The unmet needs perceived by community-dwelling stroke survivors may truly reflect the needs of patients, which is crucial for pleasant emotional experiences and a better quality of life for community-dwelling survivors not living in institutionalized organizations. The purpose of the study is to identify the scope of unmet needs from the perspectives of stroke patients in the community. A qualitative meta-synthesis was performed according to the Joanna Briggs Institute method. Six electronic databases were searched from inception to February 2020. A total of 24 articles were involved, providing data on 378 stroke survivors. Eight categories were derived from 63 findings, and then summarized into four synthesized findings based on the framework of ICF: (1) unmet needs regarding with the disease-related information; (2) unmet physical recovery and activity/participation needs; (3) unmet needs for social environmental resources; (4) unmet psycho-emotional support needs. We found the framework of ICF mostly complete, but unmet information needs still remain. The needs that are mainly unsatisfied include physical, psychosocial and informational, as well as the practical support from professional or environment resources. The ever-present unmet needs perceived by community-dwelling stroke survivors who do not live in institutions are discoverable and mitigable. Future studies should focus on quantifying unmet needs comprehensively derived from experiential domains, assessing the rationality of the unmet needs expressed by patients’ perspectives and developing flexible strategies for long-term and changing needs.
Review question / Objective: “Usual care” is changing all the time whether in clinical practice or experimental research, the scope of usual care is constantly updated by adding new contents. However, the composition of usual care is still unclear, and there is no formal description to confirm whether the nursing contents are in line with usual care’ requirements. The goal was to review existing or not published but completed SRs about UC’s elements to gather the evidence about: a What’s the development routine of UC in diverse field. b The similarities and differences of different UC. c The similarities and differences between UC group and experimental group. d What should the nursing routine meet in the interventional study, or the elements that usual care needs to have in researched or clinical experiment within a relatively controllable range.
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