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Title: An investigation to determine the nature of nursing care in stroke units
Author: O'Connor, Stephen Edward
ISNI:       0000 0001 3452 2999
Awarding Body: University of Southampton
Current Institution: University of Southampton
Date of Award: 1997
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Stroke patients and their carers have traditionally been nursed in a variety of acute clinical settings. This has inhibited a specific analysis of the nursing interventions for this group of patients. However the advent of Stroke Units caring wholly or predominantly for stroke patients has altered this picture. This study identified and surveyed 43 Stroke Units in England. During visits to a structure sample of 21 of these, 90 qualified nurses were interviewed regarding the care they delivered to stroke patients and their carers. Ward documents such as ward philosophies and care plans were also collected. In addition an analysis was undertaken of the nursing literature related to the nursing care of stroke patients. These forms of data were analyzed to produce a nursing paradigm of stroke patient care based within the beliefs and writings of the nurses. A structured questionnaire based on this paradigm was distributed to 70 stroke victims in 5 stroke units. The responses of these patients and their carers strongly supported the nurses' perspective of care. The results of this study which was undertaken to determine the nature of nursing care in stroke units demonstrates that the interventions of nurses can be discussed within the criteria and concepts of five themes, Focus of Care, Outcomes of Care, Direct Care, Continuity of Care, Mode of Care and Context of Care. These themes are dependent upon one another for the successful delivery of the care that the nurses expect to deliver. The care of stroke patients can be summarised through three principles of care namely, Partnership in Care, Distinctive Care and Context of Care. This indicates that nurses have an important general contribution as well as specific interventions which are central to effective stroke patient care.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: Medicine