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Evid Based Nurs 4:96 doi:10.1136/ebn.4.3.96
  • Qualitative

Patient and clinician discourses shaped the process of rehabilitation after a stroke


 
 QUESTIONS: How do people ≤65 years of age experience having had a stroke and deal with the rehabilitation process? How is their rehabilitation described by clinicians in medical records?

Design

Discourse analysis.

Setting

A hospital in Sweden and subsequent links in the chain of care.

Patients

6 men and 4 women ≤65 years of age (age range 58–65 y) who had a first stroke and spoke and understood English or Swedish.

Methods

Data sources included transcripts from patient interviews held 3–4 months after the stroke and transcripts of relevant information from the patients' medical records for the first 3 months after the stroke. Interview transcripts were coded to explore which experiences patients focused on and how they understood their experiences. Medical records were coded to explore what clinicians found relevant to report about patients and their rehabilitation activities. The analysis focused on the function and consequences of the different discourses.

Main findings

Patient experiences of stroke.

Patients described themselves as being in a period of transition, …

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