TY - JOUR
T1 - Carers’ Experiences, Needs, and Preferences During Inpatient Stroke Rehabilitation
T2 - A Systematic Review of Qualitative Studies
AU - Luker, Julie
AU - Murray, Carolyn
AU - Lynch, Elizabeth
AU - Bernhardsson, Susanne
AU - Shannon, Michelle
AU - Bernhardt, Julie
PY - 2017/9
Y1 - 2017/9
N2 - Objective To report and synthesize the experiences, needs, and preferences of carers of stroke survivors undergoing inpatient rehabilitation. Data Sources MEDLINE, CINAHL, Embase, PsycINFO, and Web of Science were searched to March 2016. Reference lists of relevant publications were searched. No language restrictions were applied. Study Selection Eligible qualitative studies reported the experiences of carers of stroke survivors who underwent inpatient rehabilitation. The search yielded 3532 records; 93 full-text publications were assessed for eligibility, and 34 documents (33 studies) were included. Comprehensiveness of reporting was assessed using the Consolidated Criteria for Reporting Qualitative Health Research framework. Data Extraction Data on the characteristics of included studies were independently extracted by 2 authors. Differences in data extraction between authors were resolved through discussion or by a third author. All text in studies’ results and discussion sections were extracted for analysis. Data Synthesis Extracted texts were analyzed inductively using thematic synthesis. Seven analytical themes were developed that related to the carers’ experiences, needs, and preferences: (1) overwhelmed with emotions; (2) recognition as a stakeholder in recovery; (3) desire to be heard and informed; (4) persisting for action and outcomes; (5) being legitimate clients; (6) navigating an alien culture and environment; and (7) managing the transition home. Conclusions This systematic review provides new insights into the experiences, needs, and preferences of carers of stroke survivors undergoing inpatient rehabilitation. Carers experienced distress as they navigated a foreign culture and environment without adequate communication and processes in place for their inclusion. We recommend deliberate efforts to provide a more inclusive environment that better supports and prepares carers for their new role.
AB - Objective To report and synthesize the experiences, needs, and preferences of carers of stroke survivors undergoing inpatient rehabilitation. Data Sources MEDLINE, CINAHL, Embase, PsycINFO, and Web of Science were searched to March 2016. Reference lists of relevant publications were searched. No language restrictions were applied. Study Selection Eligible qualitative studies reported the experiences of carers of stroke survivors who underwent inpatient rehabilitation. The search yielded 3532 records; 93 full-text publications were assessed for eligibility, and 34 documents (33 studies) were included. Comprehensiveness of reporting was assessed using the Consolidated Criteria for Reporting Qualitative Health Research framework. Data Extraction Data on the characteristics of included studies were independently extracted by 2 authors. Differences in data extraction between authors were resolved through discussion or by a third author. All text in studies’ results and discussion sections were extracted for analysis. Data Synthesis Extracted texts were analyzed inductively using thematic synthesis. Seven analytical themes were developed that related to the carers’ experiences, needs, and preferences: (1) overwhelmed with emotions; (2) recognition as a stakeholder in recovery; (3) desire to be heard and informed; (4) persisting for action and outcomes; (5) being legitimate clients; (6) navigating an alien culture and environment; and (7) managing the transition home. Conclusions This systematic review provides new insights into the experiences, needs, and preferences of carers of stroke survivors undergoing inpatient rehabilitation. Carers experienced distress as they navigated a foreign culture and environment without adequate communication and processes in place for their inclusion. We recommend deliberate efforts to provide a more inclusive environment that better supports and prepares carers for their new role.
KW - Caregivers
KW - Qualitative research
KW - Rehabilitation
KW - Review
KW - Stroke
UR - http://www.scopus.com/inward/record.url?scp=85019590389&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2017.02.024
DO - 10.1016/j.apmr.2017.02.024
M3 - Review article
C2 - 28363703
AN - SCOPUS:85019590389
SN - 0003-9993
VL - 98
SP - 1852-1862.e13
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 9
ER -