Facilitating learning and change in the daily lives of stroke survivors: A comparative analysis of municipal stroke rehabilitation services in Norway and Denmark

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

  • Cathrine Arntzen, Department of Health and Care Sciences, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norge
  • Siri Moe, Department of Health and Care Sciences, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norge
  • Lena Aadal
  • Hanne Pallesen
Purpose: This study describes and compare the ability of professionals
working in municipality stroke rehabilitation services to facilitate learning and
change in the daily living of stroke survivors in two regions: one in northern Norway,
the other central Denmark. Materials and Methods: Semi-structured individual
interviews were conducted with survivors 3 and 9 months after discharge from inpatient
care. By contrast, field observations and focus group interviews were completed
with professionals on multidisciplinary teams in the two regions.
A sociocultural perspective on learning was applied during data analysis. Results:
Altogether, the ability of municipal health services to facilitate learning and change
for stroke survivors during the first year generally depended upon developing
comprehensive integrated rehabilitation plans and ensuring access to coordinated, qualified multidisciplinary teams with professional knowledge and skills to support
the survivors and their families during processes of adjustment, learning and
change. However, Danish stroke survivors seemed positioned to be more active,
proactive and empowered, and their processes of learning and change seemed
more closely co-constructed with professional support. Conclusion: Findings reveal
considerable differences in municipal stroke rehabilitation services in northern
Norway and central Denmark and their ability to support stroke survivors in performing
self-management.
OriginalsprogEngelsk
Artikelnummer1608080
TidsskriftCogent Medicine - PUBLIC HEALTH & PRIMARY CARE
Vol/bind6
Antal sider18
DOI
StatusUdgivet - 9 apr. 2019

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