Staff Perceptions Of Multidisciplinary Interaction In Stroke Rehabilitation | 12861
International Journal of Physical Medicine & Rehabilitation
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ultidisciplinary team working is a core component of rehabilitation which is considered one of the mechanisms that
contributes to the superiority of specialist stroke care over generalist services, but there has been little research into
multidisciplinary team function. As part of a programme of work to explore and evaluate multidisciplinary working in stroke
rehabilitation, we conducted semi-structured interviews with 16 professionals working in six in-patient stroke rehabilitation
services in a large UK conurbation to elicit their views of multi-disciplinary team meetings (held weekly to discuss and plan
patients? progress). Interviews were recorded, transcribed verbatim and analysed using themed content analysis. This revealed
five major themes: ?purpose and duration of meeting,? ?benefits,? ?problems,? and ?professional interaction.? Participants felt the
meetings were to; share information, set goals, plan discharge and share professional expertise; however meeting length was
constrained by time away from providing active treatment which could prevent achievement of these aims. Flexibility was
valued to ensure time spent discussing each patient was relative to their needs. Professionals valued open discussion to enable
wide contributions and described benefits of mutual support and collective decision-making, however lack of preparation, staff
engagement, motivation and focus in the discussions were highlighted as issues. They felt the clinical leadership and effectiveness
of the chairing could be improved to address these issues, as well as the time-keeping and structure of the meetings. Further work
is underway to address these issues and evaluate their impact.
Louisa is a Knowledge Transfer Partnership Associate working for the University of Manchester in partnership with the Greater Manchester
Cardiovascular Network. She currently manages a program of work aimed at assessing the impact of using standardized outcome measures in
multidisciplinary settings in stroke rehabilitation.
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