From the Journals
When Stroke Rehab Decisions Stall
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By
January 20, 2026
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3 min
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1
Emotional distress impacts rehabilitation decision-making for stroke patients.
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2
One-way communication from clinicians increases decision-making burden.
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3
Study followed ENTREQ guidelines for synthesis.
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4
A total of ten qualitative studies were included.
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5
Three domains identified: patient, family, and healthcare provider factors.
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A recent qualitative meta-synthesis in BMJ Open examined how emotional distress and communication barriers affect stroke patients' decision-making in rehabilitation. The study, involving ten qualitative studies, found that patients often disengaged when faced with one-way clinician communication and insufficient information during emotional turbulence. Factors such as low self-efficacy, family dynamics, and the economic burden of rehabilitation also contributed to decision fatigue. Methodology adhered to Joanna Briggs Institute guidelines, with findings highlighting the need for improved communication and support systems.
-
1
Emotional distress impacts rehabilitation decision-making for stroke patients.
-
2
One-way communication from clinicians increases decision-making burden.
-
3
Study followed ENTREQ guidelines for synthesis.
-
4
A total of ten qualitative studies were included.
-
5
Three domains identified: patient, family, and healthcare provider factors.
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