Introduction:
Inpatient rehabilitation for stroke and acquired neurological disability requires a workforce that is clinically skilled, emotionally resilient, and capable of person-centred care. Yet, progressive practice improvement initiatives often lack robust evaluation. The GoodLife Program (GLP) was implemented within a generalist inpatient rehab unit specialising in stroke and neurorehabilitation. Designed to build coaching capability, mindfulness, and reflective practice, GLP aimed to reframe rehabilitation as a hopeful and collaborative endeavour that improves both patient and staff experience. Originally conducted pre-pandemic, the program’s impact has been revisited through a realist lens, highlighting transferable insights into progressive practice development and team-based neurorehabilitation.
Methods:
A multi-method, realist-informed evaluation was undertaken, comprising pre-post surveys (n=22), a comparative analysis of Local Health District Nurse Engagement Survey data, and thematic analysis of interviews (n=10). Measures included metacognition, hope, role-breadth self-efficacy, and coaching skills. Consumers with lived experience co-designed and co-facilitated the intervention.
Results:
Quantitative data showed statistically significant gains in mindfulness, hope, self-efficacy, and perceived workplace influence. Staff reported increased confidence, improved communication, and reduced burnout. Compared to LHD peers, participants scored higher in educational support and team dynamics. Thematic analysis revealed a shift from traditional “tough love” approaches toward more empathetic, empowering practices. Participants reflected on changes in professional identity and greater connection with patients.
Conclusion:
The GLP contributed to a cultural shift in neurorehabilitation by embedding coaching and mindfulness into everyday practice. It supported identity development and co-production with patients, promoting emotionally intelligent, person-centred care.
Relevance to Clinical Practice or Patient Experience:
This program offers a scalable, team-based model for enhancing workforce capability and improving care experiences for people living with stroke and acquired neurological disability. It demonstrates how reflective, co-produced education can lead to meaningful practice change.