Community-Based Interventions for Stroke Provided by Nurses and Community Health Workers: A Review of the Literature
Document Type
Article
Abstract
BACKGROUND: Community-based interventions are vital for facilitating poststroke recovery, increasing community participation, and raising awareness about stroke survivors. To optimize recovery and community reintegration, there is a need to understand research findings on community-based interventions that focus on stroke survivors and their caregivers. Although nurses and community health workers (CHWs) are commonly involved in community-based interventions, less is known about their roles relative to other poststroke rehabilitation professionals (physical therapists, occupational therapists, and speech-language pathologists). Thus, the purpose of this review is to explore research focused on improving community-based stroke recovery for adult stroke survivors, caregivers, or both when delivered by nurses or CHWs. METHODS: A systematic review using Scopus, PubMed, EBSCOhost, MEDLINE, CINAHL Complete, and PsycInfo was completed to identify community-based poststroke intervention studies using nurses or CHWs through August 2018. RESULTS: Eighteen studies meeting inclusion criteria from 9 countries were identified. Details regarding nurses' and CHWs' roles were limited or not discussed. Interventions emphasized stroke survivor self-care and caregiver support and were offered face-to-face and in group sessions in the community and home. A wide range of instruments were used to measure outcomes. The results of the interventions provided were mixed. Improvements were observed in perceptions of health, quality of life, knowledge, self-efficacy, self-management, and caregiver support. CONCLUSION: Nurses and CHWs play a pivotal role in community-based care. Evidence suggests community-based interventions facilitate the necessary support for stroke survivors, caregivers, families, and communities to optimize stroke recovery. Data from this review illustrate a continued need for comprehensive programs designed to address the complex needs of stroke survivors and families when they return to their homes and communities.
Digital Object Identifier (DOI)
Publication Info
Published in The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses, Volume 52, Issue 4, 2020, pages 152-159.
APA Citation
Magwood, G. S., Nichols, M., Jenkins, C., Logan, A., Qanungo, S., Zigbuo-Wenzler, E., & Ellis, C. (2020). Community-Based Interventions for Stroke Provided by Nurses and Community Health Workers: A Review of the Literature. Journal of Neuroscience Nursing, 52(4), 152–159.https://doi.org/10.1097/JNN.0000000000000512
Rights
© 2020 American Association of Neuroscience Nurses