Evidence mapPaperPMID 41206803Full record

ArticleNursing open2025

The Role of a Stroke Specialist Nurse in Early Supported Discharge and Secondary Prevention in the Community. A Scoping Review.

Sarah-Jane Byrne, David Williams, Declan Patton, Paul Murphy, Frances Horgan

Abstract readScoping Review
In one paragraph

Article in Nursing open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sarah-Jane ByrneDepartment of Geriatric and Stroke Medicine, Beaumont Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0003-4879-317X
David WilliamsDepartment of Geriatric and Stroke Medicine, Beaumont Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0002-1923-462X
Declan PattonSchool of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Paul MurphyRCSI Library, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Frances HorganSchool of Physiotherapy, RCSI University of Medicine and Health Sciences, Dublin, Ireland.ORCID https://orcid.org/0000-0002-8773-9953

Funding

Irish Research Council DC21612A01
6 · The paper itself

Abstract

backgroundStroke represents a major source of mortality and morbidity globally. The role of a stroke Clinical Nurse Specialist (CNS) as an expert team member in early supported discharge for stroke, is not well described although it is well established in other models of after-hospital and outreach specialist care in the community. In this scoping review we explore the evidence in relation to the role of the stroke nurse providing secondary prevention interventions in a community setting.

objectiveThe aim of this scoping review is to explore the evidence in relation to the role of the stroke nurse providing secondary prevention interventions in a community setting.

designScoping review of the available literature and narrative synthesis.

methodsA narrative scoping literature review was conducted in accordance with the five-stage process of Arksey and O'Malley (2005) and the PRISMA-ScR guidelines. The following databases were searched: Cochrane Central Register of Controlled Trials and systematic literature searches, MEDLINE, EMBASE, CINAHL, Google Scholar, and grey literature. Search terms included stroke, stroke rehabilitation, community nursing, early supported discharge.

resultsA total of 2531 references were identified. Following the removal of duplicates (838), and checking each article for suitability, 2507 articles were excluded, and 24 articles were included in this scoping review. Six key themes emerged from the data collection: (1) Absence of Nursing Role following Hospital Discharge; (2) Stroke Nursing in Secondary Prevention and Management of Risk Factors (Modifiable and Non-Modifiable); (3) Role of the Stroke Nurse in Secondary Prevention- Blood Pressure Management; (4) Role of the Stroke Nursing following Discharge Home; (5) Telephone Specific Interventions; (6) Blended Model- Telephone Calls and Home Visits. A narrative synthesis of these themes was conducted.

conclusionsNurses working in stroke care are key health educators in stroke programme prevention implementation. Stroke nurses specialising in the unique challenges and needs of stroke patients play an essential role in educating this population in the community. Stroke nurses as part of early supported discharge have expert knowledge and the opportunity to educate patients in the community to reduce their overall risk of having further strokes and improve their overall health. REGISTRATION: This scoping review protocol was registered in Open Science Framework on 5th April 2023. https://doi.org/10.17605/OSF.IO/UCZ6R and published in HRB Open on 8th January 2024 https://doi.org/10.12688/hrbopenres.13818.1.

Indexed as

Nurse CliniciansNurse's RolePatient DischargeSecondary PreventionStrokeHumansStroke Rehabilitationclinical nurse specialistcommunity careearly supported dischargeprimary care strokescoping reviewstroke rehabilitation

Identifiers

PMID41206803
PMCPMC12596827

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.