Khalil Karim, Sami Smerat, Haneen F Owienah, Mohammed Khatib, Mohammad Aljamal, Linda Ataya, Abeer Omar, Raya Radi, Shireen Zahran, Nizar Awwad, Ramze Abu Arram, and Mohanad A. Abuzahra
Introduction: It is imperative that individuals suffering from acute ischemic stroke seek treatment promptly in order to optimize their chances of surviving the condition unduly impaired. This study offers an overview of the pathways stroke patients follow during in-hospital treatment, given the increased complexity of stroke treatment from the provider and patient perspective.
Method: This qualitative study included fifteen staff interviews and twenty-seven observations from a comprehensive stroke center (istshari Arab hospital in Palestine that offers endovascular treatment. Grounded theory methodology and the COMIC Model for the thorough assessment of complex health care interventions served as the foundation for the analysis.
Result: The three stages of in-hospital treatment are as follows: (1) hospital admission; (2) recanalization therapy; and (3) inpatient treatment. Tele stroke consultations, in which the ICH hospital's emergency department neurologist meets the patient via audio link, are interactions between patients and staff members prior to the patient's admission to the hospital. When the patient receives IVT or EVT during the second phase, three teams—the ED, neuroradiology, and ICU team—that directly interact with the patient come together at the angiography suite. This process continues until the patient's mechanical recanalization treatment is completed, at which point the patient is moved to the ICU. The third phase involves staff members interacting with patients on the SU or ICU in accordance with a based on a predetermined timetable and each person's needs.
Discussion: According to our findings, no professional (group) having direct patient interactions covers more than two phases of the acute stroke pathway, and the majority of direct staff-patient interactions occur within one phase, with a smaller number of interactions extending to other phases. Subsequent studies ought to explore the ways in which patients perceive the pathways delineated herein, encompassing the potential impact of visible care process organization on patient satisfaction. Findings can be translated to accessible patient information resources as well as input for digitalization efforts, provider orientation and training