title: Carers' Experiences, Needs, and Preferences During Inpatient Stroke Rehabilitation: A Systematic Review of Qualitative Studies.
abstract: To report and synthesize the experiences, needs, and preferences of carers of stroke survivors undergoing inpatient rehabilitation.
  
  
  
  MEDLINE, CINAHL, Embase, PsycINFO, and Web of Science were searched to March 2016. Reference lists of relevant publications were searched. No language restrictions were applied.
  
  
  
  Eligible qualitative studies reported the experiences of carers of stroke survivors who underwent inpatient rehabilitation. The search yielded 3532 records; 93 full-text publications were assessed for eligibility, and 34 documents (33 studies) were included. Comprehensiveness of reporting was assessed using the Consolidated Criteria for Reporting Qualitative Health Research framework.
  
  
  
  Data on the characteristics of included studies were independently extracted by 2 authors. Differences in data extraction between authors were resolved through discussion or by a third author. All text in studies' results and discussion sections were extracted for analysis.
  
  
  
  Extracted texts were analyzed inductively using thematic synthesis. Seven analytical themes were developed that related to the carers' experiences, needs, and preferences: (1) overwhelmed with emotions; (2) recognition as a stakeholder in recovery; (3) desire to be heard and informed; (4) persisting for action and outcomes; (5) being legitimate clients; (6) navigating an alien culture and environment; and (7) managing the transition home.
  
  
  
  This systematic review provides new insights into the experiences, needs, and preferences of carers of stroke survivors undergoing inpatient rehabilitation. Carers experienced distress as they navigated a foreign culture and environment without adequate communication and processes in place for their inclusion. We recommend deliberate efforts to provide a more inclusive environment that better supports and prepares carers for their new role.
authors.affiliation: Florey Institute of Neuroscience & Mental Health, Heidelberg, VIC, Australia; National Health and Medical Research Council Centre of Research Excellence Stroke Rehabilitation and Brain Recovery, Heidelberg, VIC, Australia; Sansom Institute for Health Research, University of South Australia, Adelaide, SA, Australia. Electronic address: Julie.luker@unisa.edu.au.
authors.forename: Julie
authors.initials: J
authors.lastname: Luker
authors.affiliation: Sansom Institute for Health Research, University of South Australia, Adelaide, SA, Australia; Occupational Therapy, University of South Australia, Adelaide, SA, Australia.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Murray
authors.affiliation: Florey Institute of Neuroscience & Mental Health, Heidelberg, VIC, Australia; National Health and Medical Research Council Centre of Research Excellence Stroke Rehabilitation and Brain Recovery, Heidelberg, VIC, Australia; Adelaide Nursing School, University of Adelaide, Adelaide, SA, Australia.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Lynch
authors.affiliation: Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Göteborg, Sweden.
authors.forename: Susanne
authors.initials: S
authors.lastname: Bernhardsson
authors.affiliation: Florey Institute of Neuroscience & Mental Health, Heidelberg, VIC, Australia.
authors.forename: Michelle
authors.initials: M
authors.lastname: Shannon
authors.affiliation: Florey Institute of Neuroscience & Mental Health, Heidelberg, VIC, Australia; National Health and Medical Research Council Centre of Research Excellence Stroke Rehabilitation and Brain Recovery, Heidelberg, VIC, Australia.
authors.forename: Julie
authors.initials: J
authors.lastname: Bernhardt
mesh_terms: D017028:Caregivers / Q000523:psychology*; D003142:Communication; D006301:Health Services Needs and Demand; D006801:Humans; D007297:Inpatients / Q000523:psychology; D057240:Patient Preference / Q000523:psychology*; D036301:Qualitative Research; D020521:Stroke / Q000523:psychology*; D000071939:Stroke Rehabilitation / Q000523:psychology*
keywords: Caregivers; Qualitative research; Rehabilitation; Review; Stroke