Abstract
Background: Person-centred practice is receiving more attention in healthcare practice and research. Nevertheless, more knowledge is needed to understand person-centred practice in stroke care (Bally et al., 2023; Elvén et al., 2023; Lobo et al., 2021).The aim of this scoping review is therefore to characterise the roles, needs, and perspectives of patients, carers, and healthcare staff regarding person-centred practice throughout the stroke patient trajectory.
Methods: The review was conducted using the JBI methodology for scoping reviews. Searches were performed in Medline, CINAHL, Embase, Cochrane, Scopus, PsycINFO, and Web of Science, along with grey literature sources such as Google Scholar, ProQuest, and Google. Two reviewers screened 5961 studies for inclusion. Data were extracted using a pilot-tested tool and analysed using thematic analysis for qualitative data and descriptive statistics for quantitative data.
Results: The scoping review included 96 studies from diverse healthcare contexts and countries. Results highlight significant variability in the implementation of PCP in stroke care. Key components of PCP include shared decision-making, holistic care, and tailored information provision. Facilitators identified were multidisciplinary teamwork, effective communication strategies, and supportive care environments. Barriers included time constraints, insufficient training, resource limitations, and cultural practices that hinder patient involvement. Recommendations emphasize the need for healthcare professional training in PCP principles, development of tools to support shared decision-making, and culturally sensitive approaches to care. Research gaps include limited exploration of PCP in prehospital and post-acute care phases, the role of caregivers, and the experiences of patients with cognitive or communication impairments.
Implications: This review provides a comprehensive overview of PCP in stroke care, identifying facilitators, barriers, and gaps in the literature. The findings will inform future research and guide the development of strategies to strengthen PCP across the stroke trajectory, ultimately improving outcomes for patients and their carers.