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Stroke survivors' perspectives on decisions about their transition to independent walking in hospital: a qualitative study.

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Title: Stroke survivors' perspectives on decisions about their transition to independent walking in hospital: a qualitative study.
Authors: Bainbridge, L. (AUTHOR), Burton, E. (AUTHOR), Field, M. (AUTHOR), Wong, Y. C. (AUTHOR), Hill, K. D. (AUTHOR), Fary, R. E. (AUTHOR)
Source: Disability & Rehabilitation. Mar2026, Vol. 48 Issue 6, p1730-1741. 12p.
Subjects: Risk assessment, Stroke units, Research funding, Qualitative research, Patient safety, Rehabilitation nursing, Interviewing, Statistical sampling, Toilet training, Decision making, Hospitals, Descriptive statistics, Psychological adaptation, Emotions, Learning, Walking, Experience, Thematic analysis, Stroke rehabilitation, Research methodology, Trust, Patient-professional relations, Stroke patients, Phenomenology, Data analysis software, Psychosocial factors, Patients' attitudes, Accidental falls, Video recording, Activities of daily living
Geographic Terms: Australia
Abstract: Purpose: To explore perspectives of stroke survivors on their transition to independent walking in hospital. Specifically, this included the lived experience of lost walking independence, the decision-making process, and perspectives on risk. Materials and methods: Qualitative design with phenomenological approach. Thirty semi-structured interviews were conducted with 22 stroke survivors at two inpatient stroke units. Interviews were recorded and transcribed verbatim with reflexive thematic analysis conducted. Results: Three themes with four subthemes were developed from the data: (1) Rehabilitation is a roller coaster (subthemes: mixed emotions in rehabilitation; learning the ropes takes time); (2) I am not an expert (subthemes: trust in the physiotherapist's decision; walking alone against advice); and (3) Variable approach to risk. Loss of independent walking contributed to feelings of disempowerment; aligned most frequently with loss of independent toileting. Participants believed health professionals made walking safety decisions on their behalf and were mostly satisfied with this process. Participants varied in their awareness of personal safety strategies, with some having limited awareness of specific factors that could contribute to falls. Conclusions: Study findings highlight challenges for stroke survivors and their participation in decision-making related to independent walking in hospital. These findings have the potential to inform future practice guidelines. IMPLICATIONS FOR REHABILITATION: Support to learn ward processes could help stroke survivors adjust to loss of walking independence in stroke rehabilitation. Clearance for walking independence by a physiotherapist is experienced as a meaningful achievement that gives patients confidence in safety. Involving stroke survivors in risk and mobility discussions could potentially improve safety awareness. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd 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.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Stroke survivors' perspectives on decisions about their transition to independent walking in hospital: a qualitative study.
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  Data: <searchLink fieldCode="AR" term="%22Bainbridge%2C+L%2E%22">Bainbridge, L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burton%2C+E%2E%22">Burton, E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Field%2C+M%2E%22">Field, M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wong%2C+Y%2E+C%2E%22">Wong, Y. C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hill%2C+K%2E+D%2E%22">Hill, K. D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fary%2C+R%2E+E%2E%22">Fary, R. E.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Mar2026, Vol. 48 Issue 6, p1730-1741. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke+units%22">Stroke units</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+safety%22">Patient safety</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation+nursing%22">Rehabilitation nursing</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Toilet+training%22">Toilet training</searchLink><br /><searchLink fieldCode="DE" term="%22Decision+making%22">Decision making</searchLink><br /><searchLink fieldCode="DE" term="%22Hospitals%22">Hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Learning%22">Learning</searchLink><br /><searchLink fieldCode="DE" term="%22Walking%22">Walking</searchLink><br /><searchLink fieldCode="DE" term="%22Experience%22">Experience</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke+rehabilitation%22">Stroke rehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Trust%22">Trust</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-professional+relations%22">Patient-professional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke+patients%22">Stroke patients</searchLink><br /><searchLink fieldCode="DE" term="%22Phenomenology%22">Phenomenology</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Accidental+falls%22">Accidental falls</searchLink><br /><searchLink fieldCode="DE" term="%22Video+recording%22">Video recording</searchLink><br /><searchLink fieldCode="DE" term="%22Activities+of+daily+living%22">Activities of daily living</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Australia%22">Australia</searchLink>
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  Data: Purpose: To explore perspectives of stroke survivors on their transition to independent walking in hospital. Specifically, this included the lived experience of lost walking independence, the decision-making process, and perspectives on risk. Materials and methods: Qualitative design with phenomenological approach. Thirty semi-structured interviews were conducted with 22 stroke survivors at two inpatient stroke units. Interviews were recorded and transcribed verbatim with reflexive thematic analysis conducted. Results: Three themes with four subthemes were developed from the data: (1) Rehabilitation is a roller coaster (subthemes: mixed emotions in rehabilitation; learning the ropes takes time); (2) I am not an expert (subthemes: trust in the physiotherapist's decision; walking alone against advice); and (3) Variable approach to risk. Loss of independent walking contributed to feelings of disempowerment; aligned most frequently with loss of independent toileting. Participants believed health professionals made walking safety decisions on their behalf and were mostly satisfied with this process. Participants varied in their awareness of personal safety strategies, with some having limited awareness of specific factors that could contribute to falls. Conclusions: Study findings highlight challenges for stroke survivors and their participation in decision-making related to independent walking in hospital. These findings have the potential to inform future practice guidelines. IMPLICATIONS FOR REHABILITATION: Support to learn ward processes could help stroke survivors adjust to loss of walking independence in stroke rehabilitation. Clearance for walking independence by a physiotherapist is experienced as a meaningful achievement that gives patients confidence in safety. Involving stroke survivors in risk and mobility discussions could potentially improve safety awareness. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd 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.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=192006444
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/09638288.2025.2538760
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Stroke units
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Patient safety
        Type: general
      – SubjectFull: Rehabilitation nursing
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Toilet training
        Type: general
      – SubjectFull: Decision making
        Type: general
      – SubjectFull: Hospitals
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Psychological adaptation
        Type: general
      – SubjectFull: Emotions
        Type: general
      – SubjectFull: Learning
        Type: general
      – SubjectFull: Walking
        Type: general
      – SubjectFull: Experience
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Stroke rehabilitation
        Type: general
      – SubjectFull: Research methodology
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      – SubjectFull: Trust
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      – SubjectFull: Patient-professional relations
        Type: general
      – SubjectFull: Stroke patients
        Type: general
      – SubjectFull: Phenomenology
        Type: general
      – SubjectFull: Data analysis software
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      – SubjectFull: Video recording
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      – SubjectFull: Activities of daily living
        Type: general
      – SubjectFull: Australia
        Type: general
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      – TitleFull: Stroke survivors' perspectives on decisions about their transition to independent walking in hospital: a qualitative study.
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              Text: Mar2026
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