Resource Access Factors and Limitations Among Stroke Patients at Community Level
- Pages:
- 2
- Academic Level:
- Masters
- Paper Type:
- Admission/Application Essay
- Discipline:
- Nursing
Paper detalis:
Research Proposal Draft
the due date assigned, write a (2-3 pages) paper addressing the sections below of the research proposal.
This week you will submit the Literature Review section of your proposal. Each week you have been adding to your growing body of evidence to support your problem and proposed innovation to address the problem. The review of literature is a critical, analytical summary and synthesis of the current knowledge of your research topic. Thus it should compare and relate different theories, findings, etc., rather than just summarize them individually.
The following resources will help guide you (in addition to our course textbooks):
THE WRITER'S HANDBOOK
Guidelines for writing a literature review
The Writing Center at UNC-Chapel Hill
Writing the Literature Review: Step-by-Step Tutorial for Graduate Students
Writing the Literature Review (Part Two): Step-by-Step Tutorial for Graduate Students
Resource Access Factors and Limitations Among Stroke Patients at Community Level
(A Literature Review)
Student’s Name
Institutional Affiliations
Course Title
Professor’s Name
Date
Resource Access Factors and Limitations Among Stroke Patients at Community Level
(A Literature Review)
Reviewing existing literature will be significant in understanding existing debates and findings of past studies related to the current research. The information will be crucial in understanding the research question and developing the hypothesis. The review builds knowledge of past study findings. The literature search involves various databases that provide journal articles and other relevant materials. The study narrows the search using keywords like access to resources for stroke patients, patient-physician ratio, and socioeconomic factors impacting stroke recovery. Selected articles provide information that is relevant to the current research. Articles are organized according to a pattern of the main theme being addressed. The review synthesizes the information from the articles to explain how the literature develops the hypothesis and the purpose statement.
Stroke burden households and stretch the healthcare system because it demands vast resources, specialized and non-specialized personnel, and community-based support programs for optimal recovery of patients. Resources required for effective care of stroke patients help in diagnosis, emergency monitoring, and supporting patient welfare in post-stroke recovery. Access to resources can improve the outcomes of care. The current study is concerned with various issues, including the ratio of patients to resources dedicated to stroke patients in the community, challenges in accessing resources due to distribution factors, and community support programs. According to (Magwood et al., 2020), community-based interventions are crucial in increasing stroke survival and poststroke recovery. The interventions should focus on community participation in care, increasing knowledge, and reintegration through support programs.
According to one study, stroke impacts on patients from low-income households are disproportionally compared to those from high-income families (Magwood et al., 2019). For instance, statistics indicate a disparity in impacts and outcomes between African-American and Non-Hispanic Whites. According to this study, a critical step in mitigating poor outcomes and eliminating the disparity is exploring barriers such as access to resources for recovery from the illness. Patients and their families identify resources, social support, and health knowledge are barriers to recovery.
Community-based resources include medication, dietary necessities, and equipment. Most patients lack money and insurance coverage to access medication (Magwood et al., 2019). Resources are especially scarce in rural communities. The last perspective on resources required in stroke care is health information. According to a study, raising awareness of risk factors and increasing knowledge through community-focused educative programs can play a central role in health management and recovery (Kharbac et al., 2020). Research indicates that many people express frustration due to a lack of information on the risks and causes of stroke, guidelines on steps to take in an emergency, prevention measures, and the location of essential resources for care. According to Garnett, Ploeg, Markle-Reid, and Strachan (2022), little is known about formally funded stroke recovery and support programs. Lack of knowledge is associated with delays in seeking care, understanding disease management, and lack of medication adherence. The challenge can be addressed by increasing subsidized and community-based support programs like counseling and respite to solidify the stroke recovery continuum within the community setting.
Financial and non-financial resources are significant in caring for patients suffering from a stroke. Financial resources enable the purchase of medication, payment of rehabilitation services, transportation, diet, and modification of the environment (Magwood et al., 2019). Patients with stroke-related disabilities cannot work to pay for recovery and cater to their welfare. Non-financial resources may include support from family and members of the community. According to Magwood et al. (2019), social support in the community and the availability of adequate resources are critical functional recovery and rehabilitation indicators in stroke. Without these, patients feel disconnected from their community, and a lack of apathy leads to depression and frustration. Community-based social support programs play a central role in stroke recovery. Limited funding for community-based services is associated with negative post-stroke recovery. Facilitators of recovery include transportation services such as shared-ride and environmental modifications like ramps and assistive technologies.
Access to resources is a major cause of disparity in stroke outcomes. A study indicates a disparity between access to resources in rural and urban regions, which increases the disparity in mortality rate and care outcome (Hammond, Luke, Elson, Towfighi, & Maddox, 2020). Inadequate resources and the economic status of families in rural areas lead to poor outcomes among stroke patients than in urban areas (Hammond, Luke, Elson, Towfighi, & Maddox, 2020). Post-stroke care coordination is significant for stroke survivors. However, a study indicates that most community standardized care programs lack outpatient follow-up after discharging patients from the hospital (Deutschbein, Grittner, Schneider, & Schenk, 2020). The study indicates that survivors with standard follow-up programs are less frequently readmitted and incur lesser costs. Community-based care coordination for vulnerable populations can increase the efficiency of care services for stroke survivors.
Research indicates that education is significant for patients, their families, and care providers in a low-resource setting (Kaseke, Mlambo, Stewart, Gwanzura, & Hakim, 2019). Some patients may not always afford clinic visits, therapies, and follow-up programs. The results associated with this challenge include poor quality of life, lack of community integration, and poor functional outcomes. Since the number of patients is rising, caregivers may also suffer burnout, resulting in poor quality of care. Education such as self-management, increasing awareness of risk factors, and how to use available resources may ensure optimal utilization.
References
Deutschbein, J., Grittner, U., Schneider, A., & Schenk, L. (2020). Community care coordination for stroke survivors: results of a complex intervention study. BMC Health Services Research volume, 20(1143 ), 1-13.
Garnett, A., Ploeg, J., Markle-Reid, M., & Strachan, P. H. (2022). Factors impacting the access and use of formal health and social services by caregivers of stroke survivors: an interpretive description study. BMC Health Services Research, 22(433), 1-15.
Hammond, G., Luke, A. A., Elson, L., Towfighi, A., & Maddox, K. E. (2020). Urban-Rural Inequities in Acute Stroke Care and In-Hospital Mortality. AHA Journals: Stroke, 51(7), 2131–2138.
Kaseke, F., Mlambo, T., Stewart, A., Gwanzura, L., & Hakim, J. (2019). Supporting Survivors of Stroke in Low Resource Settings. London: IntechOpen.
Kharbac, A., Obtel, M., Achbani, A., Bouchriti, Y., Hassouni, K., Lahlou, L., & Razine, R. (2020). Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco. Annals of Global Health, 86(1), e83.
Magwood, G. S., Ellis, C., Nichols, M., Burns, S. P., Jenkins, C., Woodbury, M., & Adams, R. (2019). Barriers and Facilitators of Stroke Recovery: Perspectives From African Americans With Stroke, Caregivers and Healthcare Professionals. Journal of Stroke and Cerebrovascular Diseases, 28(9), 2506–2516.
Magwood, G. S., Nichols, M., Jenkins, C., Logan, A., Qunango, S., Zigbuo-Wenzler, E., & Ellis, C. (2020). Community-Based Interventions for Stroke Provided by Nurses and Community Health Workers: A Review of the Literature. Journal of Neuroscience Nursing, 52(4), 152–159.