The Patient’s Experience of the Psychosocial Process That Influences Identity following Stroke Rehabilitation: A Metaethnography

Table 4

Findings of the synthesised translations.

Theme	Subtheme	Second order construct	Papers where second order construct appears
(1) Evolution of identity	(a) Sense of the individual’s identity	The whole person; Individual factors for example, co-morbidities; Normal activities and “old” life; Individual recovery model	1, 2, 8, 9, 10, 12; 2, 5; 2, 3, 4, 11, 12, 13; 1, 4, 6, 7, 10, 11, 13
	(b) Being at a dividing line	Transition; Uncertainty; Self realisation	1, 10, 12, 13; 3, 4, 8, 11, 13; 2, 5, 10, 11, 12, 13
	(c) Rebuilding and restructuring identity	Adjustment; Value in experience; Desire for re-integration; Adaptation and practice; Insight	2, 3, 5, 10, 12, 13; 7, 12; 7, 8, 11, 12; 2, 3, 7, 11, 12, 13; 5, 8, 10
	(d) Reintegrating identity with their life	Occupation; Sense of identity; Sense of belonging	12, 13; 4, 11, 12, 13; 5, 12
(2) Psychosocial constructs that influence experience	(a) Support	Information and resources; Timely and long term support; Emotional and instrumental support; Network of people; Feedback and encouragement	1, 4, 5, 6, 7, 8, 9, 10, 11, 13; 1, 8, 11, 12; 2, 8, 11, 12, 13; 1, 2, 5, 8, 11, 12; 1, 7, 8, 9, 10
	(b) Autonomy	Problem solving; Self-confidence, determination, and self-esteem; Shared decision making; Partnership relationships; Choice; Focus on quality of life and recreation	2, 8, 11; 2, 7, 8, 12, 13; 2, 10, 11; 2, 9, 10, 11, 12; 1, 4, 12, 13; 1, 6, 12
	(c) Coping and adjustment	Being another persons; Loss of role and belonging; Loss of control; The paralysed everyday; Emotions; “burden of burden,” helplessness; Isolation	3, 4, 5, 8, 12; 3, 6, 12; 6, 8; 3, 5, 6, 12; 3, 5, 7, 8, 10, 12; 4, 8, 12
	(d) Hope	Progress to goals; Expectations (self, staff and treatment); Dependence to independence; Continued stimulation; High treatment priority	3, 7, 11, 13; 1, 2, 4, 5, 6, 7, 9, 10, 11, 12, 13; 2, 3, 8, 13; 2, 3, 6, 9, 13; 1, 2, 5, 9, 10, 13
	(e) Success motivation and mastery experiences	Increasing expertise; Self-belief; Motivation; Sense of momentum; Aspirations	1, 2, 4, 8, 10, 12; 2, 10, 11, 13; 2, 3, 4, 10; 2, 6, 7, 9, 11, 12, 13; 2, 7, 13

Note: 1: Sabari et al., 2000 [48], 2: Proot et al., 2000 [49], 3: Burton, 2000 [50], 4: Bendz, 2003 [37], 5: Röding et al., 2003 [38], 6: Cowdell and Garrett, 2003 [39], 7: Gibbon, 2004 [51], 8: Olofsson et al., 2005 [52], 9: Morris et al., 2007 [53], 10: Mangset et al., 2008 [54], 11: Ellis-Hill et al., 2009 [55], 12: Erikson et al., 2010 [26], and 13: Wottrich et al., 2012 [56].