Evaluation of a staff behaviour change intervention to increase the use of ward-based practice books and active practice during inpatient stroke rehabilitation: a phase-1 pre-post observational study.

Stewart, Claire; Power, Emma; McCluskey, Annie; Kuys, Suzanne; Lovarini, Meryl

Stewart, Claire; Power, Emma; McCluskey, Annie; Kuys, Suzanne; Lovarini, Meryl.

Afiliación

Stewart C; Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Power E; Allied Health Services, Sunshine Coast University Hospital, Birtinya, QLD, Australia.
McCluskey A; Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Kuys S; University of Technology Sydney, Graduate School of Health, Speech Pathology, Sydney, NSW, Australia.
Lovarini M; Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

Clin Rehabil ; 34(5): 607-616, 2020 May.

Article en En | MEDLINE | ID: mdl-32204599

RESUMEN

OBJECTIVE: The aim of this study was to evaluate a staff behaviour change intervention to increase the use of ward-based practice books and active practice by stroke inpatients. DESIGN: This is a pre-post observational study. SETTING: This study was conducted in a inpatient rehabilitation unit in Australia. SUBJECTS: Stroke inpatients participated in the study. INTERVENTION: A staff behaviour change intervention was designed to support staff to implement practice books. The intervention included staff training on motivation and coaching, and weekly audit and feedback for six months. The environment was restructured to bring staff together weekly at the bedside to review audit data and share skills. MAIN MEASURES: Medical record audit and behavioural mapping were used to compare the number of stroke participants with/using a practice book pre- and post-intervention. Pre- and post-intervention, the percentage of observations where a stroke participant was actively practising, repetitions of practice recorded and type of supervision were compared. RESULTS: A total of 24 participants were observed (n = 12 pre, n = 12 post). Post-intervention, the number of participants with practice books increased from one to six (OR = 11, 95% CI = (0.9, 550.7)), but this change was not statistically significant (P = 0.069). Five participants recorded repetitions in their practice books post-intervention, three were observed using practice books. There was no change in median repetitions recorded (rpbs = 0.00, 95% CI = (-0.4, 0.4), P = 1.000) or observed active practice (rpbs = -0.02, 95% CI = (-0.4, 0.4), P = 0.933). Active practice was often fully supervised by a therapist. CONCLUSION: A staff behaviour change intervention has the potential to increase the number of stroke survivors receiving ward-based practice books but did not increase active practice.

Asunto(s)

Actitud del Personal de Salud; Rehabilitación de Accidente Cerebrovascular; Accidente Cerebrovascular/terapia; Anciano; Anciano de 80 o más Años; Australia; Libros; Femenino; Hospitalización; Humanos; Masculino; Persona de Mediana Edad; Actividad Motora; Práctica Psicológica

Palabras clave

Self-directed practice; cerebrovascular disorders; implementation; knowledge translation; occupational therapy; physiotherapy

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actitud del Personal de Salud / Accidente Cerebrovascular / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Evaluation_studies / Observational_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: Clin Rehabil Asunto de la revista: REABILITACAO Año: 2020 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido

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