Abstract: Objective To understand the experience with grading nursing of stroke patients at home in community medical staff. Methods A semi-structured interview was conducted in 15 medical staffs in 3 communities of Zhongyuan District in Zhengzhou, and the data were analyzed by using Colaizzi method. Results Three themes were extracted. 1) Family care supplemented by specialized care played the leading role; the demand for specialized care was different but the current specialized care is not satisfactory. 2) Scientific grading nursing, with effective care. 3) Grading nursing was full of challenges and it consisted of four sub-themes: in line with the requirement of medical and health reform in China, but lack of effective policy support; shortage of corresponding grading nursing evaluation tools; shortage of community medical resources and the improvement of core competence of medical staff; lack of continuous information platform for the continuous care of hospital-community-family. Conclusion It is important to integrate medical resources, define the classification rationally, standardize the content of grading care, improve the ability of medical staff, ensure the effect of home care, complete the information platform and perform management supervision.

Key words: district medical staff, stroke, grading nursing, qualitative research