Exploring Successes and Challenges of Stroke and TIA Patients 28 Days Following Discharge from Hospital

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dc.contributor.advisor Slark, J en
dc.contributor.advisor Agnew, J en
dc.contributor.author Ou Yang, Rebecca en
dc.date.accessioned 2017-05-01T22:25:08Z en
dc.date.issued 2017 en
dc.identifier.uri http://hdl.handle.net/2292/32728 en
dc.description Full text is available to authenticated members of The University of Auckland only. en
dc.description.abstract Aim: To identify the readmission diagnoses of patients readmitted to hospital within 28 days of an acute stroke over a two-year period. To explore the successes and challenges of stroke/transient ischemic attack (TIA) patients in the first month following hospital discharge, and the impact of healthcare services on these experiences. Design: Descriptive mixed-methods design, including a quantitative and qualitative data analysis. Setting: A large New Zealand District Health Board (DHB) in the North Island. Interviewed participants were recruited from an acute stroke unit. Methods: Data were obtained from existing DHB databases and readmission diagnoses determined from patient discharge summaries. Twelve stroke/TIA patients discharged to their own homes were then recruited for semi-structured interviews, and the resulting data were subjected to a thematic analysis. Results: Of the 1,575 stroke patients admitted between 1st January 2013 and 1st January 2015, 151 (9.58%) were readmitted within 28 days of discharge. Secondary stroke or TIA were the most prevalent readmission diagnosis accounting for 19.87% of readmissions. Interviews from the 12-recruited stroke/TIA participants’ yielded seven overall themes; hospital experience, follow-up, recovery, health, frustration, support and other challenges. The care reported by participants varied greatly, with some reporting excellent care and others feeling disillusioned. Conclusion: Stroke patients are at risk of hospital readmission within 28 days of discharge due to secondary events. This readmission rate could be reduced by management of risk factors. The variation of care among the interviewed participants demonstrates that appropriate care is possible, but is inconsistently provided. The implementation of a single point-of-care discharge service could aid both the management of secondary stroke prevention and provide consistent post-stroke services. en
dc.publisher ResearchSpace@Auckland en
dc.relation.ispartof Masters Thesis - University of Auckland en
dc.relation.isreferencedby UoA99264920713302091 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights Restricted Item. Available to authenticated members of The University of Auckland. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc-sa/3.0/nz/ en
dc.title Exploring Successes and Challenges of Stroke and TIA Patients 28 Days Following Discharge from Hospital en
dc.type Thesis en
thesis.degree.discipline Nursing en
thesis.degree.grantor The University of Auckland en
thesis.degree.level Masters en
dc.rights.holder Copyright: The author en
pubs.elements-id 623954 en
pubs.record-created-at-source-date 2017-05-02 en

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