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Related Experiment Videos

A framework for care during the stroke experience.

D J Brauer1, B J Schmidt, V Pearson

  • 1School of Nursing, University of Minnesota, Minneapolis, USA. braue002@tc.umn.edu

Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses
|May 31, 2002
PubMed
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This study presents a new three-phase model for stroke care, emphasizing holistic health and distinct nursing interventions. The model guides nurses to focus on limiting deterioration and facilitating patient growth after stroke.

Area of Science:

  • Nursing Science
  • Rehabilitation Medicine
  • Patient-Centered Care

Background:

  • Current stroke care models are limited by a medical focus on functional ability, undervaluing distinct nursing roles.
  • Patient experiences reveal a need for specialized nursing interventions beyond traditional medical frameworks.
  • Existing illness models inadequately address the complex, holistic nature of stroke recovery.

Purpose of the Study:

  • To develop and describe a novel model for guiding nursing activities in stroke care.
  • To conceptualize stroke as a progressive, holistic experience encompassing physiological, psychological, and social dimensions.
  • To provide a framework for selecting nursing interventions that support stroke survivors and their families.

Main Methods:

  • Synthesized research from CINAHL, MEDLINE, and PSYCHLIT databases (1980-1999) using keywords: stroke, stress, coping, chronic illness, transitions, and growth.

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  • Integrated findings with extensive clinical experience in stroke patient care.
  • Developed a three-phase model based on the progressive nature of the stroke experience.

    • Main Results:

    • The stroke experience is characterized by a dual process: deterioration of the whole person and development of a new self through resynthesis.
    • These processes form a three-phase model guiding the progression of the stroke experience.
    • Nursing care should initially prioritize limiting deterioration, followed by facilitating personal growth and adaptation.

    Conclusions:

    • A holistic, progressive model is essential for effective nursing care in stroke recovery.
    • Nursing interventions must address both the decline and growth phases of the stroke experience.
    • Understanding individual and common aspects of the stroke experience is crucial for tailoring effective nursing support.