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

Fall Risk Assessment in Acute Rehabilitation: Comparison of Two Assessment Tools. 急性康复中跌倒风险评估：两种评估工具的比较。

Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses Pub Date : 2025-01-08 DOI: 10.1097/RNJ.0000000000000487

Heidi E Menard, Sandra Castro-Pearson, Nate Dahle, Stephanie W Edmonds, Brandy J Kozitza, Johanna J Webb, Ruth A Bryant

{"title":"Fall Risk Assessment in Acute Rehabilitation: Comparison of Two Assessment Tools.","authors":"Heidi E Menard, Sandra Castro-Pearson, Nate Dahle, Stephanie W Edmonds, Brandy J Kozitza, Johanna J Webb, Ruth A Bryant","doi":"10.1097/RNJ.0000000000000487","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000487","url":null,"abstract":"Purpose: Many fall risk assessment tools exist. However, few of these fall risk assessment tools have been tested in the acute rehabilitation setting. The purpose of our study was to compare the accuracy of the Hendrich II Fall Risk Model (HIIFRM) and Sunnyview Test Scale in predicting falls. We also identified factors associated with falls in the rehabilitation patient.Design and methods: In this retrospective cohort study, we extracted electronic health record data from two acute inpatient rehabilitation units and compared the predictive validity of the HIIFRM and the Sunnyview Test Scale.Results: Our sample included 134 fallers and 1,667 nonfallers. The HIIFRM and the Sunnyview Test Scale had similar predictive performance with area under the receiver operating characteristic curve (AUC) of .62 and .60, respectively.Conclusion: The HIIFRM and the Sunnyview Test Scale had poor performance (AUC < .70) predicting falls in this acute rehabilitation setting. Using a fall risk assessment tool alone does not consider unique risk factors and makes implementation of individualized prevention interventions challenging. Nurses need a framework to use individualized factors to determine high fall risk. Further research is needed to clarify variables specific to the inpatient rehabilitation population.Clinical relevance: Current fall risk assessment tools are inadequate in the inpatient rehabilitation setting; an individualized fall prevention plan is recommended to ensure patient safety.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960820","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}

引用次数: 0

Preventing Community-Acquired Pressure Injury in Spinal Cord Injury: Simulation for Registered Nurses. 预防脊髓损伤中社区获得性压力损伤：注册护士模拟。

Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses Pub Date : 2024-12-30 DOI: 10.1097/RNJ.0000000000000484

Mary E Desmond, Keith Aguina, Elizabeth Lisa Burkhart

{"title":"Preventing Community-Acquired Pressure Injury in Spinal Cord Injury: Simulation for Registered Nurses.","authors":"Mary E Desmond, Keith Aguina, Elizabeth Lisa Burkhart","doi":"10.1097/RNJ.0000000000000484","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000484","url":null,"abstract":"Purpose: The study purpose was to develop and assess a simulation for registered nurses to apply knowledge, skills, and attitudes in conducting a focused assessment in the clinic setting to prevent community-acquired pressure injuries (CAPrIs) in individuals living with spinal cord injury (SCI).Methods: Development, psychometric assessment, and pilot of a simulation for a nurse-patient clinic appointment to prevent CAPrIs at home. Evaluations were conducted via focus group.Results: The simulation required one round with five experts in preventing CAPrIs in SCI to reach 80% agreement. The simulation with a standardized patient and companion checklist was piloted with (n = 4) post-baccalaureate registered nurse residents. Evaluation results indicated participants grew in knowledge, skills, and attitudes in conducting a focused assessment on prevention of CAPrIs.Clinical relevance: Evidence-based nursing education is needed for CAPrI prevention for individuals living with SCI in the community setting. The simulation is replicable.Conclusions: The online educational program, simulation, and checklist for nurses promoted knowledge, skills, and attitudes in assessment of CAPrI prevention.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960816","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}

引用次数: 0

Usability of a Cloud-Based Home Healthcare Client Monitoring Platform: A Simulation-Based Approach. 基于云的家庭医疗保健客户端监控平台的可用性：基于模拟的方法。

Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses Pub Date : 2024-12-30 DOI: 10.1097/RNJ.0000000000000486

Kourosh Alimohammadbeik, Joohyun Chung, Yeonsik Noh, Cynthia S Jacelon

{"title":"Usability of a Cloud-Based Home Healthcare Client Monitoring Platform: A Simulation-Based Approach.","authors":"Kourosh Alimohammadbeik, Joohyun Chung, Yeonsik Noh, Cynthia S Jacelon","doi":"10.1097/RNJ.0000000000000486","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000486","url":null,"abstract":"Purpose: The aim of this study was to assess the usability of a cloud-based home healthcare monitoring platform (CHHM).Design: A proof of concept using a simulated client scenario was used in this study.Methods: Using a mixed-methods approach, a convenience sample of 14 nursing students was used to assess the usability of CHHM during a simulation. Students engaged in evaluation using two questionnaires: the Post-Study System Usability Questionnaire (Usability Questionnaire) and a researcher-developed questionnaire incorporating qualitative responses.Results: The overall mean score of the Usability Questionnaire was 2.91, with the range of 7, indicating the usability of the platform. The Usability Questionnaire was negatively scored, with 1 being the best. The means of the two subscales, System Usefulness (2.77) and Information Quality (3.26), illustrated the platform's solid performance. The Interface Quality subscale mean was 2.94, indicating a lower level of satisfaction. Qualitative data from the researcher-developed questionnaire indicated that participants found the platform straightforward, clear, and user-friendly, with the potential to enhance practice.Clinical relevance: This platform may enhance rehabilitation nurses' ability to monitor clients at home.Conclusion: The CHHM can support and enhance the delivery of home health care by enabling continuous remote monitoring. By incorporating user-centered design principles, cloud-native architecture, and wearable sensors, we demonstrated a proof of concept and laid the foundation for further platform development.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960817","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}

引用次数: 0

Implementing a Critical Thinking Tool to Evaluate Educational Needs for Inpatient Rehabilitation Nurses. 采用批判性思维工具评估住院康复护士的教育需求。

Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses Pub Date : 2024-11-01 DOI: 10.1097/RNJ.0000000000000480

Cynthia Hill, Sonja E Stutzman, Emerson B Nairon, Ayushi Vashisht, DaiWai M Olson

{"title":"Implementing a Critical Thinking Tool to Evaluate Educational Needs for Inpatient Rehabilitation Nurses.","authors":"Cynthia Hill, Sonja E Stutzman, Emerson B Nairon, Ayushi Vashisht, DaiWai M Olson","doi":"10.1097/RNJ.0000000000000480","DOIUrl":"10.1097/RNJ.0000000000000480","url":null,"abstract":"Background: Most critical thinking assessment tools are resource intensive and require significant time and money to administer. Moreover, these tools are not tailored to evaluate critical thinking skills among inpatient rehabilitation facility (IRF) nurses. This pilot study explores the efficacy of using short videos to evaluate critical thinking for nurses working in an IRF.Methods: We developed and filmed 3 clinical scenarios representative of common IRF events that require critical thinking on behalf of the nurse. Thirty-one IRF nurses participated in the study and independently scored their own critical thinking skills using a visual analog scale. Using the same scale, nurse managers and assistant managers who worked closely with the nurses also rated the critical thinking ability of each nurse. The nurse then viewed and responded in narrative form to each of the 3 videos. A scoring rubric was used to independently evaluate the critical thinking skills for each nurse based on the nurses' responses.Results: Nurses rated their own critical thinking skills higher than mangers rated them (m = 85.23 vs 62.89). There was high interrater reliability for scoring video 1k (0.65), video 2k (0.90), and video 3k (0.84).Conclusion: The results demonstrate efficacy for further study of low-cost alternatives to evaluate critical thinking among neuroscience nurses providing IRF care.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":"49 6","pages":"184-188"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559905","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}

引用次数: 0

Therapy-Led Mobility Education for Nursing Staff as a Fall Prevention Strategy. 对护理人员进行以治疗为主导的行动能力教育，以此作为预防跌倒的策略。

Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses Pub Date : 2024-11-01 DOI: 10.1097/RNJ.0000000000000482

引用次数: 0

Rehabilitation Specialty Hospital Conversion to Support a COVID-19 Pandemic Surge: Nurses' Perceptions. 康复专科医院改建以支持 COVID-19 大流行：护士的看法。

Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses Pub Date : 2024-11-01 Epub Date: 2024-10-04 DOI: 10.1097/RNJ.0000000000000477

Helen C Copenheaver, Barbara L Buchko, Cherie S Adkins

{"title":"Rehabilitation Specialty Hospital Conversion to Support a COVID-19 Pandemic Surge: Nurses' Perceptions.","authors":"Helen C Copenheaver, Barbara L Buchko, Cherie S Adkins","doi":"10.1097/RNJ.0000000000000477","DOIUrl":"10.1097/RNJ.0000000000000477","url":null,"abstract":"Purpose: The purpose of this study was to understand the novel experience of a rehabilitation specialty hospital conversion to acute medical/COVID-19 patient care from the perspective of rehabilitation nurses.Design: A descriptive qualitative study was conducted.Methods: Thirty-six nurses employed by the rehabilitation specialty hospital were invited to participate. Narrative data were collected via an online survey and were analyzed using a conventional content analysis approach.Results: Fifteen (42%) of those eligible participated. The overarching descriptor of the rehabilitation nurses' experiences was \"we did what we had to do.\" Three primary descriptors emerged: challenged, conflicted, and compromised. Communication from leadership prominently informed the conversion experience.Clinical relevance to the practice of rehabilitation nursing: Expecting rehabilitation specialty nurses to care for a different patient population is an important consideration and requires leadership to understand the distinctive characteristics of the specialty and its approach to care.Conclusions: Addressing the impact on nursing staff in any disaster requires listening and communicating to provide needed support. Recognizing the characteristics of nursing specialties, the need for self-care among nursing staff and the salience of effective communication are essential during specialty hospital conversions.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":"193-199"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373956","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}

引用次数: 0

Therapy-Led Mobility Education for Nursing Staff as a Fall Prevention Strategy. 对护理人员进行以治疗为主导的行动能力教育，以此作为预防跌倒的策略。

Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses Pub Date : 2024-11-01 DOI: 10.1097/RNJ.0000000000000476

Catherine Thresher

引用次数: 0

Implementing a Critical Thinking Tool to Evaluate Educational Needs for Inpatient Rehabilitation Nurses. 采用批判性思维工具评估住院康复护士的教育需求。

Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses Pub Date : 2024-11-01 DOI: 10.1097/RNJ.0000000000000483

引用次数: 0

ARN Celebrates 50 Years. ARN 庆祝 50 周年。

Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses Pub Date : 2024-11-01 DOI: 10.1097/RNJ.0000000000000481

Pamala D Larsen

引用次数: 0

Subjective Well-Being, Positive Affect, Life Satisfaction and Happiness With Multiple Sclerosis: A Scoping Review of the Literature. 多发性硬化症患者的主观幸福感、积极情感、生活满意度和幸福感：文献综述。

Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses Pub Date : 2024-09-01 DOI: 10.1097/RNJ.0000000000000479

引用次数: 0