title: Spousal experiences of coping with and adapting to caregiving for a partner who has a stroke: a meta-synthesis of qualitative research.
abstract: OBJECTIVE
  This meta-synthesis was conducted to explore qualitative spousal accounts of coping and adaptation to caregiving when their partner experienced a stroke.
  
  
  METHODS
  Electronic databases were searched systematically and inclusion and exclusion criteria were applied. The meta-synthesis was conducted using guidance from Sandelowski and Barroso to extract salient data relating to coping and adaptation.
  
  
  RESULTS
  Twelve papers were identified for inclusion and seven themes resultant themes were extracted: Seeking information; Searching for own space and well-being; Suffering in silence; Putting one's own needs aside; Adapting to a changed role; Social support and Hope and Optimism: instilling a positive focus.
  
  
  CONCLUSIONS
  The findings suggested spouses adopt a range of adaptive coping strategies although several barriers to these were also identified and discussed in relation to a number of clinical implications. The limitations of this meta-synthesis were discussed, together with recommendations for future research.
authors.affiliation: Division of Health Research, Lancaster University , Lancaster , UK and.
authors.forename: Karen
authors.initials: K
authors.lastname: Quinn
authors.forename: Craig
authors.initials: C
authors.lastname: Murray
authors.forename: Caroline
authors.initials: C
authors.lastname: Malone
mesh_terms: D000223:Adaptation, Psychological; D017028:Caregivers / Q000523:psychology; D005192:Family Health; D006801:Humans; D036301:Qualitative Research; D012944:Social Support; D018454:Spouses / Q000523:psychology; D000071939:Stroke Rehabilitation