RNQualitativeRehabilitation nursing : the official journal of the Association of Rehabilitation Nurses

Designing and Evaluating a Goal-Setting Tip Sheet for Stroke Family Caregiver Health.

Tamilyn Bakas, Holly Jones, Jahmeel Israel and 2 others

PMID 33512120

WHAT IT FOUND

Stroke caregivers and experts rated a revised goal-setting tip sheet acceptable, accurate, feasible and relevant to caregiver health.

It is a tool for nurses to coach caregivers, not proof the tip sheet improves health.

Key findings

01Stroke family caregivers in Study #2 rated the revised tip sheet 4.00 or higher on strategies, feasibility, accuracy, and acceptability.

02Average ratings improved from Study #1 to Study #2 for all items except researcher accuracy, which fell from 4.78 to 4.67 on a 1 to 5 agreement scale.

03Caregivers suggested having someone review the tip sheet one-on-one, first while the stroke survivor was hospitalized and again after discharge.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The sample was recruited by convenience sampling and the numbers were small, so the findings may not apply broadly. The study did not test whether the tip sheet improves caregiver health, so it cannot show that the tip sheet works. Stroke caregivers in the studies were half African American, but other minority and Hispanic caregiver groups were not represented. Researchers, clinicians, and technology experts were mostly white and female, which may limit the range of expert feedback. Participants did not receive transcripts or feedback on the findings for checking, and they were not given theoretical definitions for the rating terms.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not conclude the tip sheet improves caregiver health. This paper only evaluated ratings and feedback on a revised tip sheet; it did not test health outcomes, and the authors say randomized trials are needed to test whether it works.

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