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Qualitative Approach

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This study was conducted using qualitative approach. With the aim to exploring patient’s and caregivers experience of gaining access to acute stroke care Harrison et al., (2012). Qualitative approach is appropriate as the study is therefore, concerned with exploring and understanding human experience as they occur and interpret in real life, (Cook, et al., 2013). It can be argued that qualitative research focuses on the credibility of the evidence presented as an authentic account and accurate interpretation of the respondent’s viewpoints in relation to the research question being explored (Burns, et al. (2015). However, the participant could be lying about their experience, therefore qualitative cannot be benchmarked as they depend on participant …show more content…

(2012) study, used purposive sample was pragmatic to ensure a diverse range of experience among patient participant. Fifty-nine participants were selected to suit the purpose to elucidate experience and identify factors that enabled or prevented stroke from being treated as emergency. Evidently, patient with communication or cognitive impairment were included provided they could contribute meaningfully to the interview and give consent, (Madeleine, et al. (2012). However, this could limit the transferability of the findings, but it is a reasonable practical way of sampling in research qualitative (Maltby, 2010). Therefore, the study demonstrates convenience sample as it contains vulnerable participants, nevertheless the sample raise some question about whether the participant felt forced into participating (Brown, 2014).

During data collection, the study used topic guided semi-structured interview. These interviews were recorded and transcribed to explore the stroke patient’s experience. This is suitable method to collect data for this type of research. However, Schmidt, & Brown, (2015) posits, simple mistake during transcription can change the meaning of phrase, even making it read the opposite of what the participant have said. Therefore, they may be an element of …show more content…

The study fits well with Omar in such a way that Omar had earlier signs of stroke, due to lack of knowledge he did not seek for help. Efforts to gain access to EMS are evident within these data as are a failure by some participants to recognise the urgency of stroke signs and symptoms Miller, et al., (2015). The importance of caregivers and relatives in facilitating access to EMS is therefore also apparent, this is indicated in Omar’s case, when Omar’s wife phone the GP. However, the results from the study shows that majority of the patient reported being aware of the FAST (Fast, Arms, Speech, Time) campaign, at the time of stroke (Madeleine, et al., (2012). The rest of the patient argued that the campaign had no impact on stroke recognition or response. Therefore, lack of knowledge has huge impact on people not seeking emergency help. This could be the reason Omar did not seek for help when he had the first attack. However, Department of health (DH, 2010) and Public Health England (PHE, 2015), indicates that public health interventions have helped the public to recognise the signs of stroke and take appropriate action. Moreover, the study signposts that patient fear to call for emergency help as they were not sure of the

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