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Aims and objectives: To explore the shared experiences of people with stroke and caregivers in preparedness to manage post‐discharge care. Background: People with stroke and caregivers show dyadic effects in dealing with post‐discharge care challenges. However, few studies have explored their shared experiences and unique challenges for each dyadic member in preparedness to manage post‐discharge care. This study addresses this research gap. Design: An interpretive approach underpinned by Gadamer's philosophical hermeneutics. Methods: Semi‐structured interviews were conducted with people with stroke and caregivers in 5 days before hospital discharge (n = 26) or 2 weeks after discharge (n = 4) between July and December 2019. The study followed a five‐step data analysis method aligning with Gadamerian hermeneutics. The study reporting followed the COREQ checklist. Results: Three themes and six subthemes were identified. First, both people with stroke and caregivers experienced psychological stress, although the sources differed. Second, stroke dyads demonstrated resilience built on positive thoughts, confidence, and support from family and health professionals. Third, stroke dyads exhibited different levels of certainty about post‐discharge care. They desired to be equal partners in co‐developing and co‐implementing discharge plans. Conclusions: Similarities and differences in perceived preparedness to manage post‐discharge care existed between stroke dyadic members. A co‐design approach to developing and implementing discharge plans would enhance planned post‐discharge care. Impact Hospital‐to‐home transition is a challenging time for people with stroke and their caregivers. Understanding the shared experiences of stroke dyads in preparedness for post‐discharge care enables nurses to take proactive actions to enhance managing post‐discharge care. Early identification of those at risk of developing psychological stress will enable nurses to co‐develop stress‐coping strategies. These will have a positive influence on the dyad when facing setbacks due to stroke‐related complications. [ABSTRACT FROM AUTHOR]

Aims and objectives: To synthesise qualitative research evidence on the experience of stroke survivors and informal caregivers in hospital‐to‐home transitional care. Background: Due to a shortened hospital stay, stroke survivors/caregivers must take over complex care on discharge from hospital to home. Gaps in the literature warrant a meta‐synthesis of qualitative studies on perceived enablers and barriers during this crucial period. Design: A systematic review and meta‐synthesis. Methods: A review was guided by Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) checklist where six databases were searched from April to June 2020 including CINAHL Plus, MEDLINE, PsycINFO, Scopus, Web of Science and ProQuest and ProQuest Dissertations and Theses. There was no date limit to the search. Selected studies were critically appraised. A thematic synthesis approach was applied. Results: The synthesis of 29 studies identified three major findings. First, partnerships with stroke survivors/caregivers empower discharge preparation, foster competence to navigate health and social care systems and activate self‐management capabilities. Second, gaps in discharge planning and the lack of timely postdischarge support contribute to unmet care needs for stroke survivors/caregivers and affect their ability to cope with poststroke changes. Third, stroke survivors/caregivers expect integrated transitional care that promotes shared decision‐making and enables long‐term self‐management at home. Conclusions: Hospital‐to‐home transition is a challenging period in the trajectory of poststroke rehabilitation and recovery. Further research is required to deepen understandings of all stakeholders' views and address unmet needs during transitional care. Relevance to clinical practice: Protocols and clinical guidelines relating to discharge planning and transitional care need to be reviewed to ensure partnership approach with survivors/caregivers in the design and delivery of individualised transitional care. Stroke nurses are in a unique position to lead timely support for survivors/caregivers and to bridge service gaps in hospital‐to‐home transitional care. [ABSTRACT FROM AUTHOR]

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Aims and Objectives: To evaluate the impact of a nurse practitioner‐led phase two cardiac rehabilitation and secondary prevention programme on attendance and compliance. Background: Despite strong evidence for the benefits of cardiac rehabilitation, attendance/completion rates remain low. Nurse practitioner‐led services have been reported as more effective than physician‐led services at increasing patient adherence to evidence‐based recommendations. However, nurse practitioner‐led programmes are uncommon and there appears to be no current evidence examining the impact of these programmes on attendance/completion rates. Methods: A retrospective audit of the Country Access to Cardiac Health (CATCH) database was undertaken to identify patients who attended a nurse practitioner‐led cardiac rehabilitation programme between April 2014 and May 2016. Data from key performance indicators were exported to Stata/SE 15.0. The study utilised the Strengthening the Reporting of OBservational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies to ensure quality reporting during this study (See Data S1). Results: Seventy‐seven per cent (n = 199) of participants were men, and participants had a mean age of 67 years. Half (52.5%) of participants completed all CR sessions. Male participants (78%) were more likely to complete the CR programme as compared with women (67%). Participants with a family history of cardiovascular disease and a higher number of risk factors at baseline were more likely to commence and complete the programme. Attendance and completion had a positive impact on smoking cessation. Conclusions: The nurse practitioner‐led programme evaluated in this study demonstrated high levels of attendance and completion rates compared to standard programmes. This high attendance/completion rate could in turn decrease the rate of subsequent cardiac events and improve mortality and morbidity rates. Relevance to clinical practice provides valuable insights into the effectiveness of nurse practitioner‐led cardiac rehabilitation and secondary prevention on attendance/complete rates. These findings could guide future research and clinical practice development. [ABSTRACT FROM AUTHOR]