Postdischarge nursing interventions for stroke survivors and their families

Kelly L. McBride, Carole L. White, Rosa Sourial, Nancy Mayo

    Research output: Contribution to journalArticle

    14 Citations (Scopus)

    Abstract

    Background. The physical, cognitive, and emotional sequelae of stroke underscore the need for nursing interventions across the continuum of care. Although there are several published studies evaluating community interventions for stroke survivors, the nursing role has not been clearly articulated. Aim. The aim of this paper is to report a study to describe, using a standardized classification system, the nursing interventions used with stroke survivors during the initial 6 weeks following discharge home. Methods. In the context of a randomized controlled trial, two nurse case managers provided care to 90 community-dwelling stroke survivors who were assigned to the intervention arm of the trial. The nursing documentation was analysed, using the Nursing Intervention Classification (NIC) system, to identify and quantify the interventions that were provided. Findings. Stroke survivors received, on average, six different interventions. There was a trend for those who were older, more impaired, and who lived alone to receive more interventions. The most commonly reported interventions included those directed towards ensuring continuity of care between acute and community care, family care, and modifying stroke risk factors. The study was limited to the nursing documentation, which may represent an underestimation of the care delivered. Conclusions. The NIC system was useful in capturing the interventions delivered by the nurse case managers. Nursing interventions are often not clearly articulated and less often use standardized terminology. Describing nursing activities in a standard manner will contribute to an increase in nursing knowledge and to evidence-based practice.

    Original languageEnglish (US)
    Pages (from-to)192-200
    Number of pages9
    JournalJournal of Advanced Nursing
    Volume47
    Issue number2
    DOIs
    StatePublished - Jul 2004

    Fingerprint

    Survivors
    Nursing
    Stroke
    Continuity of Patient Care
    Documentation
    Nurses
    Independent Living
    Evidence-Based Practice
    Terminology
    Randomized Controlled Trials
    Standardized Nursing Terminology

    Keywords

    • Case management
    • Community care
    • Family caregiver
    • Nursing intervention classification
    • Nursing interventions
    • Standardized nursing language
    • Stroke

    ASJC Scopus subject areas

    • Nursing(all)

    Cite this

    Postdischarge nursing interventions for stroke survivors and their families. / McBride, Kelly L.; White, Carole L.; Sourial, Rosa; Mayo, Nancy.

    In: Journal of Advanced Nursing, Vol. 47, No. 2, 07.2004, p. 192-200.

    Research output: Contribution to journalArticle

    McBride, Kelly L. ; White, Carole L. ; Sourial, Rosa ; Mayo, Nancy. / Postdischarge nursing interventions for stroke survivors and their families. In: Journal of Advanced Nursing. 2004 ; Vol. 47, No. 2. pp. 192-200.
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