Related Experiment Video
Updated: Sep 7, 2025
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Barriers to optimal stroke service care and solutions: a qualitative study engaging people with stroke and their
Matire L N Harwood1, Anna Ranta2, Stephanie G Thompson3
1Associate Professor and General Practitioner, Department of General Practice, University of Auckland, Auckland.
Aim:
The aim of this study was to explore the perspectives of people with stroke and their whānau on barriers to accessing best practice care across Aotearoa, and to brainstorm potential solutions.
Method:
We conducted ten focus groups nationwide and completed a thematic analysis.
Results:
Analysis of the data collected from the focus groups identified five themes: (1) inconsistencies in stroke care; (2) importance of effective communication; (3) the role of whānau support; (4) the need for more person rather than stroke centred processes; and (5) experienced inequities. Participants also identified potential solutions.
Conclusion:
Key recommendations include the need for improved access to stroke unit care for rural residents, improved post-discharge support and care coordination involving the whānau, improved communication across the patient journey, and a concerted effort to improve culturally safe care. Next step is to implement and monitor these recommendations.
More Related Videos
Related Concept Videos
01:19Restorative Care
01:23Atherosclerosis IV: Nursing Management
01:21Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
01:29Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
01:27Regulation of Stroke Volume
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...