A.
Kelloway, Linda
Dawson, Deirdre
McClure, J. Andrew
McKellar, Kaileah A.
Menon, Anita
Munce, Sarah
Ronald, Kara
Teasell, Robert
Wasdell, Michael
Lyons, Renee F.
author_sort Nelson, Michelle L.A.
collection PubMed
description Stroke care presents unique challenges for clinicians, as most strokes occur in the context of other medical diagnoses. An assessment of capacity for implementing “best practice” stroke care found clinicians reporting a strong need for training specific to patient/system complexity and multimorbidity. With mounting patient complexity, there is pressure to implement new models of healthcare delivery for both quality and financial sustainability. Policy makers and administrators are turning to clinical practice guidelines to support decision-making and resource allocation. Stroke rehabilitation programs across Canada are being transformed to better align with the Canadian Stroke Strategy’s Stroke Best Practice Recommendations. The recommendations provide a framework to facilitate the adoption of evidence-based best practices in stroke across the continuum of care. However, given the increasing and emerging complexity of patients with stroke in terms of multimorbidity, the evidence supporting clinical practice guidelines may not align with the current patient population. To evaluate this, electronic databases and gray literature will be searched, including published or unpublished studies of quantitative, qualitative or mixed-methods research designs. Team members will screen the literature and abstract the data. Results will present a numerical account of the amount, type, and distribution of the studies included and a thematic analysis and concept map of the results. This review represents the first attempt to map the available literature on stroke rehabilitation and multimorbidity, and identify gaps in the existing research. The results will be relevant for knowledge users concerned with stroke rehabilitation by expanding the understanding of the current evidence.
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spelling pubmed-56360312017-10-31 Stroke rehabilitation and patients with multimorbidity: a scoping review protocol Nelson, Michelle L.A. Kelloway, Linda Dawson, Deirdre McClure, J. Andrew McKellar, Kaileah A. Menon, Anita Munce, Sarah Ronald, Kara Teasell, Robert Wasdell, Michael Lyons, Renee F. J Comorb Protocol Stroke care presents unique challenges for clinicians, as most strokes occur in the context of other medical diagnoses. An assessment of capacity for implementing “best practice” stroke care found clinicians reporting a strong need for training specific to patient/system complexity and multimorbidity. With mounting patient complexity, there is pressure to implement new models of healthcare delivery for both quality and financial sustainability. Policy makers and administrators are turning to clinical practice guidelines to support decision-making and resource allocation. Stroke rehabilitation programs across Canada are being transformed to better align with the Canadian Stroke Strategy’s Stroke Best Practice Recommendations. The recommendations provide a framework to facilitate the adoption of evidence-based best practices in stroke across the continuum of care. However, given the increasing and emerging complexity of patients with stroke in terms of multimorbidity, the evidence supporting clinical practice guidelines may not align with the current patient population. To evaluate this, electronic databases and gray literature will be searched, including published or unpublished studies of quantitative, qualitative or mixed-methods research designs. Team members will screen the literature and abstract the data. Results will present a numerical account of the amount, type, and distribution of the studies included and a thematic analysis and concept map of the results. This review represents the first attempt to map the available literature on stroke rehabilitation and multimorbidity, and identify gaps in the existing research. The results will be relevant for knowledge users concerned with stroke rehabilitation by expanding the understanding of the current evidence. Swiss Medical Press GmbH 2015-02-17 /pmc/articles/PMC5636031/ /pubmed/29090155 http://dx.doi.org/10.15256/joc.2015.5.47 Text en Copyright: © 2015 The Authors http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the Creative Commons Attribution-NonCommercial License, which permits all noncommercial use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Protocol
Nelson, Michelle L.A.
Kelloway, Linda
Dawson, Deirdre
McClure, J. Andrew
McKellar, Kaileah A.
Menon, Anita
Munce, Sarah
Ronald, Kara
Teasell, Robert
Wasdell, Michael
Lyons, Renee F.
Stroke rehabilitation and patients with multimorbidity: a scoping review protocol
title Stroke rehabilitation and patients with multimorbidity: a scoping review protocol
title_full Stroke rehabilitation and patients with multimorbidity: a scoping review protocol
title_fullStr Stroke rehabilitation and patients with multimorbidity: a scoping review protocol
title_full_unstemmed Stroke rehabilitation and patients with multimorbidity: a scoping review protocol
title_short Stroke rehabilitation and patients with multimorbidity: a scoping review protocol
title_sort stroke rehabilitation and patients with multimorbidity: a scoping review protocol
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5636031/
https://www.ncbi.nlm.nih.gov/pubmed/29090155
http://dx.doi.org/10.15256/joc.2015.5.47
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