This study compares the effectiveness of early rehabilitation in the treatment of patients who have had an ischemic stroke and have aphasia to those who begin their recovery later. The study will use a mixed study design, which will include both quantitative and qualitative research designs. Intensive case studies of patients will be prioritized with the goal of finding and measuring changes in their health outcomes as a result of early or late interventions. The medical case studies, when broken down further, incorporate disease analysis, periodic assessment alongside complete systems or projects that are researched as opposed to individual parts. The method, therefore, includes clinical case studies with an intent of providing new insight into the procedures for diagnosis and subsequent treatments.
Research Question
How effective is early rehabilitation in the treatment of patients who suffered an ischemic stroke and consequently have aphasia compared to those who start recovery later on?
Dissemination plan for the research finding
There are a total of five key audiences for this research which include:
Nursing service providers
The public
Clinical commissioning groups alongside other support units
The National Health Service providers
External statutory organizations
Academic profession
Dissemination partners
Utilization of evidence for translating knowledge into practice has been applied to ensure that the result of this project achieves its objectives of informing practice and Reeve maximum benefits to patients and all the stakeholders. The knowledge and practice include the scientist Translation Knowledge Plan, the local academic health science network and a national government coordinating body for public engagement (Malterud, 2001).
Multiple vehicle approaches in disseminating research on the effectiveness of early rehabilitation in the treatment of patients who suffered an ischemic stroke and consequently have aphasia will be applied. Face to face communication, for instance, will create a favorable information sharing environment (Brownson, Colditz & Proctor, 2012). Apart from providing a written feedback to the study subjects, the information dissemination would also include:
A total of 8 interactive workshops throughout the country in the adoption of early rehabilitation in the treatment of patients who suffered an ischemic stroke and consequently have aphasia compared to those who start recovery later on. The choice of 8 interactive workshops was deliberately chosen given the financial and time constraints the research is likely to face.
Development of networks and socioeconomic links with such organizations like Quality observatories, National Health Service Information centers to explore and exploit their established networks in a mutual relationship fashion.
The electronic media will also act as a dissemination platform. Websites and social media platforms are cost effective, convenient and at the same time have wider circulation. Twitter, webinar, and YouTube, for instance, provide audio visual platforms for effective dissemination of information.
Therefore, the above-outlined dissemination strategy offers a comprehensive projection to reach multiple audiences, study participants, and populations in general, in addition to providing more avenues for further research and interrogation of published findings to continuously provide a variety of interventions.
Tools of evaluation
Both qualitative and quantitative assessment of the Nurses Response Technology will be adopted. The first nursing practitioner participant will be surveyed at the end of the first successful rehabilitation on its effectiveness. Besides, the nurse in charge will be requested to judge the effectiveness of management and treatment of ischemic stroke under their supervision (Brownson, Colditz & Proctor, 2012). On the second note, establishing a web link and posters for the nursing practitioners and general care providers entitled “When is it appropriate to undertake treatment of patients who suffered an ischemic stroke and consequently have aphasia?” supplied to all the study and non-study areas. The comments and critics will act as a standard measure of awareness created.
Each case site will have own summary and findings that will then be compared with other study locations to identify existing consistencies and discrepancies. In the short and long run, the research will self-evaluate as weaknesses and strengths would have been identified and necessary adjustments made appropriately (Brownson, Colditz & Proctor, 2012).
Reduction in the cost of diagnosis and subsequent treatment of patients who suffered an ischemic stroke and consequently have aphasia will also be a benchmark for evaluation. An initial increase in the cost which reduces, in the long run, will indicate the efficiency of the early rehabilitation and treatment of ischemic stroke patients.
Plain English summary
The principal aim of this research is to study how early rehabilitation in the treatment of patients who suffered an ischemic stroke and consequently have aphasia compared to those who start recovery later on. Greater efficiency and effectiveness was found to be associated with early rehabilitation diagnosis and treatment of the disease condition. Besides, it will reduce the disease progression and subsequently reduce the associated cost. On the same note, increase in life adjusted life years is also enhanced making the early rehabilitation more ideal for the treatment of stroke and ischemia.
My primary end users are the nursing practitioners, emergency care nurses and general practitioners, the patient population, healthcare administration. The research findings can also be applied to inform future studies in the academia, increase knowledge among the patient population. The information consumption extends to the National Health Service providers who are in a position to initiate policy formulation and implementations. The research will use notice boards, emails and periodic bulletins, journals and scientific websites that are frequented by healthcare providers. Open seminars and conferences will also act as information hotspots since the providers are free from the tight schedules and thus can learn new skills in the management of Ischemic stroke (Song et al., 2010).
The research nonetheless, faced immense challenges not; limited to time constraints, resource limitations. Above all, the conservative approach applied to the management that is viewed as solving one case at a time as it unfolds rather than proactivity is suggested to be as a result of tight schedules and inadequate care providers who are forced to give priority to emergencies as opposed to early screening and rehabilitation of stroke patients. However, collaborating with other stakeholders like the NHS which has established networks and capacity will reduce the cost constraints. An inclusion of student interns in the management of moderate risk cases will relieve the target study subjects for a more comprehensive participation (Song et al., 2010).
Reduced healing time, related cost reduction and the comments and critics will act as evaluation tools in determining whether the research has any significant effect on care provided to the ischemic stroke patients.
Dissemination plan
Action Items
Timeframe
Responsible individual
Ischemic stroke diagnosis
Jul-Aug
Medical doctor
Ischemic stroke rehabilitation
Jul-Aug
Nursing practitioner
Evaluation
Aug
Lead researcher
References
Brownson, R. C., Colditz, G. A., & Proctor, E. K. (Eds.). (2012). Dissemination and implementation research in health: translating science to practice. Oxford University Press.
Malterud, K. (2001). Qualitative research: standards, challenges, and guidelines. The lancet, 358(9280), 483-488.
Song, F., Parekh, S., Hooper, L., Loke, Y. K., Ryder, J., Sutton, A. J., ... & Harvey, I. (2010). Dissemination and publication of research findings: an updated review of related biases. Health Technol Assess, 14(8), 1-193.
