Ten Years On – A Survey of Orthoptic Stroke Services in the UK and Ireland
Aim: In 2007 a national orthoptic survey identified poor provision of vision assessment for stroke survivors. The purpose of this study is to report a 10-year update of this survey to identify changes in clinical practice over recent years. Methods: An online practice survey of registered orthoptist...
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| Format: | Article |
| Language: | English |
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White Rose University Press
2019-05-01
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| Series: | British and Irish Orthoptic Journal |
| Subjects: | |
| Online Access: | https://www.bioj-online.com/articles/135 |
| _version_ | 1811268645467193344 |
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| author | Lauren Hepworth Fiona Rowe |
| author_facet | Lauren Hepworth Fiona Rowe |
| author_sort | Lauren Hepworth |
| collection | DOAJ |
| description | Aim: In 2007 a national orthoptic survey identified poor provision of vision assessment for stroke survivors. The purpose of this study is to report a 10-year update of this survey to identify changes in clinical practice over recent years. Methods: An online practice survey of registered orthoptists (British and Irish Orthoptic Society, BIOS) was undertaken to scope vision services for stroke survivors. Results: At the time of this survey, there were 223 orthoptic departments and 227 stroke units in the UK and Ireland. 317 responses were received representing 178 orthoptic departments – an 80% response rate for orthoptic departments. Of the respondents, 92% reported having a stroke unit in their hospital. A stroke/vision service was provided by 98% of responding orthoptic departments for 77% of stroke units but with only half providing a vision service on the stroke unit. Only 33% of vision services were funded and funding remains the primary barrier to providing a stroke/vision service. About 85% of respondents were aware of the national clinical guidelines for stroke and the BIOS extended practice guidelines for stroke. Conclusions: There has been a positive increase in awareness of stroke-related visual impairment and a steady improvement in provision of eye care for stroke survivors. However, there remains a lack of provision of specialist vision services specifically on stroke units which infers a health inequality for stroke survivors who have visual impairment. Their visual impairments can remain undetected and thus undiagnosed and unmanaged due to unsatisfactory patient care. |
| first_indexed | 2024-04-12T21:27:51Z |
| format | Article |
| id | doaj.art-483669cb5018446685f1a77005946c7e |
| institution | Directory Open Access Journal |
| issn | 2516-3590 |
| language | English |
| last_indexed | 2024-04-12T21:27:51Z |
| publishDate | 2019-05-01 |
| publisher | White Rose University Press |
| record_format | Article |
| series | British and Irish Orthoptic Journal |
| spelling | doaj.art-483669cb5018446685f1a77005946c7e2022-12-22T03:16:08ZengWhite Rose University PressBritish and Irish Orthoptic Journal2516-35902019-05-0115110.22599/bioj.135130Ten Years On – A Survey of Orthoptic Stroke Services in the UK and IrelandLauren Hepworth0Fiona Rowe1Department of Health Services Research, University of LiverpoolDepartment of Health Services Research, University of LiverpoolAim: In 2007 a national orthoptic survey identified poor provision of vision assessment for stroke survivors. The purpose of this study is to report a 10-year update of this survey to identify changes in clinical practice over recent years. Methods: An online practice survey of registered orthoptists (British and Irish Orthoptic Society, BIOS) was undertaken to scope vision services for stroke survivors. Results: At the time of this survey, there were 223 orthoptic departments and 227 stroke units in the UK and Ireland. 317 responses were received representing 178 orthoptic departments – an 80% response rate for orthoptic departments. Of the respondents, 92% reported having a stroke unit in their hospital. A stroke/vision service was provided by 98% of responding orthoptic departments for 77% of stroke units but with only half providing a vision service on the stroke unit. Only 33% of vision services were funded and funding remains the primary barrier to providing a stroke/vision service. About 85% of respondents were aware of the national clinical guidelines for stroke and the BIOS extended practice guidelines for stroke. Conclusions: There has been a positive increase in awareness of stroke-related visual impairment and a steady improvement in provision of eye care for stroke survivors. However, there remains a lack of provision of specialist vision services specifically on stroke units which infers a health inequality for stroke survivors who have visual impairment. Their visual impairments can remain undetected and thus undiagnosed and unmanaged due to unsatisfactory patient care.https://www.bioj-online.com/articles/135orthopticsstrokeservicesprovisionvision assessment |
| spellingShingle | Lauren Hepworth Fiona Rowe Ten Years On – A Survey of Orthoptic Stroke Services in the UK and Ireland British and Irish Orthoptic Journal orthoptics stroke services provision vision assessment |
| title | Ten Years On – A Survey of Orthoptic Stroke Services in the UK and Ireland |
| title_full | Ten Years On – A Survey of Orthoptic Stroke Services in the UK and Ireland |
| title_fullStr | Ten Years On – A Survey of Orthoptic Stroke Services in the UK and Ireland |
| title_full_unstemmed | Ten Years On – A Survey of Orthoptic Stroke Services in the UK and Ireland |
| title_short | Ten Years On – A Survey of Orthoptic Stroke Services in the UK and Ireland |
| title_sort | ten years on a survey of orthoptic stroke services in the uk and ireland |
| topic | orthoptics stroke services provision vision assessment |
| url | https://www.bioj-online.com/articles/135 |
| work_keys_str_mv | AT laurenhepworth tenyearsonasurveyoforthopticstrokeservicesintheukandireland AT fionarowe tenyearsonasurveyoforthopticstrokeservicesintheukandireland |