[Step by step approach--a method of working in stroke rehabilitation].
Modern stroke rehabilitation should be conducted on a step by step approach towards final achievable objectives. Guidelines about how to introduce this in daily work are however missing. The aim of the present study was to create and introduce a paradigm with intermediate and final objectives in a multidisciplinary stroke team.


METHODS
Over a period of eight months the staff was trained to use team conferences to evaluate and formulate intermediate and final objectives. The staff s ability to formulate correct objectives and their knowledge about previously agreed targets were evaluated monthly through a questionnaire.


RESULTS
The number of objectives that were accurately formulated improved from 50% to 90% and the caring team' s awareness of these improved from 45% to >80g.


CONCLUSIONS
This model can be used to improve the multidisciplinary caring team's ability to formulate objectives and keep current objectives in mind in the daily work in a stroke unit.
Nyman
Kristin
K
Institutionen för Klinisk Neuovetenskap, Norrlands Universitetssjukhus, Umeå, Sweden. kristin.nyman@vll.se
Lundström
Eva
E
Lämås
Kristina
K
Nyström
Gunilla
G
Malm
Jan
J
D006757:Hospital Units / Q000592:standards; D006801:Humans; D010347:Patient Care Planning / Q000592:standards; D010348:Patient Care Team / Q000592:standards; D017410:Practice Guidelines as Topic; D020521:Stroke / Q000451:nursing; D000071939:Stroke Rehabilitation; D011795:Surveys and Questionnaires; D013548:Sweden