Using the Preparedness Assessment for the Transition Home After Stroke Instrument to Identify Stroke Caregiver Concerns Predischarge: Uncertainty, Anticipation, and Cues to Action

Rehabil Nurs. 2021 Jan-Feb;46(1):33-42. doi: 10.1097/rnj.0000000000000267.

Abstract

Purpose: The aim of the study was to better understand caregivers' concerns about long-term implications of stroke and the caregiving role after completing the Preparedness Assessment for the Transition Home After Stroke (PATH-s).

Design/methods: In this qualitative study, cognitive interviews were conducted with 20 stroke caregivers who completed the PATH-s tool as part of an instrument validation study. Data were analyzed for salient themes related to their perceptions about stroke and the caregiving role.

Findings: Interviews yielded robust narrative data describing how the PATH-s items aided caregivers in recognizing potential issues and concerns about stroke and the caregiving role. Caregivers experienced uncertainty about the long-term stroke prognosis, which provoked anticipation and cues to action to begin addressing their concerns.

Conclusions/clinical relevance: Completing the PATH-s helped caregivers identify concerns regarding the long-term implications of stroke and their caregiving role. It may serve as an important assessment tool to assist rehabilitation nurses to better understand and address caregiver needs predischarge.

MeSH terms

  • Adaptation, Psychological
  • Aged
  • Caregivers / psychology*
  • Caregivers / statistics & numerical data
  • Family / psychology
  • Female
  • Home Care Services / standards*
  • Home Care Services / statistics & numerical data
  • Humans
  • Interviews as Topic / methods
  • Male
  • Middle Aged
  • Qualitative Research
  • Stroke / therapy
  • Stroke Rehabilitation / instrumentation*
  • Stroke Rehabilitation / methods
  • Stroke Rehabilitation / statistics & numerical data
  • Transitional Care / standards*
  • Transitional Care / statistics & numerical data
  • Uncertainty