I T S U E S A In D IN N Um V A T My spouse and i O And S IN N U R H I In G P R A C Capital t I C E
Broadening the part of the cerebrovascular accident nurse: a pragmatic clinical trial Christopher Burton
DPhil PGCertHE BN RGN
Research Fellow, Department of Nursing, University or college of Central Lancashire, Preston, UK
PhD MSc DipN DipANS RMN RGN
Mind of Division, Department of Nursing, School of Central Lancashire, Preston, UK
Recognized for syndication 16 Mar 2005
Correspondence: Christopher Burton, Department of Nursing, School of Central Lancashire, Preston PR1 2HE, UK. Email-based: c. [email protected] co. uk
B U R Big t O D C. & G I B N O And B. ( 2 zero 0 a few ) Log of Advanced Nursing 52(6), 640вЂ“650 Growing the position of the cerebrovascular accident nurse: a realistic clinical trial Aims. This kind of paper studies a study analyzing whether broadening a specialist breastfeeding role to supply outreach education and support to heart stroke patients and carers following discharge from hospital works well in promoting recovery. Background. Building therapeutic human relationships with people and carers is a essential component of the nursing function in stroke rehabilitation, even though this is limited by the constraints of assistance organization. Strategies. A pragmatic randomized controlled trial was undertaken. Patients using a diagnosis of stroke were randomized to receive extended support from a stroke nurse (n Вј 87) or typical care and follow-up (n Вј 89) after release from medical center. Patients were recruited from two clinics in the north-west of England from Nov 1999 to April 2001. Patient dependence (Barthel Index), general health (Nottingham Health Proп¬Ѓle), activities of living (Frenchay Activity of Living Index), major depression (Beck Despression symptoms Inventory) and carer tension (Carer Tension Index) were assessed by 3 and 12 months following stroke. Outcomes. The continued involvement of a heart stroke nurse after discharge was associated with increased patient awareness of health and wellness at twelve months (median difference 42Г†6, S Вј 0Г†012), and in particular reduced negative emotional reaction (P Вј 0Г†037) and identified social seclusion (P Вј 0Г†002). In addition , the treatment reduced carer strain in 3 months (P Вј 0Г†045), and reduced deterioration in physical dependence from 3 to 12 months (P Вј 0Г†049). Conclusion. The supply of extended intervention from a cerebrovascular accident nurse following discharge coming from hospital, concentrating on education and support, features tangible beneп¬Ѓts for people and carers.
Keywords: stroke, patient discharge, nursing position expansion, evaluation, randomized managed trial
Traditionally, cerebrovascular accident care have been organized around acute and rehabilitation services, where the aim of rehabilitation is to facilitate sufп¬Ѓcient functional freedom for individuals to cope at your home (Speach & Dombovy 1995). Where individual progress is restricted, alternative services such as continuing care establishments may be regarded. Whilst this kind of 640
style neglects the long-term character of understanding how to live with the aftermath of stroke (Burton 2000a, Kirkevold 2002), additionally, it may predispose to discontinuity in care and will leave individuals affected by stroke feeling dissatisп¬Ѓed (Hart 2001). The tremendous problems that cerebrovascular accident survivors can easily experience in transfer of care via hospital for the community had been well noted (Hart 2001), and include perceptions of abandonment (Doolittle 1991), and difп¬Ѓculties in making use of Г“ june 2006 Blackwell Publishing Ltd
Problems and innovations in medical practice
Growing the part of the heart stroke nurse
rehab tasks and exercises for the home environment (Pound ainsi que al. 1998). In addition , considerable emotional and physical requirements may be placed on family members who have take on a caring part in assisting the cerebrovascular accident survivor (Pound et ing. 1999, Kerr & Jones 2001). This paper identifies a scientific trial that examined the expansion of the existing nursing jobs role, the stroke registered nurse specialist, to cope with some of these problems. Whilst ascribed a range of job titles, this position...
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Г“ 2005 Blackwell Publishing Limited, Journal of Advanced Medical, 52(6), 640вЂ“650