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Using knowledge translation to establish a model of hospital-based early supported community reintegration for stroke patients in South Korea

BACKGROUND: In 2019, the South Korean government started designating rehabilitation medical institutions to facilitate the early return of patients with stroke (PWS) to their communities after discharge. However, a detailed operating model has not yet been suggested. We aimed to develop a hospital-b...

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Autores principales: Kim, Eunjoo, Lee, Minyoung, Kim, Eun-Hye, Kim, Hyoung Jun, Koo, Mijung, Cheong, In Yae, Choi, Hyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691031/
https://www.ncbi.nlm.nih.gov/pubmed/34930246
http://dx.doi.org/10.1186/s12913-021-07400-5
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author Kim, Eunjoo
Lee, Minyoung
Kim, Eun-Hye
Kim, Hyoung Jun
Koo, Mijung
Cheong, In Yae
Choi, Hyun
author_facet Kim, Eunjoo
Lee, Minyoung
Kim, Eun-Hye
Kim, Hyoung Jun
Koo, Mijung
Cheong, In Yae
Choi, Hyun
author_sort Kim, Eunjoo
collection PubMed
description BACKGROUND: In 2019, the South Korean government started designating rehabilitation medical institutions to facilitate the early return of patients with stroke (PWS) to their communities after discharge. However, a detailed operating model has not yet been suggested. We aimed to develop a hospital-based early supported community reintegration model for PWS that is suitable for South Korea based on knowledge translation in cooperation with clinical experts and PWS. METHODS: Clinical experts (n = 13) and PWS (n = 20) collaboratively participated in the process of developing the early supported community reintegration model at a national hospital in South Korea, using the following phases of the knowledge-to-action cycle: (1) identifying knowledge, (2) adapting the knowledge to the local situation, (3) assessing barriers and facilitators to local use of knowledge, and (4) tailoring and developing the program. Barriers and facilitators to local use of knowledge were assessed multidimensionally at the individual, interpersonal, organizational, and community level based on the social-ecological model. Literature reviews, workshops, individual and group interviews, and group meetings using nominal group technique were conducted in each phase of the knowledge-to-action cycle. RESULTS: Each phase of the knowledge-to-action cycle for developing the early supported community reintegration model and a newly developed model including the following components were reported: (1) revision of strategies of organizations related to community reintegration support, (2) establishment of a multidepartmental and multidisciplinary community reintegration support system, (3) standardization of patient-centered multidisciplinary goal setting, (4) multidimensional classification of community reintegration support areas, and (5) development of guidelines for a tailored community reintegration support program. CONCLUSIONS: We designed a hospital-based multidimensional and multidisciplinary early supported community reintegration model that comprehensively included several elements of community rehabilitation in connection with hospitals and communities, taking into account the South Korean situation of lacking community rehabilitation infrastructure. In developing a guideline for a tailored community reintegration support program, we attempted to take into consideration various situations faced by PWS in South Korea, which is in a transitional stage for community rehabilitation. It is expected that this early supported community reintegration model can be referenced in other countries that are in a transitional stage of community rehabilitation.
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spelling pubmed-86910312021-12-23 Using knowledge translation to establish a model of hospital-based early supported community reintegration for stroke patients in South Korea Kim, Eunjoo Lee, Minyoung Kim, Eun-Hye Kim, Hyoung Jun Koo, Mijung Cheong, In Yae Choi, Hyun BMC Health Serv Res Research BACKGROUND: In 2019, the South Korean government started designating rehabilitation medical institutions to facilitate the early return of patients with stroke (PWS) to their communities after discharge. However, a detailed operating model has not yet been suggested. We aimed to develop a hospital-based early supported community reintegration model for PWS that is suitable for South Korea based on knowledge translation in cooperation with clinical experts and PWS. METHODS: Clinical experts (n = 13) and PWS (n = 20) collaboratively participated in the process of developing the early supported community reintegration model at a national hospital in South Korea, using the following phases of the knowledge-to-action cycle: (1) identifying knowledge, (2) adapting the knowledge to the local situation, (3) assessing barriers and facilitators to local use of knowledge, and (4) tailoring and developing the program. Barriers and facilitators to local use of knowledge were assessed multidimensionally at the individual, interpersonal, organizational, and community level based on the social-ecological model. Literature reviews, workshops, individual and group interviews, and group meetings using nominal group technique were conducted in each phase of the knowledge-to-action cycle. RESULTS: Each phase of the knowledge-to-action cycle for developing the early supported community reintegration model and a newly developed model including the following components were reported: (1) revision of strategies of organizations related to community reintegration support, (2) establishment of a multidepartmental and multidisciplinary community reintegration support system, (3) standardization of patient-centered multidisciplinary goal setting, (4) multidimensional classification of community reintegration support areas, and (5) development of guidelines for a tailored community reintegration support program. CONCLUSIONS: We designed a hospital-based multidimensional and multidisciplinary early supported community reintegration model that comprehensively included several elements of community rehabilitation in connection with hospitals and communities, taking into account the South Korean situation of lacking community rehabilitation infrastructure. In developing a guideline for a tailored community reintegration support program, we attempted to take into consideration various situations faced by PWS in South Korea, which is in a transitional stage for community rehabilitation. It is expected that this early supported community reintegration model can be referenced in other countries that are in a transitional stage of community rehabilitation. BioMed Central 2021-12-20 /pmc/articles/PMC8691031/ /pubmed/34930246 http://dx.doi.org/10.1186/s12913-021-07400-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Kim, Eunjoo
Lee, Minyoung
Kim, Eun-Hye
Kim, Hyoung Jun
Koo, Mijung
Cheong, In Yae
Choi, Hyun
Using knowledge translation to establish a model of hospital-based early supported community reintegration for stroke patients in South Korea
title Using knowledge translation to establish a model of hospital-based early supported community reintegration for stroke patients in South Korea
title_full Using knowledge translation to establish a model of hospital-based early supported community reintegration for stroke patients in South Korea
title_fullStr Using knowledge translation to establish a model of hospital-based early supported community reintegration for stroke patients in South Korea
title_full_unstemmed Using knowledge translation to establish a model of hospital-based early supported community reintegration for stroke patients in South Korea
title_short Using knowledge translation to establish a model of hospital-based early supported community reintegration for stroke patients in South Korea
title_sort using knowledge translation to establish a model of hospital-based early supported community reintegration for stroke patients in south korea
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691031/
https://www.ncbi.nlm.nih.gov/pubmed/34930246
http://dx.doi.org/10.1186/s12913-021-07400-5
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