Real-life experiences of people with transient ischaemic attack or minor stroke: A qualitative literature review

Crowfoot, G; van der Riet, P; Maguire, J

Real-life experiences of people with transient ischaemic attack or minor stroke: A qualitative literature review

Crowfoot, G van der Riet, P Maguire, J

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Publication Type:: Journal Article
Citation:: Journal of Clinical Nursing, 2018, 27 (7-8), pp. 1381 - 1398
Issue Date:: 2018-04-01

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Full metadata record

Field	Value	Language
dc.contributor.author	Crowfoot, G	en_US
dc.contributor.author	van der Riet, P	en_US
dc.contributor.author	Maguire, J https://orcid.org/0000-0001-5722-8311	en_US
dc.date.available	2018-01-11	en_US
dc.date.issued	2018-04-01	en_US
dc.identifier.citation	Journal of Clinical Nursing, 2018, 27 (7-8), pp. 1381 - 1398	en_US
dc.identifier.issn	0962-1067	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129707
dc.description.abstract	© 2018 John Wiley & Sons Ltd Aims and objectives: To explore and present findings of qualitative studies exploring real-life experiences of people with transient ischaemic attack or minor stroke. Background: Transient ischaemic attack and minor stroke significantly increase the risk of stroke. Primarily, literature has examined healthcare pathways, patient outcomes and models of care through quantitative methodologies. Several studies have explored patient experiences using qualitative approaches. However, these findings have not been systematically collated or critically appraised to better understand the experiences of this population. Design: A literature review of the qualitative evidence. Method: A systematic literature search was conducted in CINAHL, MEDLINE, EMBASE and PsycINFO between January 2005–October 2016 to identify qualitative studies that explored real-life experiences of people with transient ischaemic attack or minor stroke. The relevant EQUATOR guidelines were followed. Findings of relevant studies were critically appraised and collated using a thematic approach. Results: The search retrieved 709 articles. Twelve articles were included after critical review. Three themes emerged including recognition, awareness and action; the vulnerable self; and social and personal life change. Participants experienced ongoing vulnerability and change in their personal and social lives. Specifically, people believed that their condition did not reflect their physical appearance and led to their needs being unmet by health professionals. Conclusions: This is the first review of the literature to collate the thoughts, perspectives and experiences of people living with transient ischaemic attack or minor stroke. They reveal a complex, life-altering experience characterised by vulnerability, instability and change. Education that assists clinicians to connect with these experiences may alleviate the patient-reported disconnection with health professionals. Relevance to clinical practice: Physical and psychosocial dysfunctions were consistently reported to be overlooked or undetected by clinicians. Educating clinicians might enable them to better understand patient experiences, improve therapeutic interactions and meet the needs of this population.	en_US
dc.relation.ispartof	Journal of Clinical Nursing	en_US
dc.relation.isbasedon	10.1111/jocn.14271	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Ischemic Attack, Transient	en_US
dc.subject.mesh	Attitude of Health Personnel	en_US
dc.subject.mesh	Professional-Patient Relations	en_US
dc.subject.mesh	Qualitative Research	en_US
dc.subject.mesh	Patient Satisfaction	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Stroke	en_US
dc.title	Real-life experiences of people with transient ischaemic attack or minor stroke: A qualitative literature review	en_US
dc.type	Journal Article
utslib.citation.volume	7-8	en_US
utslib.citation.volume	27	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1701 Psychology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	7-8	en_US
pubs.publication-status	Published	en_US
pubs.volume	27	en_US

Abstract:

© 2018 John Wiley & Sons Ltd Aims and objectives: To explore and present findings of qualitative studies exploring real-life experiences of people with transient ischaemic attack or minor stroke. Background: Transient ischaemic attack and minor stroke significantly increase the risk of stroke. Primarily, literature has examined healthcare pathways, patient outcomes and models of care through quantitative methodologies. Several studies have explored patient experiences using qualitative approaches. However, these findings have not been systematically collated or critically appraised to better understand the experiences of this population. Design: A literature review of the qualitative evidence. Method: A systematic literature search was conducted in CINAHL, MEDLINE, EMBASE and PsycINFO between January 2005–October 2016 to identify qualitative studies that explored real-life experiences of people with transient ischaemic attack or minor stroke. The relevant EQUATOR guidelines were followed. Findings of relevant studies were critically appraised and collated using a thematic approach. Results: The search retrieved 709 articles. Twelve articles were included after critical review. Three themes emerged including recognition, awareness and action; the vulnerable self; and social and personal life change. Participants experienced ongoing vulnerability and change in their personal and social lives. Specifically, people believed that their condition did not reflect their physical appearance and led to their needs being unmet by health professionals. Conclusions: This is the first review of the literature to collate the thoughts, perspectives and experiences of people living with transient ischaemic attack or minor stroke. They reveal a complex, life-altering experience characterised by vulnerability, instability and change. Education that assists clinicians to connect with these experiences may alleviate the patient-reported disconnection with health professionals. Relevance to clinical practice: Physical and psychosocial dysfunctions were consistently reported to be overlooked or undetected by clinicians. Educating clinicians might enable them to better understand patient experiences, improve therapeutic interactions and meet the needs of this population.

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http://hdl.handle.net/10453/129707