situationally-sensitive knowledge translation and relational decision making in hyperacute stroke a qualitative studysituationally-sensitive翻译知识和关系决策hyperacute中风定性研究.pdfVIP

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situationally-sensitive knowledge translation and relational decision making in hyperacute stroke a qualitative studysituationally-sensitive翻译知识和关系决策hyperacute中风定性研究.pdf

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situationally-sensitive knowledge translation and relational decision making in hyperacute stroke a qualitative studysituationally-sensitive翻译知识和关系决策hyperacute中风定性研究

Situationally-Sensitive Knowledge Translation and Relational Decision Making in Hyperacute Stroke: A Qualitative Study Madeleine J. Murtagh1,2*, Duika L. Burges Watson1,3, K. Neil Jenkings1,4, Mabel L. S. Lie1,7, Joan E. Mackintosh1, Gary A. Ford5,6, Richard G. Thomson1 1 Institute of Health Society, Newcastle University, Newcastle upon Tyne, United Kingdom, 2 Department of Health Sciences, College of Medicine, Biological Sciences and Psychology, University of Leicester, Leicester, United Kingdom, 3 Centre for Translational Research, Wolfson Research Institute, Durham University, Stockton, United Kingdom, 4 Geography, Politics and Sociology, Newcastle University, Newcastle upon Tyne, United Kingdom, 5 Institute for Ageing Health, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom, 6 Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom, 7 Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom Abstract Stroke is a leading cause of disability. Early treatment of acute ischaemic stroke with rtPA reduces the risk of longer term dependency but carries an increased risk of causing immediate bleeding complications. To understand the challenges of knowledge translation and decision making about treatment with rtPA in hyperacute stroke and hence to inform development of appropriate decision support we interviewed patients, their family and health professionals. The emergency setting and the symptomatic effects of hyper-acute stroke shaped the form, content and manner of knowledge translation to support decision making. Decision making about rtPA in hyperacute stroke presented three conundrums for patients, family and clinicians. 1) How to allow time for reflection in a severely time-limite