The nursing care of stroke patients in nursing homes. Nurses’ descriptions and experiences relating to cognition and mood

Kumlien, Suzanne; Axelsson, Karin

doi:10.1046/j.1365-2702.2000.00412.x

Cited by 13 publications

(22 citation statements)

References 35 publications

(45 reference statements)

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“…A lack of coordinated and standardised care for stroke survivors was highlighted by Stolee et al to be lacking in a LTC facility, resulting in suboptimal care for the specialised needs of these residents [32]. Another study reported the deficiency of focused and specialised care for stroke survivors demonstrated by nurses from five nursing homes, who experienced uncertainty regarding understanding stroke survivors and providing appropriate nursing care [35]. Further education in stroke care was requested by nursing staff taking care of stroke survivors in two studies [35,36].…”

Section: Resultsmentioning

confidence: 99%

“…Another study reported the deficiency of focused and specialised care for stroke survivors demonstrated by nurses from five nursing homes, who experienced uncertainty regarding understanding stroke survivors and providing appropriate nursing care [35]. Further education in stroke care was requested by nursing staff taking care of stroke survivors in two studies [35,36].…”

Section: Resultsmentioning

confidence: 99%

“…It was suggested this was as a consequence of a lack of standardised stroke management guidelines in the LTC setting as well as a paucity of training for nursing staff to meet stroke survivors' specific needs [29,30,32,34,35]. For example, Kumlien reported that nurses' descriptions of eating disabilities, nutritional problems and personal cares for stroke survivors were often nebulous and non-specific when 82.5% of stroke patients in that LTC facility were dependent for eating [48].…”

Section: Discussionmentioning

confidence: 99%

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A systematic review of studies investigating the care of stroke survivors in long-term care facilities

Teo

Slark

2015

Disability and Rehabilitation

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The care of stroke survivors in LTC facilities is lacking in rehabilitation, stroke specific care and secondary stroke prevention. This needs to be addressed through conducting further research to build a strong body of evidence to influence change in the care of this vulnerable group of patients. Implications for Rehabilitation Care of stroke survivors in long-term care facilities Stroke survivors make up almost a quarter of residents in long-term care facilities. They suffer from functional impairments and many other disabilities as a result of more severe stroke, precluding them from living in their own homes. Rehabilitation, stroke-specific care and secondary stroke prevention for stroke survivors are lacking in long-term care facilities despite strong evidence showing benefits for these interventions in stroke survivors living in the community. Interventions to address the unmet need in stroke survivors living in long-term care facilities are vital for optimal care of this vulnerable group of patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A systematic review of studies investigating the care of stroke survivors in long-term care facilities

Teo

Slark

2015

Disability and Rehabilitation

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“…25,26 Nurses have reported that caring for patients with depression and cognitive impairment is difficult because of the complexity such patients present and a lack of specialist preparation. 27,28 Similarly, the difficulties that nurses face caring for patients with aphasia have been investigated and recommendations made to develop strategies to enhance communication. 29 -31 Existing methods of assessing patients' needs 32 and quality of life 33 were found to be problematic, with current practice not matching patients concerns.…”

Section: Acute Carementioning

confidence: 99%

Qualitative Studies of Stroke

McKevitt

Redfern

Mold

et al. 2004

Stroke

211

204

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Background and Purpose-Qualitative studies are increasingly used to investigate social processes and phenomena influencing health behaviors and service provision. We aimed to identify the scope of published qualitative studies of stroke, consider their relevance to development and delivery of services for people with stroke, and make recommendations for future work. Methods-Literature review of published articles was identified by systematically searching online literature databases using keywords from the start of each database until 2002. Articles were reviewed by 2 authors, using a standardized matrix for data extraction. The 2003 European Stroke Initiative recommendations for stroke management were used to categorize the literature for consideration of its contribution to stroke research. Results-We included 95 articles. Their empirical contribution includes an emphasis on recording the "human" experience of stroke; identification of needs as perceived by patients and their families, differences in priorities between patients and professionals, and barriers to best-quality care. We identified 12 papers that were specifically undertaken to develop or evaluate interventions. Conclusions-Qualitative studies have addressed a wide range of issues related to the impact of stroke on individuals and caregivers, and to the organization and delivery of services. Significant problems remain in ensuring the delivery of best-quality stroke care, which such studies have the potential to address. Maximizing this potential requires greater collaboration between nonclinical and clinical scientists, service providers, and users to formulate research questions of interest as well as new research strategies, such as meta-analysis, to pool qualitative research findings and multisited investigations. Key Words: qualitative research Ⅲ caregivers Ⅲ delivery of health care Ⅲ evaluation studies Ⅲ quality of health care Ⅲ stroke T he relevance of social science research for medical practice has long been recognized. 1 Studies conducted using qualitative methods, which are drawn from the social sciences, are now commonly advocated and used in health and healthcare research. 2 The aim of qualitative research is to understand social processes and behaviors (such as responses to disease or the organization of health services) in natural rather than experimental settings, and from the perspective of participants. Specific methods used include unstructured or semistructured interviews, focus group interviews, and ethnographic observation. These methods tend to generate textual rather than numerical data, and their analysis entails identifying meanings and developing concepts, but not measuring frequency. Studies using a variety of qualitative research methods have investigated social factors that influence the delivery and uptake of a wide range of health services.Qualitative research is undertaken by researchers from a variety of disciplines, and reports may be published in journals not widely read outside the discipline concerned. The aim...

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“…2001), rehabilitation settings (Kirkevold 1997, O'Connor 2000), community settings (Forster & Young 1996, Dowswell et al. 1997), and long‐term care (Kumlien & Axelsson 2000). In these studies, however, the nursing interventions have not been clearly articulated or have been described only in broad terms, with no detail of the specific interventions.…”

Section: Strokementioning

confidence: 99%