Table 3.

Themes Involving Organizational Processes.

Main theme	Brief description	Sub-theme	Description
Environmental aspects	A rehabilitation ward should have single bedrooms, a shared room for activities, the possibility to go outside, and therapy options on the ward.	Location of rehabilitation	Rehabilitation should take place close to their own home, in a central location that is easy for people to visit, and also offers other activities so rehabilitants can go shopping. They would rather not rehabilitate in a nursing home with permanent residents, which confronts them with suffering.
		Building aspects	Rehabilitation should take place in small wards with a shared room for activities and mealtimes, and the possibility to go outside. Most participants would like to see therapy options on the ward. The therapy room must have sufficient space, good climate control, and must be easy to adjust based on their needs. Chairs should be provided in long corridors. Rehabilitants with acquired brain injury want attention for low-stimulus areas to avoid overstimulation.
		Bedrooms	All participants want a single bedroom, with a private bathroom. They see benefits to having privacy in the areas of exercise options, night rest, privacy, hygiene, and for coping with everything that is happening.
		Tools	On a rehabilitation ward, there must be sufficient and practical aids, like exercise materials, walking aids, lifting aids, and eating and drinking aids. Bicycles, a walking circuit, relevant games, a tablet with aphasia programs, and walking rails are named as examples of desired exercise materials.
Staff aspects	The rehabilitation facility should have small teams with good mutual communication. All team members should have an empathic way of supporting and motivating rehabilitants.	Staff	Staff must guide rehabilitants in their rehabilitation process in an empathic way, both in terms of emotional support and in exercising. They need knowledge, provide information, have an active attitude, communicate well and stimulate or, if necessary, slow rehabilitants down. A good relationship with staff can have a stimulating effect on the rehabilitant.
		Team	Participants prefer small teams with good mutual communication. Team members need to be aware of rehabilitation (needs) and strive for sufficient collaboration with other team members. Mentioned team members are physical therapist, occupational therapist, psychologist, nurse, physician, speech therapist, dietician, social worker and recreational therapist. Physical therapy is named as the most important discipline; some participants feel resistance to the psychologist. Participants do see a therapeutic role for nurses in practicing activities of daily living, providing support, and stimulating additional exercises.
Organizational aspects	Rehabilitation should be organized in an efficient way to optimize the results.		Participants feel that financial cutbacks lead to a high workload for staff and a shorter length of stay, which has adverse consequences for their rehabilitation. They do feel it is important to organize the rehabilitation process in an efficient way, to optimize the results of the rehabilitation.
Return home	The discharge process must be well-prepared and supervised. Home visits allow rehabilitants to practice meaningful tasks in their own environment in preparation for their discharge.	Home visit	Home visits during the rehabilitation process are effective to see whether it is possible to function at home and which home adjustments are needed. However, confrontation with (un)expected disabilities can make a home visit emotionally challenging.
		Discharge process	Although some participants think the rehabilitation process is going too fast, most want to keep their time on the ward as short as possible. Good and timely communication about this process is important.
		Collaboration with external care professionals	It is important for transfers between the different settings in a rehabilitation process to take place in a good and timely manner. Participants who have experienced a gap in this process feel they have deteriorated because of it. Participants need advice from (community) therapists with sufficient experience to continue the rehabilitation after discharge.
		Outpatient rehabilitation	Rehabilitants are not sure if their rehabilitation would be faster at home or on a rehabilitation ward. They are all aware that the rehabilitation process continues after discharge. Therapy intensity at home can depend on the funding of health care insurers.