Municipal Cross-Disciplinary Rehabilitation following Stroke in Denmark and Norway: A Qualitative Study

Publikation: KonferencebidragKonferenceabstrakt til konferenceFormidling

  • Lena Aadal
  • Hanne Pallesen
  • Arntzen Cathrine, 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
Introduction
In Scandinavia, the growing trend is for municipalities to take on increasing levels of responsibility for free public rehabilitation after stroke.
Aim
To explore and compare the content of rehabilitation practices in, respectively, a Danish and a Norwegian region, focusing on how the citizens’ rehabilitation needs are met during rehabilitation in the municipalities.
Method
Six Danish and five Norwegian cases were followed 12 months after the onset of stroke. Field work
and focus group interviews with multidisciplinary teams in the municipalities were conducted. The conceptual frame of the International Classification of Functioning was used to outline general patterns and local variation in the rehabilitation services.

Findings
Rehabilitation programmes after stroke in both settings basically follows the same guidelines, but the organization is more specialized in Denmark than in Norway. Team organization, multidisciplinarity and collaboration to assess and target the patients’ needs characterized the Danish rehabilitation services. Decentralized coordination, mono-disciplinary contributions with scarce or unsystematic collaboration was common in the Norwegian cases. Seamless holistic rehabilitation was challenged in both countries, but more notably in Norway. The municipal services emphasized physical functioning, which could conflict with the patients’ needs. Cognitive disturbances to and aspects of activity or participation were systematically addressed by the interdisciplinary teams in Denmark, while practitioners in Norway found that these disturbances were scarcely addressed. Despite the fact that bio-psycho-social conceptions of disease and illness, as recommended in the ICF, have been generally accepted, they seemed scarcely implemented in the political and health managerial arenas, especially in Norway.
OriginalsprogDansk
Udgivelsesår2019
StatusUdgivet - 2019
BegivenhedEuropean Association of Neuroscience Nurses EANN - Manchester, Storbritannien
Varighed: 19 mar. 201922 mar. 2019
Konferencens nummer: 11th

Konference

KonferenceEuropean Association of Neuroscience Nurses EANN
Nummer11th
LandStorbritannien
ByManchester
Periode19/03/201922/03/2019

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