Exploring the shared experiences of people with stroke and caregivers in preparedness to manage post‐discharge care: A hermeneutic study
L Chen, LD Xiao, D Chamberlain - Journal of advanced nursing, 2022 - Wiley Online Library
L Chen, LD Xiao, D Chamberlain
Journal of advanced nursing, 2022•Wiley Online LibraryAims and objectives To explore the shared experiences of people with stroke and caregivers
in preparedness to manage post‐discharge care. Background People with stroke and
caregivers show dyadic effects in dealing with post‐discharge care challenges. However,
few studies have explored their shared experiences and unique challenges for each dyadic
member in preparedness to manage post‐discharge care. This study addresses this
research gap. Design An interpretive approach underpinned by Gadamer's philosophical …
in preparedness to manage post‐discharge care. Background People with stroke and
caregivers show dyadic effects in dealing with post‐discharge care challenges. However,
few studies have explored their shared experiences and unique challenges for each dyadic
member in preparedness to manage post‐discharge care. This study addresses this
research gap. Design An interpretive approach underpinned by Gadamer's philosophical …
Aims and objectives
To explore the shared experiences of people with stroke and caregivers in preparedness to manage post‐discharge care.
Background
People with stroke and caregivers show dyadic effects in dealing with post‐discharge care challenges. However, few studies have explored their shared experiences and unique challenges for each dyadic member in preparedness to manage post‐discharge care. This study addresses this research gap.
Design
An interpretive approach underpinned by Gadamer's philosophical hermeneutics.
Methods
Semi‐structured interviews were conducted with people with stroke and caregivers in 5 days before hospital discharge (n = 26) or 2 weeks after discharge (n = 4) between July and December 2019. The study followed a five‐step data analysis method aligning with Gadamerian hermeneutics. The study reporting followed the COREQ checklist.
Results
Three themes and six subthemes were identified. First, both people with stroke and caregivers experienced psychological stress, although the sources differed. Second, stroke dyads demonstrated resilience built on positive thoughts, confidence, and support from family and health professionals. Third, stroke dyads exhibited different levels of certainty about post‐discharge care. They desired to be equal partners in co‐developing and co‐implementing discharge plans.
Conclusions
Similarities and differences in perceived preparedness to manage post‐discharge care existed between stroke dyadic members. A co‐design approach to developing and implementing discharge plans would enhance planned post‐discharge care.
Impact
Hospital‐to‐home transition is a challenging time for people with stroke and their caregivers. Understanding the shared experiences of stroke dyads in preparedness for post‐discharge care enables nurses to take proactive actions to enhance managing post‐discharge care. Early identification of those at risk of developing psychological stress will enable nurses to co‐develop stress‐coping strategies. These will have a positive influence on the dyad when facing setbacks due to stroke‐related complications.
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