DOI: 10.5176/2315-4330_WNC18.62
Authors: Krittaporn Sirisom, Pamela Cacchione, Ploenpit Thaniwattananon, Siriwan Chukumnird
Abstract:
This work was supported by Praboromarajchanok Institute for Health Workforce Development, Ministry of Public Health, Thailand. Abstract Aim and objectives. The objective of this review was to identify facilitators and barriers for promoting family caregiving for a loved one after surviving a stroke. Background. Despite the increasing needs of family caregiving among stroke victims, little is known about the factors influencing their care particularly during the transition from hospital to home. Integrating the findings of previous empirical studies regarding the phenomenon would inform and improve the understanding of family caregiving among healthcare providers. Design. An integrative review of literature using Whittemore and Knafl‟s method. Methods. Published articles were obtained through search databases such as PubMed, CINAHL, Science Direct, and ProQuest from 2007 to 2017. The following keywords were used to select the corresponding articles: stroke, cerebrovascular accident combined with transition, continuing of care, family caregiving, informal caregiver, informal carer, and family support. With these keywords, 979 research articles were found. An inclusion criteria further refined the articles which were pertinent to the topic of concern, namely: 1) Focused on family caregiver or both family caregiver and stroke survivors, 2) Involved family caregiving for first stroke survivors during the period from hospitalization to six months postdischarge, 2) Addressed constructs of facilitators and barriers of family caregiving, 3) Both qualitative or quantitative designs, and 4) Published in English language. Nineteen articles met these inclusion criteria and were included in this review. Results: Facilitators for successful family caregiving were identified as caregiver‟s psychosocial factors, social support, and socio-cultural factors. Caregivers’ psychosocial factors included self-management, knowledge and care skills, positive coping styles, and problem-solving and coping ability. Social supports comprised of health professionals support, community support, and family support. Two aspects of sociocultural factors facilitating a successful caregiving were religious beliefs and family coherence. Likewise, three barriers were identified namely, the characteristics of the caregiver, the stroke-survivor, and social barriers. Four sub-factors comprised the caregiver barriers while stroke survivor barriers consisted of two factors. Social barriers also had two factors identified. Conclusions and Recommendations. The findings revealed three facilitators and three barriers towards promoting caregiving for loved ones following a stroke. These identified facilitators and barriers will benefit the development of more effective interventions to support family caregiving particularly those undergoing a transition and are continuing their caregiver role. These facilitators and barriers will influence healthcare providers to design proactive services which promote family caregiving following a loved one‟s stroke. Promoting Family Caregiving Following A Loved One’s Stroke: An Integrative Review of Literature Krittaporn Sirisom PhD, MSc, RN Boromrajonani College of Nursing, Songkhla, Thailand. Ploenpit Thaniwattananon PhD, Msn, RN Assistant Professor, Research Center for Caring of Thai Elderly, Faculty of Nursing, Prince of Songkla University, Songkla, Thailand. Siriwan Chukumnird, PhD, MSc, RN Boromrajonani College of Nursing, Songkhla, Thailand. Pamela Cacchione PhD, APRN, GNP, BC Associate Professor of Gerosychiatric Nursing, School of Nursing, University of Pennsylvania, Pennsylvania,USA. Relevance to Clinical Practice. Facilitators and barriers to promoting caregiving for patients with stroke were identified. These information can comprehensively influence the nursing care of patients transitioning from hospital to home. Their family caregivers can be guided to enhancing support systems throughout the family caregiving process.
Keywords: stroke, stroke survivors, caregiver, caregiving, family caregiving, transition, facilitators, barriers
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