护士对康复单位“让他们更好”的贡献:加拿大的一个案例。

IF 1
Denise M Connelly, Angela Nguyen, Amanda McIntyre, Eric Tanlaka, Nancy Snobelen, Nicole A Guitar, Mehvish Masood
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引用次数: 0

摘要

目的:本研究的目的是探讨加拿大背景下护士对住院康复和跨专业团队的贡献。设计:在安大略省三家医院康复病房进行定性探索性研究。方法:采用半结构化指南对31名具有1年以上老年或脑卒中医院康复护理经验的注册护士进行访谈。完成了对抄本的归纳性专题分析。发现:出现了四个主题与感知护士的贡献。第一个是治疗实践,指的是与护理点直接相关的行动,包括“动手/放手”、提醒和重复治疗动作。第二,社会心理支持,包括对患者的社会心理支持,以保持他们对康复的参与。护士在协调患者护理和维持患者身体功能以参与康复方面的作用分别构成了第三和第四个主题:协调患者护理和维持患者身体功能。临床相关性:研究结果直接影响到通过在康复病房的跨专业合作中纳入护士,为患者提供最佳结果的优质全人护理。结论:护士意识到他们在解释、演示和实践方面的普遍影响,目标是帮助患者(重新)获得独立性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nurses' Contributions to "Getting Them Better" in Rehabilitation Units: A Case in Canada.

Purpose: The aim of the study was to explore the perceptions of nurses' contributions to inpatient rehabilitation and interprofessional teams in a Canadian context.

Design: A qualitative exploratory study was performed in three Ontario hospital rehabilitation units.

Methods: Thirty-one registered practical nurses having at least 1 year of rehabilitation nursing experience in geriatric or stroke hospital settings were interviewed using a semistructured guide. An inductive thematic analysis of the transcripts was completed.

Findings: Four themes emerged in relation to the perceived contributions of nurses. The first, Therapy Practice, referred to actions directly related to point of care and included "hands-on/hands-off," reminders, and repetition of therapeutic motions. The second, Psychosocial Support, involved the psychosocial support of the patient to maintain their engagement with rehabilitation. The nurse's role in coordinating patient care and maintaining the physical functioning of the patient for participation in rehabilitation formed the third and fourth themes, Coordinating Patient Care and Maintaining Patient Physical Functioning, respectively.

Clinical relevance: The findings have direct implications for delivery of quality whole-person care for optimal patient outcomes through inclusion of nurses in interprofessional collaboration on rehabilitation units.

Conclusion: The nurses identified their pervasive influences in explaining, demonstrating, and practicing with the goal to help the patient to (re)gain independence.

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