Table 2.
Author/date | Aim of study | Design | Method of data collection | Source of barrier/enabler data extraction | Participants |
---|---|---|---|---|---|
Daniels et al. (2013) [24] USA | To identify strategies for effective implementation of swallowing screening in patients with stroke symptoms that presented in ED | Qualitative | Staff interviews | Barrier and enabler themes | ED nurses (n = 8) |
Gache et al. (2014) [30] France |
To identify the main barriers to effective implementation of Stoke Care Pathway in France | Qualitative | Semi-structured interviews | Barrier typology derived from data | Emergency physicians, neurologists, geriatricians, social workers, health care workers in rehab and nursing homes (n = 33) |
Grady et al. (2014) [25] Australia | To assess emergency physicians’ perceptions of individual and system enablers to the use of thrombolysis in acute stroke | A web-based survey | Questionnaire | Responder’s agreement to pre-defined enabler statements | Australian fellows and trainees registered with ACEM (n = 429) |
Hargis et al. (2015) [26] USA | To identify factors that may limit the administration of rt-PA in the emergency department at multiple stroke centres | A web-based survey | Questionnaire | Responder’s agreement to pre-defined enabler statements | ED nurses and pharmacists (n = 37) |
Johnson MJ et al. (2011) [31] USA | To describe emergency nurses’ perceptions of specific barriers and enablers to the care of stroke patients in the emergency department | Qualitative | Focus groups | Barrier and enabler themes | Emergency nurses currently employed in an emergency department (n = 10) |
Meuer et al. (2011) USA | To describe the pre-identified barriers to clinicians compliant with guidelines recommending the use of thrombolysis | Qualitative | Focus groups and one-to-one interviews | Barrier listed in the coding guide with definitions | Emergency physicians, nurses, neurologists, radiologists, hospital administrators, and hospitalists and pharmacist (n = 30) |
Skecksen A et al. (2014) Sweden | To identify and analyse the barriers and enablers to implementing national thrombolytic guidelines | Qualitative | Semi-structured interviews | Barrier and enabler themes | Stroke healthcare professionals (nurses and physicians) (n = 16) |
Van Der Weijden et al. (2004) [32] The Netherlands | To explore the opinion on possible barriers for working according to key recommendations for the acute phase a stroke care among neurologists | Paper-based survey | Questionnaire | Responder’s agreement to pre-defined barrier statements | Registered neurologists (n = 16) |
Williams J et al. (2013) [29] Australia |
To identify barriers which prevent rural health care providers from utilising thrombolysis in acute ischamic stroke | Paper-based survey | Questionnaire | Responder’s agreement to pre-defined barrier statements | All rural sites within NSW Australia that had an implemented thrombolysis service as defined by the NSF and an Stroke Care Coordinator position were deemed eligible for inclusion (n = 11) |
ACEM Australasian College for Emergency Medicine, ED Emergency Department, NSF National Stroke Foundation