Qualitative focus group study investigating experiences of accessing and engaging with social care services: perspectives of carers from diverse ethnic groups caring for stroke survivors

Objectives Informal carers, often family members, play a vital role in supporting stroke survivors with post-stroke disability. As populations age, numbers of carers overall and those from minority ethnic groups in particular, are rising. Carers from all ethnic groups, but especially those from blac...

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Main Authors: Geoffrey Cloud, Nan Greenwood, Jess Holley, Theresa Ellmers, Gill Mein
Format: Article
Language:English
Published: BMJ Publishing Group 2016-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/6/1/e009498.full
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author Geoffrey Cloud
Nan Greenwood
Jess Holley
Theresa Ellmers
Gill Mein
author_facet Geoffrey Cloud
Nan Greenwood
Jess Holley
Theresa Ellmers
Gill Mein
author_sort Geoffrey Cloud
collection DOAJ
description Objectives Informal carers, often family members, play a vital role in supporting stroke survivors with post-stroke disability. As populations age, numbers of carers overall and those from minority ethnic groups in particular, are rising. Carers from all ethnic groups, but especially those from black and minority ethnic groups frequently fail to access support services, making understanding their experiences important. The study therefore explored the experiences of carers of stroke survivors aged 45+ years from 5 ethnic groups in accessing and receiving social care services after hospital discharge.Design This qualitative study used 7 recorded focus groups with informal carers of stroke survivors. Data were analysed thematically focusing on similarities and differences between ethnic groups.Setting Carers were recruited from voluntary sector organisations supporting carers, stroke survivors and black and minority ethnic groups in the UK.Participants 41 carers from 5 ethnic groups (Asian Indian, Asian Pakistani, black African, black Caribbean, white British) participated in the focus groups.Results Several interconnected themes were identified including: the service gap between hospital discharge and home; carers as the best person to care and cultural aspects of caring and using services. Many themes were common to all the included ethnic groups but some related to specific groups.Conclusions Across ethnic groups there were many similarities in the experiences of people caring for stroke survivors with complex, long-term care needs. Accessing services demands effort and persistence on carers’ part. If carers believe services are unsatisfactory or that they, rather than formal services, should be providing support for stroke survivors, they are unlikely to persist in their efforts. Cultural and language differences add to the challenges black and minority ethnic group carers face.
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spelling doaj-art-5fcf012cb0e341989a644b43ef35be662025-02-11T13:15:10ZengBMJ Publishing GroupBMJ Open2044-60552016-01-016110.1136/bmjopen-2015-009498Qualitative focus group study investigating experiences of accessing and engaging with social care services: perspectives of carers from diverse ethnic groups caring for stroke survivorsGeoffrey Cloud0Nan Greenwood1Jess Holley2Theresa Ellmers3Gill Mein4Department of Neurology, Alfred Health, Melbourne, Victoria, Australiaassociate professor in health and social care service research1Faculty of Health, Social Care and Education, St George`s University of London and Kingston University, London, UK1Faculty of Health, Social Care and Education, St George`s University of London and Kingston University, London, UK1Faculty of Health, Social Care and Education, St George`s University of London and Kingston University, London, UKObjectives Informal carers, often family members, play a vital role in supporting stroke survivors with post-stroke disability. As populations age, numbers of carers overall and those from minority ethnic groups in particular, are rising. Carers from all ethnic groups, but especially those from black and minority ethnic groups frequently fail to access support services, making understanding their experiences important. The study therefore explored the experiences of carers of stroke survivors aged 45+ years from 5 ethnic groups in accessing and receiving social care services after hospital discharge.Design This qualitative study used 7 recorded focus groups with informal carers of stroke survivors. Data were analysed thematically focusing on similarities and differences between ethnic groups.Setting Carers were recruited from voluntary sector organisations supporting carers, stroke survivors and black and minority ethnic groups in the UK.Participants 41 carers from 5 ethnic groups (Asian Indian, Asian Pakistani, black African, black Caribbean, white British) participated in the focus groups.Results Several interconnected themes were identified including: the service gap between hospital discharge and home; carers as the best person to care and cultural aspects of caring and using services. Many themes were common to all the included ethnic groups but some related to specific groups.Conclusions Across ethnic groups there were many similarities in the experiences of people caring for stroke survivors with complex, long-term care needs. Accessing services demands effort and persistence on carers’ part. If carers believe services are unsatisfactory or that they, rather than formal services, should be providing support for stroke survivors, they are unlikely to persist in their efforts. Cultural and language differences add to the challenges black and minority ethnic group carers face.https://bmjopen.bmj.com/content/6/1/e009498.full
spellingShingle Geoffrey Cloud
Nan Greenwood
Jess Holley
Theresa Ellmers
Gill Mein
Qualitative focus group study investigating experiences of accessing and engaging with social care services: perspectives of carers from diverse ethnic groups caring for stroke survivors
BMJ Open
title Qualitative focus group study investigating experiences of accessing and engaging with social care services: perspectives of carers from diverse ethnic groups caring for stroke survivors
title_full Qualitative focus group study investigating experiences of accessing and engaging with social care services: perspectives of carers from diverse ethnic groups caring for stroke survivors
title_fullStr Qualitative focus group study investigating experiences of accessing and engaging with social care services: perspectives of carers from diverse ethnic groups caring for stroke survivors
title_full_unstemmed Qualitative focus group study investigating experiences of accessing and engaging with social care services: perspectives of carers from diverse ethnic groups caring for stroke survivors
title_short Qualitative focus group study investigating experiences of accessing and engaging with social care services: perspectives of carers from diverse ethnic groups caring for stroke survivors
title_sort qualitative focus group study investigating experiences of accessing and engaging with social care services perspectives of carers from diverse ethnic groups caring for stroke survivors
url https://bmjopen.bmj.com/content/6/1/e009498.full
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