Identifying and meeting people's post-stroke emotional needs: a service evaluation

Platten, Melanie

doi:10.12968/bjnn.2014.10.4.191

Cited by 3 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Self-determination theory in healthcare suggests the provision of basic psychological needs for patients post stroke has the potential to improve patient's autonomy and wellbeing (Deci & Ryan 2012). The literature has reported that patients post stroke are unaware that HCPs can provide such support and suggests that due to HCPs lack of selfconfidence in the assessment and management of psychological issues, discussions with patients is avoided (Platten 2014, Harrison et al 2017. With this in mind, this review examines HCPs knowledge, experiences, and perceptions of the provision of psychological care to patients post stroke and to make recommendations for future practice, education, policy and research.…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation nurses’ knowledge, experiences, and perceptions of the provision of psychological care to stroke patients: Systematic Review

Merrigan,

Bennett

2023

J. Heal. Rehab. Sci.

View full text Add to dashboard Cite

Introduction: Depression and/or anxiety is associated with sub-optimal recovery and a reduction in quality of life for patients following a stroke. However, the literature suggests that the psychological needs for patients post stroke are insufficient with poor provision of psychological services. Aim: To examine HCPs knowledge, experiences, and perceptions of the provision of psychological care to patients post stroke. Methods: A systematic review referenced to PRISMA guidelines was used. The studies were retrieved from six databases (CINAHL, the Cochrane Library, PubMed, Science Direct, Wiley Online library and Ovid SP). Twelve studies were included in the final analysis. Results: Findings demonstrate that HCPs have a basic understanding of the psychological/emotional problems associated with stroke. Psychological care was identified as been given a low priority within stroke rehabilitation services and described as inconsistent, uncoordinated, and ad hoc. Barriers to providing psychological care included: poor access to specialist expertise; lack of resources and poor managerial support. Furthermore, the need for specialist supports via case discussion and reflective practice was identified. Conclusions: This review suggests that improvements in terms of psychological care and services offered to patients post stroke is needed as is the value of support from managers to provide sufficient resources. This review has the potential to assist policymakers to understand the barriers and potential facilitators to psychological care provision to patients post stroke.

show abstract

Section: Introductionmentioning

confidence: 99%

Rehabilitation nurses’ knowledge, experiences, and perceptions of the provision of psychological care to stroke patients: Systematic Review

Merrigan,

Bennett

2023

J. Heal. Rehab. Sci.

View full text Add to dashboard Cite

show abstract

Long-term unmet needs after stroke: systematic review of evidence from survey studies

et al. 2019

View full text Add to dashboard Cite

ObjectivesTo synthesise evidence on longer term unmet needs perceived by stroke survivors, and psychometric properties of the tools used to evaluate unmet care needs after stroke.DesignSystematic review.SettingCommunity or patients’ home.ParticipantsStroke survivors.MethodsWe searched PubMed, PsycINFO, CINAHL, EMBASE from inception to 31 March 2018 to identify survey studies that evaluated unmet needs perceived by stroke survivors after hospital discharge. Reported unmet needs were categorised under three domains: body functioning, activity/participation and environmental factors. Ranges of prevalence rates of unmet needs reported in studies were presented.ResultsWe included 19 eligible studies, with considerable heterogeneity in patients, survey methods and results. Psychometric properties of two stroke-specific tools were formally evaluated, indicating their moderate reliability and content/concurrent validity. The median number of reported unmet needs per stroke survivor was from two to five, and the proportion of stroke survivors with at least one unmet needs was on average 73.8% (range 19.8%– 91.7%). Unmet needs perceived by stroke survivors included 55 records of unmet body functioning needs, 47 records of unmet activities/participatory needs and 101 records of unmet environmental needs. Common unmet service needs were unmet information needs (3.1%– 65.0%), transport (5.4%–53.0%), home help/personal care (4.7%–39.3%) and therapy (2.0%–35.7%).ConclusionsThe prevalence of unmet long-term needs is high among stroke survivors, and there is considerable heterogeneity in type and frequency of specific unmet needs. More research is required to link regular assessment of long-term unmet needs of stroke survivors with the provision of cost-effective patient-centred health and social care services.

show abstract

Understanding the importance of recognising, treating and preventing stroke

Chauhdry

2021

Nursing Standard

View full text Add to dashboard Cite

Identifying and meeting people's post-stroke emotional needs: a service evaluation

Cited by 3 publications

References 9 publications

Rehabilitation nurses’ knowledge, experiences, and perceptions of the provision of psychological care to stroke patients: Systematic Review

Rehabilitation nurses’ knowledge, experiences, and perceptions of the provision of psychological care to stroke patients: Systematic Review

Long-term unmet needs after stroke: systematic review of evidence from survey studies

Understanding the importance of recognising, treating and preventing stroke

Contact Info

Product

Resources

About