Limited Conversations About Constrained Futures: Exploring Clinicians’ Conversations About Life After Stroke in Inpatient Settings

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aut.relation.journalBrain Impairment
dc.contributor.authorBright, Felicity
dc.contributor.authorKayes, Nicola
dc.contributor.authorSoundy, Andrew
dc.contributor.authorDrown, Juliet
dc.date.accessioned2024-02-01T03:44:06Z
dc.date.available2024-02-01T03:44:06Z
dc.date.issued2024-02-17
dc.description.abstractBackground After a stroke, people can find it challenging to look forward to the future. Hope, a critical resource for recovery, can be threatened and can be supported or diminished through interactions with clinicians. As such, understanding how conversations can support people embarking on life after a stroke is critical. Our study explored how clinicians talk about the future with patients and considered what factors shape how these conversations occur. Methods This study drew on the Interpretive Description methodology, informed by principles of ethnographic inquiry. We conducted 300 hours of observations and 76 interviews with five people with stroke and 37 clinicians. Data were analysed using the reflexive thematic analysis. Results We constructed three themes that reflect how clinicians talk about the future with people in inpatient stroke services: (1) constrained temporal horizons, (2) limited talk controlled by clinicians, and (3) opening some doors while closing others. Conclusions Conversations about the future after stroke were constrained and limited: constrained to short-term futures and limited in what aspects of life after stroke were discussed. Creating conversational and relational spaces where people are supported to look to the future with a sense of possibility, hope, and potential is vital for assisting people to move forward in their lives after their stroke. Given its role in supporting people to move forward in their lives, communication must be seen as a core clinical skill and a clinical intervention in its own right.
dc.identifier.citationBrain Impairment, ISSN: 1443-9646 (Print); 1443-9646 (Online), CSIRO. doi: 10.1071/IB23067
dc.identifier.doi10.1071/IB23067
dc.identifier.issn1443-9646
dc.identifier.issn1443-9646
dc.identifier.urihttp://hdl.handle.net/10292/17178
dc.publisherCSIRO
dc.relation.urihttps://www.publish.csiro.au/ib/IB23067
dc.rights© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the Australasian Society for the Study of Brain Impairment. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)
dc.rights.accessrightsOpenAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectethnography
dc.subjecthealth communication
dc.subjectlife after stroke
dc.subjecthope
dc.subjectpatient-provider interaction
dc.subjectquality of life
dc.subjectstroke
dc.subject11 Medical and Health Sciences
dc.subject17 Psychology and Cognitive Sciences
dc.subject32 Biomedical and clinical sciences
dc.subject42 Health sciences
dc.subject52 Psychology
dc.titleLimited Conversations About Constrained Futures: Exploring Clinicians’ Conversations About Life After Stroke in Inpatient Settings
dc.typeJournal Article
pubs.elements-id536667
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