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Consensus Recommendations for Maintaining Neurorehabilitation Quality During Healthcare Crises: A Stakeholder-Informed Mixed Methods Study.

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Title: Consensus Recommendations for Maintaining Neurorehabilitation Quality During Healthcare Crises: A Stakeholder-Informed Mixed Methods Study.
Authors: Ferré, Perrine1,2 (AUTHOR) perrine.ferre@mail.mcgill.ca, Zidarov, Diana2,3,4 (AUTHOR), Vincent, Claude5 (AUTHOR), Vakil, Palak1 (AUTHOR), Kairy, Dahlia2,3,4 (AUTHOR), Abdel Fattah, Nayra1 (AUTHOR), Huerta Castro, Gabriela1 (AUTHOR), Lam, Alison1 (AUTHOR), Reev, Joella1 (AUTHOR), Beaulieu, Louis-David6,7 (AUTHOR), Higgins, Johanne2,3,4 (AUTHOR), Milot, Marie-Hélène8,9 (AUTHOR), Boudrias, Marie-Hélène1,2,10 (AUTHOR)
Source: Inquiry (00469580). 11/27/2025, Vol. 62, p1-18. 18p.
Subject Terms: *Qualitative research, *Data analysis, *Families, *Research methodology, *Health facilities, *Health promotion, *COVID-19 pandemic, Consensus (Social sciences), Medical care use, Cross infection, Medical quality control, Patients, Infection control, Research funding, Hospital admission & discharge, Kruskal-Wallis Test, Hospital care, Descriptive statistics, Chi-squared test, Discharge planning, Evaluation of medical care, Neurological disorders, Rehabilitation centers, Statistics, Quality assurance, Stakeholder analysis, Length of stay in hospitals, Social support, COVID-19, Hospital wards, Regression analysis, Social isolation, Socialization
Abstract: The COVID-19 pandemic significantly disrupted neurorehabilitation practices in Inpatient Rehabilitation Facilities (IRFs), providing an opportunity to examine crisis response strategies. This mixed-methods study examined the pandemic's impact on quality of care through 3 complementary phases: (1) multivariable medical record analysis across 6 neurorehabilitation facilities in a pre-pandemic reference group (n = 134), a non-COVID group (n = 138), a COVID-positive group infected prior to admission ((COV+prior, n = 87) and a group infected during rehabilitation (COV+rehab, n = 36); (2) qualitative analysis of stakeholder consultations with patients (n = 26), staff members (n=55), and managers (n = 7); and (3) integration of quantitative and qualitative results to develop stakeholder and consensus-based recommendations (n = 12 participants). While non-COVID patients (n = 138) maintained pre-pandemic outcome levels, COVID-positive patients showed reduced functional independence at discharge, with distinct trajectories based on infection timing, even after controlling for status at admission. Patients infected during rehabilitation (n = 36) experienced longer stays and higher readmission rates compared to those infected pre-admission (n = 87). Qualitative analysis identified psychosocial, discharge planning, and resource management issues affecting both COVID-positive and non-COVID patients, emphasizing the impact of social isolation. Integration of findings led to 5 consensus-based recommendations: adaptation of COVID unit environments, family involvement, socialization promotion, safe care trajectory planning and flexible local management. These findings highlight the need for balanced approaches between infection control and rehabilitation quality during healthcare crises, guided by local leadership. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Consensus Recommendations for Maintaining Neurorehabilitation Quality During Healthcare Crises: A Stakeholder-Informed Mixed Methods Study.
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  Data: <searchLink fieldCode="JN" term="%22Inquiry+%2800469580%29%22">Inquiry (00469580)</searchLink>. 11/27/2025, Vol. 62, p1-18. 18p.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The COVID-19 pandemic significantly disrupted neurorehabilitation practices in Inpatient Rehabilitation Facilities (IRFs), providing an opportunity to examine crisis response strategies. This mixed-methods study examined the pandemic's impact on quality of care through 3 complementary phases: (1) multivariable medical record analysis across 6 neurorehabilitation facilities in a pre-pandemic reference group (n = 134), a non-COVID group (n = 138), a COVID-positive group infected prior to admission ((COV+prior, n = 87) and a group infected during rehabilitation (COV+rehab, n = 36); (2) qualitative analysis of stakeholder consultations with patients (n = 26), staff members (n=55), and managers (n = 7); and (3) integration of quantitative and qualitative results to develop stakeholder and consensus-based recommendations (n = 12 participants). While non-COVID patients (n = 138) maintained pre-pandemic outcome levels, COVID-positive patients showed reduced functional independence at discharge, with distinct trajectories based on infection timing, even after controlling for status at admission. Patients infected during rehabilitation (n = 36) experienced longer stays and higher readmission rates compared to those infected pre-admission (n = 87). Qualitative analysis identified psychosocial, discharge planning, and resource management issues affecting both COVID-positive and non-COVID patients, emphasizing the impact of social isolation. Integration of findings led to 5 consensus-based recommendations: adaptation of COVID unit environments, family involvement, socialization promotion, safe care trajectory planning and flexible local management. These findings highlight the need for balanced approaches between infection control and rehabilitation quality during healthcare crises, guided by local leadership. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/00469580251390298
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        Text: English
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      – SubjectFull: Socialization
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