Evidence map›Paper›PMID 37880173›Full record

ArticleBMJ open2023

Healthcare professionals' perspectives of the provision of, and challenges for, eating, drinking and psychological support post stroke: findings from semistructured interviews across India.

Stephanie P Jones, Ranjit J Injety, Jeyaraj D Pandian, Sanjali Ratra, P N Sylaja, Veena Babu, Mv Padma Srivastava, Sakshi Sharma, Sudhir Sharma, Jemin Webster and 11 more

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Stephanie P JonesSchool of Nursing and Midwifery, University of Central Lancashire, Preston, UK sjones10@uclan.ac.uk.ORCID 0000-0001-9149-8606
Ranjit J InjetyDepartment of Neurology, Christian Medical College and Hospital Ludhiana, Ludhiana, Punjab, India.ORCID 0000-0003-1403-8336
Jeyaraj D PandianDepartment of Neurology, Christian Medical College and Hospital Ludhiana, Ludhiana, Punjab, India.ORCID 0000-0003-0028-1968
Sanjali RatraDepartment of Neurology, Christian Medical College and Hospital Ludhiana, Ludhiana, Punjab, India.
P N SylajaDepartment of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Veena BabuDepartment of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Mv Padma SrivastavaDepartment of Neurology, All India Institute of Medical Sciences, New Delhi, India.
Sakshi SharmaDepartment of Neurology, All India Institute of Medical Sciences, New Delhi, India.
Sudhir SharmaDepartment of Neurology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
Jemin WebsterDepartment of Medicine, Baptist Christian Hospital Tezpur, Tezpur, Assam, India.ORCID 0000-0002-2506-7135
Amrit KoiralaDepartment of Medicine, Baptist Christian Hospital Tezpur, Tezpur, Assam, India.
Pawna KaushalDepartment of Neurology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
Girish Baburao KulkarniDepartment of Neurology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India.
Anand DixitDepartment of Neurology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India.
Arvind SharmaDepartment of Neurology, Zydus Research Center, Ahmedabad, Gujarat, India.
Jagruti PrajapatiDepartment of Neurology, Zydus Research Center, Ahmedabad, Gujarat, India.
Jo Catherine WeldonSchool of Nursing and Midwifery, University of Central Lancashire, Preston, UK.ORCID 0000-0003-0729-8121
Jennifer A KuroskiSchool of Nursing and Midwifery, University of Central Lancashire, Preston, UK.
Caroline Leigh WatkinsSchool of Nursing and Midwifery, University of Central Lancashire, Preston, UK.
Catherine Elizabeth LightbodySchool of Nursing and Midwifery, University of Central Lancashire, Preston, UK.
NIHR Global Health Research Group on IMPROVIng Stroke CarE in India (IMPROVISE) Collaboration

Funding

Department of Health
6 · The paper itself

Abstract

aimThis qualitative study explores with health professionals the provision of, and challenges for, postdischarge stroke care, focussing on eating, drinking and psychological support across India.

designQualitative semistructured interviews.

settingSeven geographically diverse hospitals taking part in a Global Health Research Programme on Improving Stroke Care in India.

participantsA purposive sample of healthcare professionals with current experience of working with patients who had a stroke.

resultsInterviews with 66 healthcare professionals (23 nurses (14 staff nurses; 7 senior nurse officers; 1 intensive care unit nurse; 1 palliative care nurse)); 16 doctors (10 neurologists; 6 physicians); 10 physiotherapists; 5 speech and language therapists; 4 occupational therapists; 4 dieticians; 2 psychiatrists; and 2 social workers resulted in three main themes: integrated inpatient discharge care planning processes; postdischarge patient and caregiver role and challenges; patient and caregiver engagement post discharge.

conclusionsDischarge planning was integrated and customised, although resources were limited in some sites. Task shifting compensated for a lack of specialists but was limited by staff education and training. Caregivers faced challenges in accessing and providing postdischarge care. Postdischarge care was mainly hospital based, supported by teleservices, especially for rural populations. Further research is needed to understand postdischarge care provision and the needs of stroke survivors and their caregivers.

Indexed as

AftercareStrokeCaregiversDelivery of Health CareHealth PersonnelHumansPatient DischargeQualitative ResearchQUALITATIVE RESEARCHREHABILITATION MEDICINEStrokeSTROKE MEDICINE

Identifiers

PMID37880173
PMCPMC10603406

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.