Occupational therapists' experience of community seating provision for patients following a stroke

Background: Guidelines in the United Kingdom recommend that seating should be provided prior to hospital discharge after a stroke. Occupational therapists often advise on seating to maximise function and minimise risks associated with posture and sitting. Little is known however as to their experience of the seating provision process. Aim: This study aimed to acquire a greater understanding of occupational therapists' lived experience of seating provision for clients following a stroke. Method: The study drew upon hermeneutic phenomenology and eight occupational therapists were interviewed. Findings: Four themes were identified including: a collaborative project, a race against time, unremarkable versus ‘a battle on our hands', and out of our hands. Participants' experience varied greatly but appears to inform that seating is not always provided in time for hospital discharge. Participants seemed frustrated and conflicted when they faced barriers to seating provision and were not always able to meet clients' needs or practice client-centred care as they wished. Conclusion: This study demonstrates a need to develop processes to allow prompt access to seating solutions during the stroke rehabilitation pathway. Occupational therapists may want to consider ways in which barriers can be reduced and further research to develop more effective pathways is recommended.