Poster can be found in location 134.

Introduction

Person-centred practice is receiving more attention in healthcare practice and research. Nevertheless, more knowledge is needed to understand person-centred practice in stroke care (Bally et al., 2023; Elvén et al., 2023; Lobo et al., 2021). The aim of this scoping review is therefore to characterise the roles, needs, and perspectives of patients, carers, and healthcare staff regarding person-centred practice throughout the stroke patient trajectory.

Methods

A scoping review was conducted following the nine steps of the Joanna Briggs Institute methodology (Peters et al., 2015). The review identified literature published in English between 2013 and 2023 using three electronic databases (Medline, CINAHL, and EMBASE). Key search terms (“patient-centred care”, “client-centred care”, “person-centred care”, “patient involvement”, “family-centred care” and “stroke”) and inclusion and exclusion criteria were used as strategies to identify relevant articles.

Results

Twenty-eight empirical studies met the inclusion criteria. These studies were from 14 countries and involved patients, carers, and healthcare staff, and both quantitative, qualitative, and mixed methods were used. Eighteen studies were in the non acute phase, mostly within rehabilitation, six covered multiple stages, and four covered acute stroke care. The characteristics of person-centred practice depend on the phase of the stroke trajectory. While person-centred practice is seen as a challenge and barrier in the acute phase, it is well explored and necessary in rehabilitation. The role of patients and carers shifts from being predominantly passive in the acute phase to becoming partners in the rehabilitation phase. Furthermore, patient and carer needs in the acute phase are focused on communication and resourcing, while in the rehabilitation phase, other aspects are also present, such as decision-making and working with patients’ values.

Conclusions 

In this scoping review, the findings document the variability of person-centred practice throughout the stroke patient trajectory. Further research is needed in the acute setting to better identify its characteristics.

References

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