An E-rehabilitation Team Helps Caregivers Deal with Stroke

Objective: The purpose of this report is to present the findings from a secondary analysis of email questions from adult caregivers of persons with stroke directed to a nurse specialist and members of an electronic (E)-rehabilitation team. This analysis explored what caregivers new to the role asked in dealing with the outcomes of stroke. Materials and Method: Thirteen caregivers submitted questions and had them answered through use of Caring~Web © , a web-based intervention for caregivers of persons with stroke. Data were gleaned from email messages on Ask-the-Nurse, a one-on-one discussion with the nurse specialist, and Caretalk, an email discussion with the entire group. These data constituted the content for the qualitative analyses. QSR N 5, previously known as NUD*IST, was the qualitative data management program used to enter, track, explore, code and search all narrative data. Results: The caregivers’ questions centered on: 1) medication management (19%), 2) community and government services (23%), and 3) stroke and related issues in dealing with stroke (58%). These findings, using Friedemann’s framework of systemic organization as a guide, indicated that the caregivers were seeking new knowledge [individuation in Friedemann’s terms] along with supporting one another [coherence], as they sought to maintain themselves and their care recipients [system maintenance]. Conclusion: These are important topics for which information was needed as caregivers sought to maintain themselves and their care recipients in the home.

[1]  T. Thompson,et al.  Internet‐based Support for Rural Caregivers of Persons with Stroke Shows Promise , 2004, Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses.

[2]  Janet Reis,et al.  An e-Learning Caregiving Program for Prostate Cancer Patients and Family Members , 2003, Journal of Medical Systems.

[3]  J. Monnier,et al.  Patient and caregiver interest in internet-based cancer services. , 2002, Cancer practice.

[4]  V. Steiner,et al.  Building a Web of Support for Caregivers of Persons with Stroke , 2002, Topics in stroke rehabilitation.

[5]  P. Brennan,et al.  HeartCare: an Internet-based information and support system for patient home recovery after coronary artery bypass graft (CABG) surgery. , 2001, Journal of advanced nursing.

[6]  E M Alexy,et al.  Computers and caregiving: reaching out and redesigning interventions for homebound older adults and caregivers. , 2000, Holistic nursing practice.

[7]  David H. Gustafson,et al.  CHESS: Health Information and Decision Support for Patients and Families , 1997 .

[8]  L. Ganong,et al.  The Framework of Systemic Organization , 1996 .

[9]  C. Granger,et al.  UDS report. The Uniform Data System for Medical Rehabilitation Report of First Admissions for 1990. , 1992, American journal of physical medicine & rehabilitation.

[10]  Donald A. Norman,et al.  Explorations in Learning & Instruction: The Theory Into Practice Database , 2003 .

[11]  M. Friedemann Exploring culture and family caring patterns with the Framework of Systemic Organization. , 1991, NLN publications.

[12]  M. Knowles Andragogy in action , 1984 .