Methods: This research was conducted using a qualitative descriptive design with focus group, and the interviews were conducted to collect the information. Data were collected from the caregivers of nursing home using semi-structured interviews from February 2017 to July 2017. The tape-recorded interviews were transcribed and analyzed using content analysis. Thirty-eight caregivers of five nursing home were recruited for participation. The caregivers with a mean age of 42 years were recruited from nursing home organization in central Taiwan.
Results: Four major themes emerged regarding the knowledge related secondary complication of stroke patients among caregivers of nursing home, as follows: (1) Limited knowledge of prevention of joint contracture and pressure sores (2) Daily care does not link with comorbidities;(3) They don't have enough ability for observation secondary complication of stroke patient; (4) It is unclear whether the physical condition or change of stroke patient is a complication. We also summed up the following five major themes for needs of training related secondary complication: (1) We need the continue education for observation of secondary complications; (2) We need the education for rehabilitation, move and transfer; (3) We need the education for oral care; (4) We need the education for communication and emotional control; (5) We need the updated information for observation and prevent of secondary complications.
Conclusion: Our findings suggested that caregivers should recognize that dealing with secondary complication care in the nursing home is a continuing care process, and that they can be the best discoverer and instructors for patient care. The results of this study might be used as a helpful and valuable reference in caregivers' education for secondary complication of stroke patients among Caregivers of Nursing Home.