Background: Millions of stroke family caregivers struggle to provide home care. As an experienced nurse and family caregiver, I have learned that there are general approaches/specific interventions that can assist carers and impact overall health, making families more competent and confident in providing effective home care. Purpose: Practice expertise and two “real” stories informed the family caregivers’ Homecoming ABCs post stroke, a nurse-guided home management approach. they are shared and then intertwined with the Association of Rehabilitation Nurses (ARN) Competency Model for Professional Rehabilitation Nursing. Approach: The ARN Competency Model provides a lens to view and appraise situations, organize and act, and examine and judge outcomes. Homecoming ABCs woven throughout this model are health management methods that rehabilitation nurses can share with families in preparation for home discharge, or for continued home care. Outcomes and Clinical Relevance: Homecoming ABCs linked to the Competency Model reflect current practices and advance the specialty of rehabilitation nursing. Homecoming ABCs' nurse-guided approach suggested for family caregivers has the potential to enhance the quality of care experienced and reduce the risk for institutionalization for persons with stroke. Conclusion: Homecoming ABCs, along with the ARN Competency Model, provide an organized framework to promote best practices, as rehabilitation nurses prepare stroke caregivers for family members’ discharge or continued care and management in home settings.
Linda L. Pierce (Wed,) studied this question.
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