Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses最新文献

{"title":"The Rehabilitation Nursing Journal: Inducted into the Nursing Journal Hall of Fame.","authors":"Anne Deutsch","doi":"10.1097/RNJ.0000000000000520","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000520","url":null,"abstract":"","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowering Patients With Spinal Cord Injury: A Guide to Online Resources for Nurses.","authors":"Amy Balas, Katherine Earnest, Anne Deutsch","doi":"10.1097/RNJ.0000000000000518","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000518","url":null,"abstract":"<p><p>A person who experiences a spinal cord injury (SCI) is often faced with significant alterations to nearly every aspect of their day-to-day life. Providing patients with SCI and their families all the key education during an inpatient rehabilitation stay is challenging for nurses due to short inpatient stays. Rehabilitation nurses and other clinicians must prioritize teaching the information and skills most essential for a safe discharge. After transitioning back into the community, people with SCI will have significant ongoing needs for trustworthy health information that will help them restore, maintain, and promote optimal health and function. This article provides background information and selected trustworthy resources, developed by health professionals and persons with SCI, that nurses can share with their clients. We also provide an online resource that can be shared with persons with SCI and their families that covers educational sources, health information, individual support, and online peer groups and mentoring.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interdisciplinary Process Improvement for Behavior Management of Acute Brain Injury.","authors":"Christina M Derbidge, Christine M Mullen, Tyler Christensen, Madison A Niermeyer, Kate Trimm, Lexi DeWolf, Josi Skiby","doi":"10.1097/RNJ.0000000000000516","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000516","url":null,"abstract":"<p><strong>Background: </strong>Following a traumatic brain injury (TBI), 70% or more of patients display disruptive behaviors including verbal or physical aggression, wandering, nonadherence or care refusal, social withdrawal, and socially inappropriate behavior. These behaviors often worsen over the first few years after a TBI and place a significant strain on caring relationships.</p><p><strong>Purpose: </strong>Our brain injury program aimed to refine our inpatient rehabilitation programming approach, using the evidence base and provider expertise, to address disruptive behaviors among patients with TBI.</p><p><strong>Methods: </strong>We formed an interdisciplinary committee, conducted one-on-one interviews and surveys, and participated in staff meetings. We based interventions on the premise that our TBI patients in the early stages of recovery required consistent environmental and interactional changes maintained by all members of the interdisciplinary team. We illustrate this approach with a case example.</p><p><strong>Findings and conclusions: </strong>Our approach led to increased evidence-based behavior tracking, new health care assistant and nurse training, and improved team communication. Training was well received. Self-reported knowledge increased for all learners [t (119)=-7.36, p<.001]. We saw increased event reporting on challenging behaviors, suggesting improved awareness of the need and opportunity for intervention. The Oversight Committee also received positive feedback about improved collaboration across disciplines.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Patient-specific Functional Scale: A Simple Functional Performance Tool in Patients With Cardiovascular Disease.","authors":"Ali Albarrati, Nujud Halawi, Rakan Nazer","doi":"10.1097/RNJ.0000000000000512","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000512","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the reliability and construct validity of the patient-specific functional scale (PSFS) in patients with cardiovascular disease (CVD).</p><p><strong>Methods: </strong>Stable patients with CVD were recruited from outpatient cardiology clinics. Reliability and validity were examined using a cross-sectional study design. Patients with CVD (n=140) were included to assess the test-retest reliability using the interclass correlation coefficient model 2,1 (ICC2,1), measurement errors, as well as construct validity of the PSFS. Construct validity was tested by comparing the PSFS with a 6-minute walk test (6MWT) and Duke Activity Status Index (DASI). The PSFS would be hypothesized to demonstrate at least moderate correlations (>0.50) with the 6MWT and DASI.</p><p><strong>Results: </strong>A total of 140 patients (85 males) with CVD completed the PSFS. The average age of the participants was 59 years. The PSFS showed excellent reliability with an ICC2,1, of 0.92 (95% CI: 0.90-0.94). The PSFS was correlated with the DASI (r=.88, p<.001) and the 6MWT (r=.89, <.001). The SEM was 0.37 points, and the MDC at a 95% CI was 1.01 points. There were no floor or ceiling effects.</p><p><strong>Clinical relevance: </strong>This scale can help rehabilitation nurses to identify patients' functional needs and personalize rehabilitation interventions.</p><p><strong>Conclusion: </strong>This study provides evidence supporting the reliability and validity of the PSFS in the CVD population in outpatient settings.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Static Air Device in Mitigating Pressure Injuries: An Observation Retrospective Study.","authors":"Leah Ajewole, Suzanne Ballard, Denise Comeaux, Michael Cunningham, Michael Hartge, Emily Trotter","doi":"10.1097/RNJ.0000000000000515","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000515","url":null,"abstract":"<p><strong>Purpose: </strong>This observational study aimed to evaluate the use of a static air device (SAD) to prevent worsening pressure injuries (PIs) present on admission and the development of health care-acquired pressure injuries (HAPIs) of the foot, heel, or ankle (FHA) within the spinal cord injury population. The central hypothesis was that SADs would significantly reduce the incidence of HAPIs and prevent the worsening of existing PIs in the FHA, where \"worsened\" was defined as no reduction in wound size, deterioration in wound bed appearance, or increase in staging severity and promote improvement, defined as a decrease in wound size, improved granulation tissue, or complete epithelialization. The hypothesis further posited that SADs would outperform traditional offloading devices (e.g., foam boots, pillows) in reducing PI incidence and promoting healing due to their ergonomic design, temperature regulation, and patient comfort.</p><p><strong>Design: </strong>Retrospective observational cohort study.</p><p><strong>Methods: </strong>Data were reviewed for 12 months using our existing pressure relief protocol in our 179-bed inpatient rehabilitation hospital. These data included existing PIs and HAPIs of the FHA. Comparison data were reviewed retrospectively for a 6-month post-period, where SADs were added to the pressure relief protocol from a 24-bed unit. We used comparative analysis to calculate HAPI rates per patient day and the rate of the same or worsened PIs present on admission post-implementation of SAD.</p><p><strong>Results: </strong>The data indicate an improvement in the rate of HAPIs per patient day and prevention of worsening of existing PIs. Implementing SADs significantly reduced the incidence of FHA pressure injuries.</p><p><strong>Clinical relevance to the practice of rehabilitation nursing: </strong>This study compared the SAD device with alternatives previously used at our rehabilitation hospital. Pressure injuries cause pain, discomfort, longer hospital stays, and increased costs. Rehabilitation nurses should continue to explore new avenues for PI prevention.</p><p><strong>Conclusions: </strong>The results indicate the benefit of using SADs for PI prevention and treatment of the FHA PIs.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interdisciplinary Communication to Prevent Toileting-Related Falls.","authors":"Sharee McCray, Diane Gilewicz","doi":"10.1097/RNJ.0000000000000517","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000517","url":null,"abstract":"<p><strong>Background: </strong>Toileting and ambulation have been identified as common activities associated with patient falls. Furthermore, miscommunication among health care teams was identified as a key contributing factor in falls resulting in injury.</p><p><strong>Objective: </strong>To prevent falls through standardized interdisciplinary team communication related to supervision of patients' toileting in an inpatient rehabilitation hospital.</p><p><strong>Methods: </strong>A fall safety initiative was implemented to display patient supervision needs during toileting. Using the colors of a stoplight as a form of communication, the colors were visible in patients' rooms and allowed for easily accessible interdisciplinary communication of the toileting needs of patients. Initial data demonstrated less than successful results, leading to a revised intervention. With the second intervention, development of a new careboard incorporating a stoplight form of communication, the project was successful.</p><p><strong>Results: </strong>The use of clearly defined language and interdisciplinary collaboration successfully reduced toileting-related falls. The toileting-related fall rate decreased from 1.154 events/1,000 patient days to 0.720, resulting in a 38% reduction between fiscal year 2023-2024 postimplementation. The hospital's fall rate decreased from 3.143 events/1,000 patient days to 2.50.</p><p><strong>Conclusions: </strong>Nurse leaders and interdisciplinary teams can reduce toileting-related falls and enhance the culture of safety by standardizing the communication of supervision needed while toileting. A careboard utilizing the colors similar to a stoplight as a form of communication can facilitate effective interdisciplinary communication regarding the supervision level required during toileting.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency and Reasons for Missed Inpatient Stroke Rehabilitation Therapy Sessions.","authors":"","doi":"10.1097/RNJ.0000000000000513","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000513","url":null,"abstract":"","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":"50 3","pages":"E9-E10"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency and Reasons for Missed Inpatient Stroke Rehabilitation Therapy Sessions.","authors":"Elizabeth Byrd, Sarah Khalidi, Andres Azuero, Amanda Chambers, Ryan Killingsworth, Rita Jablonski","doi":"10.1097/RNJ.0000000000000498","DOIUrl":"10.1097/RNJ.0000000000000498","url":null,"abstract":"<p><strong>Introduction: </strong>Stroke remains a leading cause of long-term disability among adults, with inpatient rehabilitation playing a crucial role in maximizing recovery. Missed therapy sessions during rehabilitation may hinder functional gains, yet limited research explores their impact.</p><p><strong>Purpose: </strong>This exploratory study examines the prevalence, reasons, and potential implications of missed therapy sessions among inpatient stroke rehabilitation patients.</p><p><strong>Methods: </strong>Patients were recruited from a stroke rehabilitation unit affiliated with a major academic hospital. Participants had a stroke diagnosis with hemiparesis or hemiplegia. Data on demographics, functional scores, and missed therapy sessions were collected from electronic medical records. Descriptive statistics and correlations were used to analyze missed sessions.</p><p><strong>Results: </strong>Patients missed 184 therapy sessions (5% of total scheduled sessions) during 881 rehabilitation days. Physical therapy was the most missed (36.4%) sessions, followed by occupational therapy (34.2%) and speech language pathology (29.4%). Common reasons for missed sessions were patient refusal, fatigue, and bowel/bladder care. No significant correlations were found between missed sessions and functional outcomes.</p><p><strong>Conclusions: </strong>Missed therapy sessions are common in stroke rehabilitation, with clinical and administrative implications. Addressing barriers through patient-centered interventions and systemic changes may reduce missed sessions, enhance engagement, and improve rehabilitation efficiency. Future studies should explore the financial and outcome impacts of missed therapy.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":"98-105"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Analysis of the Turkish Version of the Preparedness Assessment for the Transition Home After Stroke Instrument.","authors":"Burcu Akpınar Söylemez, Hasret Erden, Michelle Camicia","doi":"10.1097/RNJ.0000000000000497","DOIUrl":"10.1097/RNJ.0000000000000497","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to assess the psychometric properties of the Turkish version of the Preparedness Assessment for the Transition Home After Stroke (PATH-s) instrument.</p><p><strong>Design: </strong>A cross-sectional design was used to examine the psychometric properties of the PATH-s Tr .</p><p><strong>Methods: </strong>Between February and November 2023, 250 family members caring for stroke survivors hospitalized in the neurology ward of a university hospital in western Turkey participated in the study. Data were collected using the Sociodemographic Characteristics Form, the PATH-s Tr , and the Preparedness for Caregiving Scale. Language and content validity, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were used to assess the validity of the scale. The scale's reliability was examined using Cronbach's alpha coefficient, item-total correlations, and test-retest reliability. Guidelines for the process of cross-cultural adaptation of self-report measures and guidelines for reporting reliability and agreement studies were used.</p><p><strong>Results: </strong>EFA revealed eight factors underlying the PATH-s Tr structure. The CFA results of the scale showed acceptable fit (χ 2 / df = 2.98, adjusted goodness of fit index = .80, comparative fit index = .89, goodness of fit index = .82, root-mean-square error of approximation = .07). Cronbach's alpha value calculated for the Turkish version of the PATH-s Tr was .91. A statistically significant positive relationship was observed between the total item scores of the scale and the test-retest scores ( r = .99, p < .001).</p><p><strong>Conclusion: </strong>The results support the Turkish version of the PATH-s as a valid and reliable tool for assessing stroke caregivers' preparedness for home discharge.</p><p><strong>Relevance to clinical practice: </strong>Caregivers' preparedness for stroke survivors' home discharge is crucial. PATH-s offers a reliable and valid tool to assess caregiver readiness.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":"112-119"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Analysis of the Turkish Version of the Preparedness Assessment for the Transition Home After Stroke Instrument.","authors":"","doi":"10.1097/RNJ.0000000000000514","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000514","url":null,"abstract":"","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":"50 3","pages":"E10-E11"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}