Characteristics of person-centred practice in the stroke patient trajectory: a scoping review

Person-centred practice (PCP) is gaining increasing attention in healthcare practice and research. However, further knowledge is needed to understand PCP in stroke care. The aim of this study was to explore the characteristics of PCP in the stroke patient trajectory.

The review was conducted using the JBI methodology for scoping reviews. Searches were conducted in MEDLINE, CINAHL, Embase, Cochrane Library, Scopus, PsycINFO, and Web of Science, along with grey literature sources. Two reviewers screened studies for inclusion. Data were extracted using a pilot-tested tool and analysed using content analysis for qualitative data and descriptive statistics for quantitative data.

Ninety-six studies from diverse healthcare contexts and countries were included. The results showed significant variability in the implementation of PCP in the stroke patient trajectory. Key components of PCP that dominate the literature include shared decision-making, holistic care, and information provision. Several categories of facilitators and barriers emerged from the data, including patient participation and interprofessional practice. Recommendations for practice emphasised the need for training healthcare professional in PCP principles and the development of tools to support shared decision-making. Research gaps include PCP gaps, theoretical, methodological, and implementation gaps, as well as tools and digital health gaps.

This scoping review highlights the variability and complexity of implementing PCP in stroke care, emphasising the need for further research and development across the stroke patient trajectory.