"Stroke survivors', caregivers' and nurse coaches' perspectives on health coaching program towards hospital-to-home transition care: A qualitative descriptive process evaluation"
作者全名："Lin, Shuanglan; Xie, Shiqi; Zhou, Jianrong; Tu, Qiang; Wang, Chunli; Chen, Liping"
作者地址："[Lin, Shuanglan] Hong Kong Polytech Univ, Sch Nursing, Hong Kong, Peoples R China; [Xie, Shiqi; Zhou, Jianrong; Chen, Liping] Chongqing Med Univ, Nursing Coll, Chongqing 400016, Peoples R China; [Tu, Qiang] Univ Sydney, Fac Med & Hlth, Camperdown, NSW, Australia; [Wang, Chunli] Army Med Univ, Affiliated Hosp 1, Chongqing, Peoples R China"
通信作者："Chen, LP (通讯作者)，Chongqing Med Univ, Nursing Coll, Chongqing 400016, Peoples R China."
来源：JOURNAL OF CLINICAL NURSING
ESI学科分类：CLINICAL MEDICINE
WOS号：WOS:000890995900001
JCR分区：Q1
影响因子：3.2
年份：2023
卷号：
期号：
开始页：
结束页：
文献类型：Article; Early Access
关键词：family caregivers; health coaching; hospital-to-home; nurse coaches; qualitative process evaluation; stroke; stroke survivors; transitional care
摘要："Aims and ObjectivesTo explore the perspectives of stroke survivors, caregivers and nurse coaches on a health coaching program during hospital-to-home transitional care. BackgroundStroke is a major public health problem that seriously affects the health and safety of people in China. Nurse-led health coaching is a promising support option in enabling smooth hospital-to-home transition for stroke survivors and family caregivers. A qualitative study is valuable for gaining insight into their perspectives on using this program. DesignAn exploratory, descriptive qualitative process evaluation was conducted parallel with a former randomised controlled trial. Data were obtained from 26 stroke survivors, 33 caregivers and four nurse coaches with semi-structured interviews. The inductive reflexive thematic analysis approach was used for data analysis. The COREQ checklist was followed in reporting this study. ResultsSeven themes were generated from the data: (1) the applicability of individualised health coaching sessions, (2) driving self-efficacy to establish self-care skills, (3) the key role of nurse coaches, (4) coordination among healthcare teams during the transition, (5) adequate community and social support, (6) insufficient rehabilitative services after discharge and (7) perceived extra workload for nurse coaches. ConclusionsThe study captured perspectives on a nurse-led health coaching program towards hospital-to-home transition care from stroke survivors, caregivers and nurse coaches. Individualised health coaching sessions and driving self-efficacy were perceived as facilitators for empowering the self-care skills of stroke survivors and caregivers. The key role of nurse coaches in coordinating healthcare teams and adequate community and social support were detected as the power frame of the program's implementation. However, health system obstacles, such as insufficient rehabilitative services and the high workload of nurses, still need to be addressed to ensure the sustainability of health coaching intervention in transitional care. Relevance to Clinical PracticeThe study suggested the feasibility of implementing nurse-led health coaching to smooth post-stroke hospital-to-home transitional care. The findings also highlighted the importance of qualitative process evaluation when implementing evidence-based interventions in health care. Trial RegistrationThe trial was registered with the Australia New Zealand Clinical Trials Registry (ID: ACTRN12619000321145)."
基金机构："Chongqing Municipal Education Commission's 2021 Higher Education Teaching Reform Key Project; Key Scientific Research Project of Nursing College, Chongqing Medical University [212046]; [HLJYJ202101]"
基金资助正文："Chongqing Municipal Education Commission's 2021 Higher Education Teaching Reform Key Project, Grant/Award Number: 212046; The Key Scientific Research Project of Nursing College, Chongqing Medical University, Grant/Award Number: HLJYJ202101"
