Development of humanistic nursing practice guidelines for stroke patients

Area of Science:

• Nursing Practice
• Health Services Research
• Gerontology

Background:

• Humanistic nursing emphasizes patient-centered care, dignity, and emotional support.
• Stroke patients require specialized care addressing physiological, psychological, and social needs.
• Existing guidelines may not fully encompass the humanistic aspects of stroke nursing.

Purpose of the Study:

• To develop and validate humanistic nursing practice guidelines specifically for stroke patients.
• To establish a comprehensive framework for humanistic care in stroke nursing.

Main Methods:

• A multi-method approach including literature review, qualitative research, surveys, and Delphi expert consultation.
• Two rounds of Delphi expert consultation with 25 experts from China.
• Utilized Likert scales and statistical analysis (coefficients of variation and coordination) to assess expert opinions.

Main Results:

• High expert consensus achieved (authority coefficient 0.91).
• Guidelines comprise five first-level indicators (physiological, safety, emotional, dignity, rehabilitation) and 46 second-level indicators.
• The framework is structured around Maslow's hierarchy of needs.

Conclusions:

• The developed "Practice Guidelines for Humanistic Nursing for Stroke" provide a structured approach to care.
• These guidelines can serve as a valuable reference for enhancing humanistic nursing practice in stroke care.
• The guidelines address fundamental patient needs, promoting holistic recovery.