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Background <p>Stroke is a leading cause of disability worldwide, with substantial physical, psychological, and economic impacts. Self-management support (SMS), a core component of the Chronic Care Model (CCM), can help patients manage chronic conditions and improve quality of life. In Ghana, culturally tailored post-discharge SMS guidelines for stroke survivors are lacking, resulting in fragmented and inconsistent care. This study explored healthcare providers’ experiences with post-discharge SMS, including barriers, perceived impacts on patient outcomes, and satisfaction with current practices.</p> Methods <p>Using Thorne’s interpretive description approach, we conducted semi-structured interviews with 15 healthcare providers and 3 administrators. Interviews were transcribed verbatim and analyzed using Thorne’s three-phase thematic framework, guided by the CCM and evidence-based SMS attributes.</p> Results <p>Three themes emerged: (1) current healthcare practices to assist home-based stroke self-management, (2) barriers to providing SMS, and (3) impact of current SMS and providers' satisfaction. Pre-discharge support included education on medications, lifestyle changes, and caregiver training. Post-discharge support was limited, with minimal follow-up, home visits, or ongoing guidance. Essential SMS elements such as collaborative goal setting, comprehensive education, emotional support, and sexual health guidance were largely absent. Barriers included a lack of formal guidelines, staff shortages, heavy workloads, low literacy, cultural and religious beliefs, limited family involvement, and communication challenges. Providers expressed mixed satisfaction with pre-discharge care but widespread dissatisfaction with post-discharge support.</p> Conclusion <p>Providers face significant challenges delivering effective SMS, limiting stroke survivors’ home-based disease management. Current practices focus on information delivery rather than proactive, culturally sensitive, and collaborative support, undermining patients’ confidence and ability to manage their conditions independently.</p>

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Healthcare providers’ perspectives and experiences with self-management support practices for discharged stroke patients in a district hospital in Ghana using a qualitative approach

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月16日

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  • Rockson Ansong,
  • Michelle Danny Stampley Boakye,
  • Priscilla Gazarian,
  • Evans Kyei,
  • Grace Kyei,
  • Lingling Zhang

摘要

Background

Stroke is a leading cause of disability worldwide, with substantial physical, psychological, and economic impacts. Self-management support (SMS), a core component of the Chronic Care Model (CCM), can help patients manage chronic conditions and improve quality of life. In Ghana, culturally tailored post-discharge SMS guidelines for stroke survivors are lacking, resulting in fragmented and inconsistent care. This study explored healthcare providers’ experiences with post-discharge SMS, including barriers, perceived impacts on patient outcomes, and satisfaction with current practices.

Methods

Using Thorne’s interpretive description approach, we conducted semi-structured interviews with 15 healthcare providers and 3 administrators. Interviews were transcribed verbatim and analyzed using Thorne’s three-phase thematic framework, guided by the CCM and evidence-based SMS attributes.

Results

Three themes emerged: (1) current healthcare practices to assist home-based stroke self-management, (2) barriers to providing SMS, and (3) impact of current SMS and providers' satisfaction. Pre-discharge support included education on medications, lifestyle changes, and caregiver training. Post-discharge support was limited, with minimal follow-up, home visits, or ongoing guidance. Essential SMS elements such as collaborative goal setting, comprehensive education, emotional support, and sexual health guidance were largely absent. Barriers included a lack of formal guidelines, staff shortages, heavy workloads, low literacy, cultural and religious beliefs, limited family involvement, and communication challenges. Providers expressed mixed satisfaction with pre-discharge care but widespread dissatisfaction with post-discharge support.

Conclusion

Providers face significant challenges delivering effective SMS, limiting stroke survivors’ home-based disease management. Current practices focus on information delivery rather than proactive, culturally sensitive, and collaborative support, undermining patients’ confidence and ability to manage their conditions independently.