The nursing care of stroke patients in nursing homes. Nurses' descriptions and experiences relating to cognition and mood.
Registered nurses working in nursing homes often care for stroke patients with impaired cognition and mood disorders. Understanding the behaviour of these patients often puts great demands on nurses. This study illuminates registered nurses' descriptions and experiences of stroke patients and the nursing care given in nursing homes, with a focus on cognition and mood. Registered nurses responsible for the care of stroke patients in nursing homes were asked to describe the individual patient's state of health and the nursing care given. Patients' cognition and mood have been selected for this article. A qualitative content analysis was used to group the text into categories. Registered nurses' descriptions showed great complexity and variation in patients' disabilities, as well as uncertainty about understanding these patients and the appropriate nursing care. Registered nurses described the need for further education in stroke care, and adequate resources for patient activity training, as well as meeting patients' psychosocial and communicative needs.
Department of Clinical Neuroscience, Occupational Therapy and Elderly Care Research, Karolinska Institute, Stockholm, Sweden. suzanne.kumlien.omv.ki.se
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Kumlien
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Axelsson
D000328:Adult; D003072:Cognition Disorders / Q000451:nursing* / Q000523:psychology / Q000534:rehabilitation; D006801:Humans; D008875:Middle Aged; D019964:Mood Disorders / Q000451:nursing* / Q000523:psychology / Q000534:rehabilitation; D009735:Nursing Homes; D019145:Rehabilitation Nursing / Q000379:methods; D020521:Stroke / Q000451:nursing* / Q000523:psychology*; D000071939:Stroke Rehabilitation