Shaping and negotiating futures in brain injury rehab

  • Research type

    Research Study

  • Full title

    Shaping, sharing and negotiating futures in brain injury rehabilitation

  • IRAS ID

    147264

  • Contact name

    Julie Latchem

  • Contact email

    LatchemJM@cardiff.ac.uk

  • Research summary

    This research aims to explore the experiences of people who have suffered severe acquired brain injuries, their families/friends and the healthcare professionals (HCPs) that treat and care for them during their rehabilitation.
    These three groups all have different roles in shaping the future of the patient in the longterm.
    The relationships they have with one another are a critical part of the rehabilitation process and significantly contribute to care quality and the rehabilitative experience for patients and their families and the working lives of HCPs. However, these relationships
    are often known to be ‘conflict laden’. This research therefore seeks to investigate interactions between patients, their
    families and HCPs, working processes in day to day rehabilitation of patients with acquired brain injuries, organisational structures and broader health and social care policy in order to understand what affects these relationships and their implications for long term patient care/patient outcomes.
    The focus on relationships is important because research has shown that positive relationships lead to better patient
    rehabilitative outcomes, higher levels of patient satisfaction and patient, family and HCP wellbeing.
    Strained relationships have been associated with poorer patient outcomes, difficulties with discharge processes and increased
    length of stay.
    The key research questions are:
    1) How are the futures of people with brain injury shaped and negotiated through a) Day to day interaction, b)
    Organisational process and practice and c) Policy.
    2) What constitutes positive relationships in brain injury rehabilitation?
    3) What challenges and tensions arise in the relationships between patients, their families and HCPs during the
    rehabilitative process, what causes them, and how are they resolved?
    This study involves the observation of brain injury rehabilitation in two nonNHS
    inpatient neurological rehabilitation
    settings and interviews with patients, family members and HCPs.
    A62.

  • REC name

    Social Care REC

  • REC reference

    14/IEC08/0014

  • Date of REC Opinion

    21 May 2014

  • REC opinion

    Further Information Favourable Opinion