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Exploring the Inclusion of Person-Centered Care Domains in Stroke Transitions of Care Interventions: A Scientific Statement From the American Heart Association.

Publication ,  Journal Article
Nelson, MLA; MacEachern, E; Prvu Bettger, J; Camicia, M; García, JJ; Kapral, MK; Mathiesen, C; Cameron, JI ...
Published in: Stroke
June 2024

BACKGROUND: Health care teams along the stroke recovery continuum have a responsibility to support care transitions and return to the community. Ideally, individualized care will consider patient and family preferences, best available evidence, and health care professional input. Person-centered care can improve patient-practitioner interactions through shared decision-making in which health professionals and institutions are sensitive to those for whom they provide care. However, it is unclear how the concepts of person-centered care have been described in reports of stroke transitional care interventions. METHODS: A secondary analysis of a systematic review and meta-analysis was undertaken. We retrieved all included articles (n=17) and evaluated the extent to which each intervention explicitly addressed 7 domains of person-centered care: alignment of care with patients' values, preferences, and needs; coordination of care; information and education; physical comfort; emotional support; family and friend involvement; and smooth transition and continuity of care. RESULTS: Most of the articles included some aspects of person-centeredness; we found that certain domains were not addressed in the descriptions of transitional care interventions, and no articles mentioned all 7 domains of person-centered care. We identified 3 implications for practice and research: (1) delineating person-centered care components when reporting interventions, (2) elucidating social and cultural factors relevant to the study sample and intervention, and (3) clearly describing the role of family and nonmedical support in the intervention. CONCLUSIONS: There is still room for greater consistency in the reporting of person-centeredness in stroke transitions of care interventions, despite a long-standing definition and conceptualization of person-centered care in academic and clinically focused literature.

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Published In

Stroke

DOI

EISSN

1524-4628

Publication Date

June 2024

Volume

55

Issue

6

Start / End Page

e169 / e181

Location

United States

Related Subject Headings

  • United States
  • Transitional Care
  • Stroke Rehabilitation
  • Stroke
  • Patient-Centered Care
  • Neurology & Neurosurgery
  • Humans
  • American Heart Association
  • 4201 Allied health and rehabilitation science
  • 3209 Neurosciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Nelson, M. L. A., MacEachern, E., Prvu Bettger, J., Camicia, M., García, J. J., Kapral, M. K., … American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; and Council on Quality of Care and Outcomes Research, . (2024). Exploring the Inclusion of Person-Centered Care Domains in Stroke Transitions of Care Interventions: A Scientific Statement From the American Heart Association. Stroke, 55(6), e169–e181. https://doi.org/10.1161/STR.0000000000000462
Nelson, Michelle L. A., Evan MacEachern, Janet Prvu Bettger, Michelle Camicia, James J. García, Moira K. Kapral, Claranne Mathiesen, Jill I. Cameron, and Jill I. American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; and Council on Quality of Care and Outcomes Research. “Exploring the Inclusion of Person-Centered Care Domains in Stroke Transitions of Care Interventions: A Scientific Statement From the American Heart Association.Stroke 55, no. 6 (June 2024): e169–81. https://doi.org/10.1161/STR.0000000000000462.
Nelson MLA, MacEachern E, Prvu Bettger J, Camicia M, García JJ, Kapral MK, et al. Exploring the Inclusion of Person-Centered Care Domains in Stroke Transitions of Care Interventions: A Scientific Statement From the American Heart Association. Stroke. 2024 Jun;55(6):e169–81.
Nelson, Michelle L. A., et al. “Exploring the Inclusion of Person-Centered Care Domains in Stroke Transitions of Care Interventions: A Scientific Statement From the American Heart Association.Stroke, vol. 55, no. 6, June 2024, pp. e169–81. Pubmed, doi:10.1161/STR.0000000000000462.
Nelson MLA, MacEachern E, Prvu Bettger J, Camicia M, García JJ, Kapral MK, Mathiesen C, Cameron JI, American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; and Council on Quality of Care and Outcomes Research. Exploring the Inclusion of Person-Centered Care Domains in Stroke Transitions of Care Interventions: A Scientific Statement From the American Heart Association. Stroke. 2024 Jun;55(6):e169–e181.

Published In

Stroke

DOI

EISSN

1524-4628

Publication Date

June 2024

Volume

55

Issue

6

Start / End Page

e169 / e181

Location

United States

Related Subject Headings

  • United States
  • Transitional Care
  • Stroke Rehabilitation
  • Stroke
  • Patient-Centered Care
  • Neurology & Neurosurgery
  • Humans
  • American Heart Association
  • 4201 Allied health and rehabilitation science
  • 3209 Neurosciences