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Shirozhan S, Arsalani N, Maddah SSB, Mohammadi-Shahboulaghi F. Rehabilitation nursing care in the acute phase of diseases with physical disabilities: A concept analysis study. Int J Nurs Knowl 2024; 35:83-92. [PMID: 36843246 DOI: 10.1111/2047-3095.12417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 02/05/2023] [Indexed: 02/28/2023]
Abstract
BACKGROUND Despite the importance of rehabilitation nursing care in improving patient outcomes, the provision of this care in the early stages of diseases and injuries is limited. In this situation, analyzing the concept of rehabilitation nursing care can increase nurses' understanding of this concept and improve the provision of rehabilitation nursing care in the acute phase. This study aimed to analyze the concept of rehabilitation nursing care in acute phase of diseases with physical disability. METHOD Walker and Avant's approach to concept analysis was performed in eight stages, including choosing a concept, determining the purpose of analysis, identifying all uses of the concept, defining attributes, identifying a model case, identifying borderline and contrary cases, identifying antecedents and consequences, and defining empirical referents. RESULTS The important characteristics of rehabilitation nursing are comprehensive, education-based, specialized, client and family centered, interprofessional, and need-based. The antecedents of rehabilitation nursing care are related to nurses, the care settings and the nursing profession. The most important consequence of rehabilitation nursing care is improving the quality of life of patients. Rehabilitation nursing care also has positive outcomes for nurses and the healthcare systems. CONCLUSION The findings indicate that rehabilitation nursing care has several attributes that require antecedents such as knowledge and specialized skills such as teamwork skills, effective communication skills, cultural sensitivity, holistic perspective, intuitive thinking, and reasoning. The most important consequence of rehabilitation nursing care is improving the quality of life of patients.
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Affiliation(s)
- Shima Shirozhan
- Department of Nursing, University of Social Welfare and Rehabilitation Science, Tehran, Iran
| | - Narges Arsalani
- Iranian Research Center of Aging, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | | | - Farahnaz Mohammadi-Shahboulaghi
- Iranian Research Center of Aging, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Gu J, Luo L, Li C, Ma S, Gong F. Effects of a Modified Six-Sigma-Methodology-Based Training Program on Core Competencies in Rehabilitation Nurse Specialists. J Korean Acad Nurs 2023; 53:412-425. [PMID: 37673816 DOI: 10.4040/jkan.22122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 06/26/2023] [Accepted: 08/04/2023] [Indexed: 09/08/2023]
Abstract
PURPOSE Nurses play an important role in ensuring patient rehabilitation and are involved in all aspects of multidimensional rehabilitation. Therefore, strengthening rehabilitation nursing education is vital to ascertain high-quality rehabilitation and optimum outcomes. This study examined the effectiveness of a new teaching reform-a modified Six-Sigma-based training program-against a conventional educational program on rehabilitation specialist nurses' core competencies, post-training performance, and satisfaction. METHODS A quasi-randomized controlled trial was conducted to assess the effectiveness of the modified training program. We recruited 56 learners from the 2020 training course at the Hunan Rehabilitation Specialist Nurse Training Base as the control group. Sixty learners from the base's 2021 training course were recruited as the intervention group. Data were collected in a consistent manner from both groups after the training program was implemented. RESULTS Those who underwent the modified training program showed better improvement in all core competencies than those who underwent the conventional training program (p < .05); the scores for theoretical knowledge, clinical nursing lectures, reviews, and nursing case management improved significantly following the teaching reform (p < 0.05). Further, overall satisfaction as well as base management and theoretical teaching satisfaction improved significantly (p < .05). CONCLUSION The modified training program strengthens rehabilitation nurses' base management abilities; enhances their core competencies; expands their interest in and breadth, depth, and practicability of theoretical courses; and updates the teaching methods.
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Affiliation(s)
- Jiayi Gu
- Department of Rehabilitation, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, China
| | - Lan Luo
- Department of Rehabilitation, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, China
| | - Chengjuan Li
- School of Nursing, University of South China, Hengyang, China
| | - Sumin Ma
- School of Nursing, University of South China, Hengyang, China
| | - Fanghua Gong
- Department of Nursing, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, China.
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Janssens O, Embo M, Valcke M, Haerens L. When theory beats practice: the implementation of competency-based education at healthcare workplaces : Focus group interviews with students, mentors, and educators of six healthcare disciplines. BMC MEDICAL EDUCATION 2023; 23:484. [PMID: 37386406 DOI: 10.1186/s12909-023-04446-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 06/13/2023] [Indexed: 07/01/2023]
Abstract
BACKGROUND Work-integrated learning constitutes a large part of current healthcare education. During the last decades, a competency-based educational (CBE) approach has been introduced to reduce the theory-practice gap and to promote continuous competency development. Different frameworks and models have been developed to support CBE implementation in practice. Although CBE is now well-established, implementation at healthcare workplaces remains complex and controversial. This study aims to explore how students, mentors, and educators from different healthcare disciplines perceive the implementation of CBE at the workplace. The six-step model of Embo et al. (2015) was used as a base: (1) competency selection, (2) formulating learning goals, (3) self-monitoring performance, (4) self-assessing competency development, (5) summative assessment of individual competencies, and (6) summative assessment of global professional competence. METHODS Three semi-structured focus group interviews were conducted with (1) five students, (2) five mentors, and (3) five educators. We recruited participants from six different educational programs: audiology, midwifery, nursing (associate degree and bachelor), occupational therapy, or speech therapy. We used thematic analysis combining an inductive and deductive approach. RESULTS An overview of the predefined competencies was hard to find which complicated CBE implementation and resulted in a lack of consistency between the steps; e.g., the link between the selection of relevant competencies (step 1) and the formulation of learning goals based on these selected competencies (step 2) was absent. Furthermore, the analysis of the data helped identifying seven barriers for CBE implementation: (1) a gap between the educational program and the workplace, (2) a lacking overview of predefined competencies, (3) a major focus on technical competencies at the expense of generic competencies, (4) weak formulation of the learning goals, (5) obstacles related to reflection, (6) low feedback quality, and (7) perceived subjectivity of the assessment approach. CONCLUSION The present barriers to CBE implementation lead to a fragmentation of current work-integrated learning. In this way, theory beats practice when it comes to CBE implementation as the theory of CBE is not effectively implemented. However, the identification of these barriers might help to find solutions to optimize CBE implementation. Future research seems critical to optimize CBE so that theory can meet practice and the opportunities of CBE optimize healthcare education.
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Affiliation(s)
- Oona Janssens
- Department of Educational Studies, Faculty of Psychology and Educational Sciences, Ghent University, H. Dunantlaan 2, Ghent, 9000, Belgium.
- Department of Movement and Sports Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, 9000, Belgium.
| | - Mieke Embo
- Department of Educational Studies, Faculty of Psychology and Educational Sciences, Ghent University, H. Dunantlaan 2, Ghent, 9000, Belgium
- Expertise Network Health and Care, Artevelde University of Applied Sciences, Voetweg 66, Ghent, 9000, Belgium
| | - Martin Valcke
- Department of Educational Studies, Faculty of Psychology and Educational Sciences, Ghent University, H. Dunantlaan 2, Ghent, 9000, Belgium
| | - Leen Haerens
- Department of Movement and Sports Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, 9000, Belgium
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Osei SKJ, Adomako-Bempah E, Yeboah AA, Owiredu LA, Ohene LA. Nurse-led telerehabilitation intervention to improve stroke efficacy: Protocol for a pilot randomized feasibility trial. PLoS One 2023; 18:e0280973. [PMID: 37267261 DOI: 10.1371/journal.pone.0280973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 05/10/2023] [Indexed: 06/04/2023] Open
Abstract
BACKGROUND The prevalence of stroke continues to rise in low-middle income countries. The continual rise in stroke cases and increasing prevalence on post-acute needs represent a crucial call for increased accessibility and utilization of rehabilitation services. AIM The primary objective of the study is to test the feasibility of a nurse-led telerehabilitation intervention in improving self-efficacy among stroke survivors. The findings of the trial are intended for use in a future larger study. METHODS Participants would be recruited at the University of Ghana Hospital and randomized into an intervention group and a control group. Participants aged ≥ 18 years, diagnosed of stroke at most 12months prior the recruitment and requiring moderate level of assistance would be considered for eligibility. Participants in the intervention group will receive individualized and comprehensive nurse-led rehabilitation therapies in physical, emotional, cognitive and nursing education domains for 6 months, in addition to treatment as usual (TAU). The control group will only receive treatment as usual. Follow-up evaluations will occur immediately, 30 days and 90 days after the intervention. DISCUSSION Providing stroke rehabilitation services in low-resource settings presents a significant challenge due to limited infrastructure and a lack of trained healthcare professionals. The current study has the potential of contributing to the growing body of evidence on the impact of telerehabilitation services in mitigating these challenges in low-resource settings. TRIAL REGISTRATION PACTR202210685104862, Pan African Clinical Trial Registry.
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Witzig-Brändli V, Zech L, Lange C, Adlbrecht L, Gschwend S, Mayer H, Kohler M. A self-management intervention for people with multiple sclerosis: The development of a programme theory in the field of rehabilitation nursing. EVALUATION AND PROGRAM PLANNING 2023; 99:102302. [PMID: 37167790 DOI: 10.1016/j.evalprogplan.2023.102302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 03/07/2023] [Accepted: 04/29/2023] [Indexed: 05/13/2023]
Abstract
BACKGROUND People with multiple sclerosis (PwMS) have recurrent stays in rehabilitation clinics because of progressive disease. Nurses are key players in supporting PwMS through self-management interventions. However, little is known about the effectiveness, or sustainability of nursing interventions. The aim of this study was to develop a nurse-led self-management intervention and its programme theory for PwMS in one Swiss rehabilitation clinic. METHODS On the basis of the Medical Research Council framework, we developed a theory-based programme for a nurse-led intervention. As key element of the intervention, we created a consulting guidance. RESULTS As part of the programme theory, we created a systematic plan (action model) to illustrate how contextual resources (e.g., skills of the MS nurse and responsibilities of the multidisciplinary team) need to be coordinated. The change model shows how changes in the intervention lead to the achievement of outcomes (e.g., increased self-efficacy). The consulting guidance was refined by PwMS and four Swiss MS experts. CONCLUSIONS An initial programme theory is a solid foundation for the next phases of the theory-based evaluations to refine the programme theory and sustainable implementation of the intervention.
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Affiliation(s)
- Verena Witzig-Brändli
- Eastern Switzerland University of Applied Sciences, School of Health Sciences, Institute of Applied Nursing Science, St. Gallen, Switzerland
| | - Lilian Zech
- Eastern Switzerland University of Applied Sciences, School of Health Sciences, Institute of Applied Nursing Science, St. Gallen, Switzerland; Rehabilitation Centre Valens, Valens, Switzerland
| | - Cordula Lange
- Eastern Switzerland University of Applied Sciences, School of Health Sciences, Institute of Applied Nursing Science, St. Gallen, Switzerland
| | - Laura Adlbrecht
- Eastern Switzerland University of Applied Sciences, School of Health Sciences, Institute of Applied Nursing Science, St. Gallen, Switzerland
| | | | - Hanna Mayer
- Karl Landsteiner University of Health Sciences, Department of General Health Studies, Division Nursing Science with focus on Person-Centred Care Research, Krems, Austria
| | - Myrta Kohler
- Eastern Switzerland University of Applied Sciences, School of Health Sciences, Institute of Applied Nursing Science, St. Gallen, Switzerland; Rehabilitation Centre Valens, Valens, Switzerland.
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Inside Looking Out: Updated Competency Model for Professional Rehabilitation Nursing Practice. Rehabil Nurs 2023; 48:23-38. [PMID: 36541861 DOI: 10.1097/rnj.0000000000000397] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
BACKGROUND The original Association of Rehabilitation Nurses (ARN) Competency Model for Professional Rehabilitation Nursing published in 2016, and updated in 2020, provides a framework for rehabilitation nursing practice. AIM This companion, but stand-alone, article to a 2022 publication further explicates and informs the updated Competency Model from inside looking out toward an increasing application for evidence-based practice (EBP). APPROACH An eight-member 2020 ARN Task Force used an iterative process to review the original four domains and related competencies and came to consensus for the updated model. OUTCOME This model provides revised competency role descriptors or behaviors that guide nurses practicing at different proficiency levels in various settings. CLINICAL RELEVANCE The Competency Model for Professional Rehabilitation Nursing is a premier resource that can advance professional rehabilitation nursing and guide EBP, including evaluation, quality improvement, and research. The model describes the nurse's role on the intra/interprofessional team and fosters collaboration with other healthcare professionals to enhance the quality of life for those affected by disability and chronic illness. CONCLUSION The domains and associated competencies of this model clarify nursing roles at different proficiency levels, and role descriptors reflect current practice, supporting advancement of the specialty practice of rehabilitation nursing well into the 21st century.
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Wang J, Zhang Y, Chen Y, Li M, Jin J. Nurse-Led Motor Function Rehabilitation Program for Acute Ischemic Stroke: A Randomized Pilot Study. J Nurs Res 2022; 30:e249. [PMID: 36445316 DOI: 10.1097/jnr.0000000000000529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Rehabilitation care for patients with stroke in the acute stage must be strengthened. However, the evidence on how to strengthen this care is insufficient. PURPOSE This article was designed to evaluate the feasibility and effectiveness of implementing a nurse-led motor function rehabilitation program on patients with acute ischemic stroke. METHODS From January to October 2018, patients with initial acute ischemic stroke were assigned to one of two groups using a pilot randomized controlled trial design, with one group receiving a nurse-led motor function intervention program developed based on Orem's theory (7 consecutive days, twice daily for 30 minutes, experimental group) and the other receiving usual care (control group). The effectiveness measures included changes in the Motor Assessment Scale, the modified Barthel Index, and the National Institutes of Health Stroke Scale. The feasibility measures included patient retention rate, incidence of adverse events, and acceptance of nurses and patients. RESULTS We assigned 104 patients (male: 55.7%; age: 62.8 ± 13.2 years) to receive either a nurse-led motor function rehabilitation program or usual care. Eighty-eight patients were evaluated after 7 days (87% retention rate), including 43 (83% retention rate) in the experimental group. Patients accepted the intervention well, and no severe adverse events were reported. Nurses had good fidelity and showed high acceptance. The experimental group showed significantly higher postintervention Motor Assessment Scale and modified Barthel Index scores than the control group (p < .001), whereas postintervention National Institutes of Health Stroke Scale scores did not differ significantly between the two groups. CONCLUSIONS/IMPLICATIONS FOR PRACTICE The nurse-led rehabilitation program used in this study was shown to be feasible and effective in improving motor function in patients with acute ischemic stroke. Further study is recommended to determine related clinical recommendations.
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Affiliation(s)
- Jianmiao Wang
- BSN, Doctoral Candidate, Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, PRC
| | - Yuping Zhang
- MSN, RN, Supervisor, Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, PRC
| | - Yuanyuan Chen
- MSN, RN, Nurse Supervisor, Neurology Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, PRC
| | - Mei Li
- MSN, RN, Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, PRC
| | - Jingfen Jin
- MHA, RN, Professor and Executive President, Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU), Hangzhou; Changxing Branch Hospital of SAHZU, Huzhou, PRC
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Social Needs Data to Support Attaining Health Equity. Rehabil Nurs 2022; 47:199-201. [DOI: 10.1097/rnj.0000000000000390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Witzig-Brändli V, Lange C, Gschwend S, Kohler M. "I would stress less if I knew that the nurse is taking care of it": Multiple Sclerosis inpatients' and health care professionals' views of their nursing-experience and nursing consultation in rehabilitation-a qualitative study. BMC Nurs 2022; 21:232. [PMID: 35999594 PMCID: PMC9396844 DOI: 10.1186/s12912-022-01013-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 08/10/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Nurses play a crucial role in the multidisciplinary team in the rehabilitation of multiple sclerosis (MS) patients. However, little is known about patients' and health care professionals' (HCP) experiences (physicians, therapists) with nurses in rehabilitation. The aim of this qualitative study is (i) to describe the rehabilitation nursing care from the perspective of MS patients and HCPs and their view of a nursing consultations (ii) to elaborate similarities and differences of patients' and HCP's views. METHODS We used a qualitative approach and selected the participants purposively. We conducted semi-structured individual MS patient (n = 15) and two focus groups interviews with HCPs (n = 8) in an inpatient rehabilitation clinic in Switzerland. We analysed the data using a structuring content analysis approach. First, we analysed patients' and HCPs' perspectives separately. Afterwards we elaborated similarities and differences descriptively. RESULTS Main categories of patients' perspectives were "need for nursing care" and "relationship between nurses and MS patient". MS patients have mentioned the following points according to a nursing consultation: (i) nurses as advocates, (ii) involvement of relatives (iii) peer groups (iv) contact person. "Nurses in their scope of practice", "nurses as a part of the multidisciplinary team" and "the specifications in the treatment of MS patients" were main categories of HCPs' perspective. MS patients and HCPs demonstrated similarly the importance to have a nurse as a contact person in the multidisciplinary team and the need to integrate a nurse-led peer group in a nursing consultation. While HCPs prefer that relative always be included in nursing consultations, patients provided reasons when inclusion was not desirable. CONCLUSION The results indicate that continuity in the nursing care for MS patients could contribute to a trusting nurse-patient relationship. This facilitates nurses to create a deeper understanding of MS patients and their needs in daily rehabilitation. The need for MS patients to share their concerns and receive scientifically proven knowledge from peers could addressed with a nurse-led peer group.
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Affiliation(s)
- Verena Witzig-Brändli
- Eastern Switzerland University of Applied Sciences, School of Health Sciences, Institute of Applied Nursing Science, Rosenbergstrasse 59, CH-9001, St. Gallen, Switzerland
| | - Cordula Lange
- Eastern Switzerland University of Applied Sciences, School of Health Sciences, Institute of Applied Nursing Science, Rosenbergstrasse 59, CH-9001, St. Gallen, Switzerland
| | - Sabine Gschwend
- Rehabilitation Centre Valens, Taminaplatz 1, CH-7317, Valens, St. Gallen, Switzerland
| | - Myrta Kohler
- Eastern Switzerland University of Applied Sciences, School of Health Sciences, Institute of Applied Nursing Science, Rosenbergstrasse 59, CH-9001, St. Gallen, Switzerland.
- Rehabilitation Centre Valens, Taminaplatz 1, CH-7317, Valens, St. Gallen, Switzerland.
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Brenner R, Witzig-Brändli V, Vetsch J, Kohler M. Nursing Interventions Focusing on Self-efficacy for Patients With Multiple Sclerosis in Rehabilitation: A Systematic Review. Int J MS Care 2022; 24:189-198. [PMID: 35875457 DOI: 10.7224/1537-2073.2021-166] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
BACKGROUND Rehabilitative nursing interventions are vital in the treatment of multiple sclerosis (MS), but there is a lack of evidence on the effectiveness of such interventions. This review aims to summarize outcomes of nurse-led rehabilitation interventions for patients with MS, focusing on patients' self-efficacy and self-management and their satisfaction with the intervention. This review is the first step of our overarching goal of developing, implementing, and evaluating a research-supported nursing consultation intervention in inpatient rehabilitation. METHODS We searched 3 databases from their dates of inception until April 2020 (and performed another search in August 2021) for studies involving adult patients diagnosed as having MS. We focused on studies with interventions aimed at self-efficacy and self-management of MS and studies on intervention satisfaction. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. RESULTS We included 4 studies in this review with a total of 271 participants. All interventions were educational and included training programs. All studies assessed self-efficacy, and all identified an improvement in self-efficacy, particularly through group training interventions. One study focused on self-management, reporting an improvement resulting from the intervention. Two studies evaluating satisfaction with the intervention obtained good overall satisfaction scores from participants, and 1 study's program was strongly recommended by participants. CONCLUSIONS This review indicates that self-efficacy and self-management abilities may be effectively promoted, particularly through group training interventions. An intervention tailored and adapted to the needs of patients with MS may promote satisfaction with the intervention and might consequently improve adherence to rehabilitation interventions.
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Affiliation(s)
- Rouven Brenner
- Department of Health, Eastern Switzerland University of Applied Sciences, St Gallen, Switzerland (RB, VW-B, JV, MK)
| | - Verena Witzig-Brändli
- Department of Health, Eastern Switzerland University of Applied Sciences, St Gallen, Switzerland (RB, VW-B, JV, MK)
| | - Janine Vetsch
- Department of Health, Eastern Switzerland University of Applied Sciences, St Gallen, Switzerland (RB, VW-B, JV, MK)
| | - Myrta Kohler
- Department of Health, Eastern Switzerland University of Applied Sciences, St Gallen, Switzerland (RB, VW-B, JV, MK)
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Construction of Talent Competency Model for Senior Care Professionals in Intelligent Institutions. Healthcare (Basel) 2022; 10:healthcare10050914. [PMID: 35628051 PMCID: PMC9141205 DOI: 10.3390/healthcare10050914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Revised: 05/08/2022] [Accepted: 05/10/2022] [Indexed: 02/04/2023] Open
Abstract
As the problem of the aging population becomes more and more serious, building an intelligent senior care service model and optimizing the senior care service industry become key to the development of the senior care service industry. The key to developing intelligent senior care services is to improve the overall senior care personnel quality and construct a competency model of intelligent institutional senior care professionals. This study used literature research and interviews to establish 31 relevant institutional senior care professional talent competency elements. We proposed six research propositions, prepared questionnaires for empirical analysis, and took caregivers of senior care institutions implementing intelligent management in some cities in Hebei Province, China as samples. This study established and validated 28 competency quality index models of senior care professionals in intelligent institutions in four dimensions: nursing knowledge, professional ability, personal quality, and professional attitude through exploratory factor analysis and confirmatory factor analysis. Based on the index system, this study suggests three aspects: improving the talent recruitment and selection mechanism, talent training and development mechanism, and assessment and incentive mechanism. The traditional talent competency model only focuses on fundamental aspects, such as competence. This study comprehensively establishes an evaluation model from four aspects, providing theoretical and practical significance for selecting and developing talents in intelligent institutions.
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Social Influences on Perceptions of Sense of Control and Attributed Dignity Among Older People Managing Multiple Chronic Conditions. Rehabil Nurs 2022; 47:92-98. [DOI: 10.1097/rnj.0000000000000369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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de Goumoëns V, Ayigah K, Joye D, Ryvlin P, Ramelet AS. The Development of an Early Intervention for Supporting Families of Persons With Acquired Brain Injuries: The SAFIR © Intervention. JOURNAL OF FAMILY NURSING 2022; 28:6-16. [PMID: 34617490 PMCID: PMC8814967 DOI: 10.1177/10748407211048217] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Families of persons with acquired brain injuries need to be supported from the early phase of hospitalization. To date, no known early family intervention is available for this population. Using the Medical Research Council Framework, we developed a new intervention based on the Calgary Assessment and Intervention Models that includes the family preferences, clinician's expertise, and the contextual resources. This paper aims to describe the complete development process including a scoping review, an assessment of families and clinicians' needs, an evaluation of the contextual resources, and an adaptation of the theoretical framework. Using a systemic perspective, we tailored the new intervention to involve the stakeholder's preferences. The result is an early family intervention named SAFIR©, led by a clinical nurse specialist, including five core components and structured around three phases and a follow-up. The next steps will be focused on assessment of the clinical feasibility of this new intervention.
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Affiliation(s)
- Véronique de Goumoëns
- La Source School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Av. Vinet 30, Lausanne
- University Institute of Higher Education and Research in Healthcare, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
- Lausanne University Hospital, (CHUV), Lausanne, Switzerland
- HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland
| | - Koffi Ayigah
- HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland
| | - Daniel Joye
- Lausanne University Hospital, (CHUV), Lausanne, Switzerland
| | | | - Anne-Sylvie Ramelet
- University Institute of Higher Education and Research in Healthcare, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
- Lausanne University Hospital, (CHUV), Lausanne, Switzerland
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Danielis M, Fantini M, Sbrugnera S, Colaetta T, Maestra MR, Mesaglio M, Palese A. Missed nursing care in a long-term rehabilitation setting: findings from a cross-sectional study. Contemp Nurse 2022; 57:407-421. [PMID: 35023449 DOI: 10.1080/10376178.2022.2029515] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Background: There is a growing amount of literature that links missed nursing care (MNC) to negative patient outcomes, reduced patient safety, and poor quality of care. However, only few studies have investigated this phenomenon in long-term rehabilitation settings.Aim: To explore MNC occurrence, type, reasons, and predictors in three rehabilitation units.Design: A cross-sectional study was performed between August and September 2017.Method: 95 registered nurses and nursing assistants completed section A (interventions missed) and section B (perceived reasons for MNC) of the MISSCARE Survey tool. Descriptive, bivariate, and linear regression analyses were performed.Findings: The top missed elements were patient ambulation (score 2.4 out of 5, Standard Deviation [SD] 0.8), mouth care (2.3, SD 0.8), and participation to multidisciplinary meetings (2.3, SD 1.1). Lack of personnel was the most frequent reason reported for MNC with a score of 2.9 out of 4 (SD 0.9). At the linear regression analysis, advanced nursing education (β = 3.58, CI 95% 1.32-5.84) and inadequate handovers (β = 3.64, CI 95% 0.37-6.91) both increased the perception of MNC occurrence.Conclusion: MNC occurrence in rehabilitation settings appears to be lower than in other contexts; however, the most commonly missed elements are similar to those reported in other settings. As good strategies to detect the difference between expected nursing care and the one delivered to patients, advanced education and good quality handovers seem beneficial. Further research is needed to establish more evidence on predictors by developing longitudinal study designs.
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Affiliation(s)
- Matteo Danielis
- Nurse Educator, Department of Medical Sciences, Udine University, Italy
| | - Michela Fantini
- Nurse Coordinator, Department of Rehabilitation Medicine, Gervasutta Hospital, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - Sonia Sbrugnera
- Nurse Coordinator, Department of Rehabilitation Medicine, Gervasutta Hospital, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - Tiziana Colaetta
- Nurse Coordinator, Department of Rehabilitation Medicine, Gervasutta Hospital, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - Maria Rosa Maestra
- Nurse Coordinator, Department of Rehabilitation Medicine, Gervasutta Hospital, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - Maura Mesaglio
- Chief Nursing Officer, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - Alvisa Palese
- Associate Professor, Department of Medical Sciences, Udine University, Italy
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Camicia M, Lutz B, Summers D, Klassman L, Vaughn S. Nursing's Role in Successful Stroke Care Transitions Across the Continuum: From Acute Care Into the Community. Stroke 2021; 52:e794-e805. [PMID: 34727736 DOI: 10.1161/strokeaha.121.033938] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Facilitating successful care transitions across settings is a key nursing competency. Although we have achieved improvements in acute stroke care, similar advances in stroke care transitions in the postacute and return to community phases have lagged far behind. In the current delivery system, care transitions are often ineffective and inefficient resulting in unmet needs and high rates of unnecessary complications and avoidable hospital readmissions. Nurses must use evidence-based approaches to prepare stroke survivors and their family caregivers for postdischarge self-management, rehabilitation, and recovery. The purpose of this article is to provide evidence on the important nursing roles in stroke care and transition management across the care continuum, discuss cross-setting issues in stroke care, and provide recommendations to leverage nursing's impact in optimizing outcomes for stroke survivors and their family unit across the continuum. To optimize nursing's influence in facilitating safe, effective, and efficient care transitions for stroke survivors and their family caregivers across the continuum we have the following recommendations (1) establish a system of coordinated and seamless comprehensive stroke care across the continuum and into the community; (2) implement a stroke nurse liaison role that provides consultant case management for the episode of care across all settings/services for improved consistency, communication and follow-up care; (3) implement a validated caregiver assessment tool to systematically assess gaps in caregiver preparedness and develop a tailored caregiver/family care plan that can be implemented to improve caregiver preparedness; (4) use evidence-based teaching and communication methods to optimize stroke survivor/caregiver learning; and (5) use technology to advance stroke nursing care. Nurses must leverage their substantial influence over the health care delivery system to achieve these improvements in stroke care delivery to improve the health and lives of stroke survivors and their families.
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Affiliation(s)
- Michelle Camicia
- Kaiser Foundation Rehabilitation Center, Kaiser Permanente, Vallejo, CA (M.C.)
| | | | | | - Lynn Klassman
- Advocate Lutheran General Hospital, Park Ridge, IL (L.K.)
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16
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Exploring the role of nurses in inpatient rehabilitation care teams – a scoping review. Int J Nurs Stud 2021; 128:104134. [DOI: 10.1016/j.ijnurstu.2021.104134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 11/03/2021] [Accepted: 11/04/2021] [Indexed: 11/23/2022]
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Abstract
BACKGROUND The Competency Model for Professional Rehabilitation Nursing is a lens through which nurses can view their practice; the four domains provide a template that guides that practice. PURPOSE The aim of this study was to describe a task force's review procedures and share the updated model. APPRAISAL PROCESS A rehabilitation nursing task force appraised the model over the course of 1 year. REVISION OUTCOMES The original four domains remain, with wording changes for content and clarity throughout. Notable changes include (1) new competency for Domain 1 that focuses on the understanding of the worldview of individuals who are culturally different and (2) case stories for each domain related to nurses' proficiency (beginner, intermediate, and expert). CLINICAL RELEVANCE This updated model can be used to explicate the rehabilitation nurses' role on intra/interprofessional teams, as well as provide a framework for education and staff orientation/performance evaluation. CONCLUSION This competency model reflects the current practice and advances of the specialty practice of rehabilitation nursing.
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Camicia ME, Ann Laslo M, Lutz BJ. Implementing a Caregiver Assessment and Tailored Plan: An Emerging Case Management Competency. Prof Case Manag 2021; 26:205-213. [PMID: 34021107 DOI: 10.1097/ncm.0000000000000513] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Michelle E Camicia
- Michelle E. Camicia, PhD, RN, CRRN, CCM, NEA-BC, FARN, FAHA, FAAN , is the Director of Operations for Kaiser Foundation Rehabilitation Center. She is an international leader in rehabilitation and nursing, with expertise in care transitions for individuals with chronic and disabling conditions. Dr. Camicia received her PhD from the Betty Irene Moore School of Nursing at the University of California Davis. Her research focuses on health service delivery and assessing and addressing the needs of family caregivers
- Mary Ann Laslo, MSN, RN, CRRN, CCM, CNL, has expertise in care transitions for individuals with chronic and disabling conditions. Her research focuses on health service delivery and assessing and addressing the needs of family caregivers. She is a Clinical Practice Consultant at the Kaiser Foundation Rehabilitation Center in Vallejo, California. She has extensive experience in rehabilitation nursing, case management, and quality, including extensive managerial, organizational, and education/program development capabilities in acute and postacute rehabilitation
- Barbara J. Lutz, PhD, RN, CRRN, PHNA-BC, FAHA, FAAN, is the McNeill Distinguished Professor at the University of North Carolina-Wilmington School of Nursing. Her research focuses on understanding the needs and experiences of patients with chronic disabling illnesses and their family caregivers as they move through the continuum of care, from acute care to home
| | - Mary Ann Laslo
- Michelle E. Camicia, PhD, RN, CRRN, CCM, NEA-BC, FARN, FAHA, FAAN , is the Director of Operations for Kaiser Foundation Rehabilitation Center. She is an international leader in rehabilitation and nursing, with expertise in care transitions for individuals with chronic and disabling conditions. Dr. Camicia received her PhD from the Betty Irene Moore School of Nursing at the University of California Davis. Her research focuses on health service delivery and assessing and addressing the needs of family caregivers
- Mary Ann Laslo, MSN, RN, CRRN, CCM, CNL, has expertise in care transitions for individuals with chronic and disabling conditions. Her research focuses on health service delivery and assessing and addressing the needs of family caregivers. She is a Clinical Practice Consultant at the Kaiser Foundation Rehabilitation Center in Vallejo, California. She has extensive experience in rehabilitation nursing, case management, and quality, including extensive managerial, organizational, and education/program development capabilities in acute and postacute rehabilitation
- Barbara J. Lutz, PhD, RN, CRRN, PHNA-BC, FAHA, FAAN, is the McNeill Distinguished Professor at the University of North Carolina-Wilmington School of Nursing. Her research focuses on understanding the needs and experiences of patients with chronic disabling illnesses and their family caregivers as they move through the continuum of care, from acute care to home
| | - Barbara J Lutz
- Michelle E. Camicia, PhD, RN, CRRN, CCM, NEA-BC, FARN, FAHA, FAAN , is the Director of Operations for Kaiser Foundation Rehabilitation Center. She is an international leader in rehabilitation and nursing, with expertise in care transitions for individuals with chronic and disabling conditions. Dr. Camicia received her PhD from the Betty Irene Moore School of Nursing at the University of California Davis. Her research focuses on health service delivery and assessing and addressing the needs of family caregivers
- Mary Ann Laslo, MSN, RN, CRRN, CCM, CNL, has expertise in care transitions for individuals with chronic and disabling conditions. Her research focuses on health service delivery and assessing and addressing the needs of family caregivers. She is a Clinical Practice Consultant at the Kaiser Foundation Rehabilitation Center in Vallejo, California. She has extensive experience in rehabilitation nursing, case management, and quality, including extensive managerial, organizational, and education/program development capabilities in acute and postacute rehabilitation
- Barbara J. Lutz, PhD, RN, CRRN, PHNA-BC, FAHA, FAAN, is the McNeill Distinguished Professor at the University of North Carolina-Wilmington School of Nursing. Her research focuses on understanding the needs and experiences of patients with chronic disabling illnesses and their family caregivers as they move through the continuum of care, from acute care to home
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Wang J, Zhang Y, Chen Y, Li M, Yang H, Chen J, Tang Q, Jin J. Effectiveness of Rehabilitation Nursing versus Usual Therapist-Led Treatment in Patients with Acute Ischemic Stroke: A Randomized Non-Inferiority Trial. Clin Interv Aging 2021; 16:1173-1184. [PMID: 34188460 PMCID: PMC8233001 DOI: 10.2147/cia.s306255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 05/13/2021] [Indexed: 01/17/2023] Open
Abstract
Purpose To determine the effectiveness of rehabilitation nursing program interventions in patients with acute ischemic stroke. Patients and Methods An assessment-blinded randomized controlled trial was conducted at a tertiary referral hospital in China. Eligible patients were stratified according to their weighted corticospinal tract lesion load and then randomly assigned to an experimental group (n = 121) or a control group (n = 103). The experimental group received rehabilitation nursing from well-trained, qualified nurses (30 minutes per session, two sessions per day for seven consecutive days). The control group received therapist-led rehabilitation with the same timing and frequency. Comparative analysis of the primary outcomes was performed to determine non-inferiority with a predetermined non-inferiority margin. The primary outcomes were the Motor Assessment Scale, Fugl-Meyer Assessment, and the Action Research Arm Test assessed at baseline and after seven days of treatment. The secondary outcomes were the modified Barthel Index, the National Institutes of Health Stroke Scale, and the modified Rankin Scale, evaluated before and after the intervention and at 4 and 12 weeks of follow-up. Results Two hundred participants completed the trial. In both groups, all outcomes improved significantly after seven days and at follow-ups. The rehabilitation nursing program was non-inferior to therapist-led treatment with lower 95% confidence limits beyond the margins for primary outcomes (P < 0.001). Conclusion Both treatments had comparable effects; however, no definite conclusion could be drawn. Adequately powered studies are required.
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Affiliation(s)
- Jianmiao Wang
- Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China
| | - Yuping Zhang
- Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China
| | - Yuanyuan Chen
- Neurology Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China
| | - Mei Li
- Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China
| | - Hongyan Yang
- Neurology Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China
| | - Jinhua Chen
- Neurology Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China
| | - Qiaomin Tang
- Neurology Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China
| | - Jingfen Jin
- Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China.,Changxing Branch Hospital, The Second Affiliated Hospital of Zhejiang University School of Medicine, Huzhou, Zhejiang Province, People's Republic of China
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20
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Martín-Losada L, Parro-Moreno AI, Serrano-Gallardo MP, González-Blázquez C, Sánchez-García M, González-Álvaro N, Huerta-Ruiz M, De Souza-Lucio J, Fernández-Guijarro P, Carrillo-Alcalá ME, Solís-Muñoz M. Efficacy of prompted voiding for reversing urinary incontinence in older adults hospitalized in a functional recovery unit: Study protocol. J Adv Nurs 2021; 77:3542-3552. [PMID: 34142726 DOI: 10.1111/jan.14918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2020] [Revised: 01/26/2021] [Accepted: 05/08/2021] [Indexed: 11/26/2022]
Abstract
AIMS To assess the efficacy of a prompted voiding programme for restoring urinary continence at discharge in hospitalized older adults who presented with reversible urinary incontinence (UI) on admission to a functional recovery unit (FRU). To assess the maintenance of the outcomes achieved after hospitalization. To identify modifiable and unmodifiable factors associated with the success of the prompted voiding programme. DESIGN Quasi-experimental, pre-/post-intervention study without a control group. METHODS Participants were aged 65 and over with a history of reversible UI in the previous year who had been admitted to a FRU and were on a prompted voiding programme throughout their hospitalization period. The sample consisted of 221 participants. A non-probabilistic sampling method, in order of recruitment after signing the informed consent form, was used. The primary outcomes were UI assessed at discharge and 1 month, 3 months and 6 months after discharge. Funding was granted in July 2019 by the Spain Health Research Fund (PI19/00168, Ministry of Health). The proposal was approved by the Spanish Research Ethics Committee. DISCUSSION The prompted voiding programme described can reverse UI or decrease the frequency and amount of urine loss in hospitalized older adults. IMPACT Urinary incontinence is highly prevalent in hospitalized older adults. There is a need for care aimed at prevention, recovery and symptom control. Prompted voiding is a therapy provided by the nursing team during hospitalization and can also be provided by family caregivers at home after receiving proper training by the nursing team. Prompted voiding will enhance the health, functional ability and quality of life of older adults with UI, resulting in the reduction of associated healthcare costs and the risk of developing complications.
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Affiliation(s)
- Laura Martín-Losada
- Functional Recovery Unit, Guadarrama Hospital, Madrid, Spain.,Grupo de Investigación de Enfermería y Cuidados en Salud, Instituto de Investigación Sanitaria Puerta de Hierro - Segovia de Arana, Madrid, Spain
| | - Ana Isabel Parro-Moreno
- Grupo de Investigación de Enfermería y Cuidados en Salud, Instituto de Investigación Sanitaria Puerta de Hierro - Segovia de Arana, Madrid, Spain.,Nursing Department, Autonomous University of Madrid, Madrid, Spain
| | - María Pilar Serrano-Gallardo
- Grupo de Investigación de Enfermería y Cuidados en Salud, Instituto de Investigación Sanitaria Puerta de Hierro - Segovia de Arana, Madrid, Spain.,Nursing Department, Autonomous University of Madrid, Madrid, Spain
| | - Cristina González-Blázquez
- Grupo de Investigación de Enfermería y Cuidados en Salud, Instituto de Investigación Sanitaria Puerta de Hierro - Segovia de Arana, Madrid, Spain.,Nursing Department, Autonomous University of Madrid, Madrid, Spain
| | | | | | | | | | | | | | - Montserrat Solís-Muñoz
- Grupo de Investigación de Enfermería y Cuidados en Salud, Instituto de Investigación Sanitaria Puerta de Hierro - Segovia de Arana, Madrid, Spain.,Care Research Unit, Puerta de Hierro University Hospital, Madrid, Spain
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21
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Gutenbrunner C, Stievano A, Stewart D, Catton H, Nugraha B. ROLE OF NURSING IN REHABILITATION. JOURNAL OF REHABILITATION MEDICINE - CLINICAL COMMUNICATIONS 2021; 4:1000061. [PMID: 34276905 PMCID: PMC8215228 DOI: 10.2340/20030711-1000061] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Accepted: 05/01/2021] [Indexed: 11/16/2022]
Abstract
Evidence shows that, in order to attain optimum outcomes, rehabilitation interventions should be delivered by multi-professional teams. A rehabilitation nurse is one of the relevant rehabilitation professionals. The model of nursing care has shifted from the traditional model (a passive role of patients) to a complex and modern concept of nursing in supporting patients to independently and actively perform self-care. This paper briefly introduces the role of nurses in rehabilitation, from the point of view of rehabilitation service delivery, which is relevant in all phases and types of rehabilitation care, including acute rehabilitation, post-acute rehabilitation, long-term rehabilitation, nursing home and geriatric care, and in community- based rehabilitation service.
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Affiliation(s)
- Christoph Gutenbrunner
- Department of Rehabilitation Medicine, Hannover Medical School, , Hannover, Germany.,The Global Rehabilitation Alliance, Department of Rehabilitation Medicine, Hannover Medical School, Hannover, Germany
| | | | - David Stewart
- International Council of Nurses, Geneva, Switzerland
| | - Howard Catton
- International Council of Nurses, Geneva, Switzerland
| | - Boya Nugraha
- Department of Rehabilitation Medicine, Hannover Medical School, , Hannover, Germany.,The Global Rehabilitation Alliance, Department of Rehabilitation Medicine, Hannover Medical School, Hannover, Germany
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22
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Granados Santiago M, Valenza MC, Prados Román E, López López L, Muñoz Vigueras N, Cabrera Martos I, Cebrià I Iranzo MÀ. Impacts of tailored, rehabilitation nursing care on functional ability and quality of life in hospitalized elderly patients after rib fractures. Clin Rehabil 2021; 35:1544-1554. [PMID: 34092117 DOI: 10.1177/02692155211022734] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES We aimed to analyze the effects of a tailored rehabilitation nursing care program on functional ability and quality of life in patients with conservative treatment for rib fractures. DESIGN Randomized controlled trial. SETTING Inpatient rehabilitation hospital. SUBJECTS Rib fracture patients treated conservatively were randomized into two groups (experimental and control group). INTERVENTIONS Patients in control group received Treatment as Usual (TAU) and patients included in experimental group received TAU and an added tailored rehabilitation nursing care program (RNT). MAIN MEASURES At baseline, and end of hospitalization treatment, the functional ability was assessed with the Barthel Index, and the quality of life was evaluated with the EuroQol-5D. Additionally, the outcomes were assessed at six-month follow-up. RESULTS A total of 80 patients were included in the study, whose mean age was 77.19 SD 7.71 in the RNT group and 75.55 SD 9.46 in the TAU group. Our data showed a significant difference in the post-treatment gains in overall quality of life (74.25 SD 20.62 vs 60.28 SD 20.54), and functional ability (71.79 SD 23.85 vs 69.41 SD 24.30) between the RNT group and the TAU group (P < 0.05). Compared to the TAU group, the RNT group also showed a significant improvement in functional ability and quality of life at six-month follow-up. CONCLUSIONS A tailored rehabilitation nursing care program added to the conservative treatment during hospitalization can improve the functional ability and quality of life of patients after rib fractures at discharge and at six-month follow-up. TRIAL REGISTRATION ClinicalTrial.gov Identifier: NCT04168996.
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Affiliation(s)
| | - Marie Carmen Valenza
- Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Esther Prados Román
- Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Laura López López
- Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Natalia Muñoz Vigueras
- Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Irene Cabrera Martos
- Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain
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23
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Gutenbrunner C, Stievano A, Nugraha B, Stewart D, Catton H. Nursing - a core element of rehabilitation. Int Nurs Rev 2021; 69:13-19. [PMID: 33506550 DOI: 10.1111/inr.12661] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 12/07/2020] [Accepted: 12/29/2020] [Indexed: 11/30/2022]
Abstract
AIM 2020 was been acknowledged by the World Health Organization as the International Year of the Nurse and the Midwife. On this occasion, the Global Rehabilitation Alliance and the International Council of Nurse would like to conceptually reflect the role of nurses in rehabilitation. BACKGROUND Rehabilitation and nursing are strictly ingrained. Rehabilitation aims at improving, reaching and maintaining optimal functioning of persons with disability and persons with health conditions experiencing disability. Nursing is defined as use of clinical judgement in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life. Nursing has a crucial role in all phases of rehabilitation care (acute, post-acute and long-term rehabilitation). Nurses deliver rehabilitation in many settings, in nursing homes and community-based rehabilitation. The main principle is not to deliver care for the patient but deliver care with the patient. This includes explaining, demonstrating and practising with the goal to help the patient to (re-)gain independence. DISCUSSION Nurses play an important role in delivering rehabilitation and are involved in all aspects of the multidimensional rehabilitation process. One of the important points is that in most settings, nurses are the professionals with a prolonged relationship with patients and families, and may have the best insight into the patients' personal and contextual factors with regard to the rehabilitation process. CONCLUSION AND IMPLICATIONS FOR NURSING AND/OR HEALTH POLICY Strengthening nursing in rehabilitation is a vital factor to deliver high-quality rehabilitation and to achieve optimum outcomes. For this reason, we urge all relevant stakeholders at governmental and rehabilitation service provider levels to work towards these goals.
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Affiliation(s)
- C Gutenbrunner
- Department of Rehabilitation Medicine, Hannover Medical School, Hannover, Germany.,The Global Rehabilitation Alliance, Department of Rehabilitation Medicine, Hannover Medical School, Hannover, Germany
| | - A Stievano
- Center of Excellence for Nursing Scholarship OPI Rome, Rome, Italy
| | - B Nugraha
- Department of Rehabilitation Medicine, Hannover Medical School, Hannover, Germany.,The Global Rehabilitation Alliance, Department of Rehabilitation Medicine, Hannover Medical School, Hannover, Germany
| | - D Stewart
- International Council of Nurse, Geneva, Switzerland
| | - H Catton
- International Council of Nurse, Geneva, Switzerland
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24
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Kannisto K, Hirvonen E, Koivuniemi M, Teeri S, Asikainen P, Koivunen M. Daily functioning support - a qualitative exploration of rehabilitative approach in acute hospitalised care. Scand J Caring Sci 2021; 35:1342-1351. [PMID: 33394504 DOI: 10.1111/scs.12954] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Accepted: 12/13/2020] [Indexed: 12/11/2022]
Abstract
OBJECTIVES Hospitalised patients are at risk of temporary or permanent loss of functioning which impacts their future independence. Implementation of a rehabilitative approach in everyday nursing in the acute care setting may produce good therapeutic results and promote independent daily living of patients. Thus, the aim of the study was to explore and understand the patterns of a rehabilitative approach in acute hospital wards from the perspective of interdisciplinary team members. Specifically, our aim was to identify the factors promoting and preventing a rehabilitative approach. METHOD We conducted four focus group interviews with 21 participants, including multidisciplinary team members from acute hospital wards. Data were analysed with conventional inductive content analysis. RESULTS The findings highlighted that the rehabilitative approach, as a personal way of working and personal working attitude, was a part of comprehensive nursing. The main goals of the rehabilitative approach were to support the physical functioning of the patients and their independent initiative and individuality during clinical care in hospital ward. The promoting and preventing factors that influenced the development of the rehabilitative approach consisted of personal factors, organisational factors and the physical settings of the hospital wards. CONCLUSION The findings of this study indicate that the rehabilitative approach in nursing focused on supporting the physical functioning, independence and self-confidence of the patient. The staff highlighted that interdisciplinary teamwork was one feature of the rehabilitative approach. The rehabilitative approach in nursing should be established as a part of everyday activity in clinical practice.
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Affiliation(s)
- Kati Kannisto
- Satakunta Hospital District, Pori, Finland.,SataDiag, Hospital District of Satakunta Public Utility of Diagnostic and Related Services, Pori, Finland
| | | | - Minna Koivuniemi
- Satakunta Hospital District, Pori, Finland.,Turku School of Economics, Pori, Finland
| | - Sari Teeri
- Satakunta University of Applied Sciences, Pori, Finland
| | - Paula Asikainen
- Satakunta Hospital District, Pori, Finland.,Nursing Science, Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Marita Koivunen
- Satakunta Hospital District, Pori, Finland.,Department of Nursing Science, University of Turku, Turku, Finland
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25
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Blay N, Pelosi J. Historical exploration of the work and workload of the WW1 nurse in an Australian auxiliary hospital. Collegian 2020. [DOI: 10.1016/j.colegn.2020.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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26
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Mardani A, Griffiths P, Vaismoradi M. The Role of the Nurse in the Management of Medicines During Transitional Care: A Systematic Review. J Multidiscip Healthc 2020; 13:1347-1361. [PMID: 33154651 PMCID: PMC7608001 DOI: 10.2147/jmdh.s276061] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Accepted: 09/04/2020] [Indexed: 01/22/2023] Open
Abstract
PURPOSE To synthesise knowledge and to explore the role of the nurse in medicines management during transitional care. METHODS An integrative systematic review was conducted. Electronic databases such as PubMed [including Medline], Web of Knowledge, Scopus, and Cinahl from January 2010 to April 2020 were searched. Original qualitative and quantitative studies written in English that focused on the role of the nurse in medicines management during transitional care, which included movement between short-term, long-term, and community healthcare settings were included. RESULTS The search process led to the retrieval of 10 studies, which were published in English from 2014 to 2020. They focused on the role of the nurse in patients' medicines management during transitional care in various healthcare settings. Given variations in the aims and methods of selected studies, the review findings were presented narratively utilizing three categories developed by the authors. In the first category as 'medication reconciliation process' the nurse participated in obtaining medication history, performing medication review, identifying medication discrepancies, joint medication reconciliation and adjustment. The second category as 'collaboration with other healthcare providers' highlighted the nurses' role in clarifying medicines' concerns, interdisciplinary communication and consultation, discharge planning and monitoring. In the third category as 'provision of support to healthcare recipients', the nurse was responsible for interpersonal communication with patients, education about medicines, and simplification of medication regimens, and symptoms management during transitional care. CONCLUSION Nurses play a crucial role in the safety of medicines management during transitional care. Therefore, they should be empowered and more involved in medicines management initiatives in the healthcare system. Patient safety and avoidance of medication errors during transitional care require that medicines management becomes a multidisciplinary collaboration with effective communication between healthcare providers.
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Affiliation(s)
- Abbas Mardani
- Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
| | - Pauline Griffiths
- Department of Nursing, College of Human and Health Sciences, Swansea University, Swansea, Wales, UK
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27
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Savioni L, Triberti S. Cognitive Biases in Chronic Illness and Their Impact on Patients' Commitment. Front Psychol 2020; 11:579455. [PMID: 33192894 PMCID: PMC7655771 DOI: 10.3389/fpsyg.2020.579455] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Accepted: 09/22/2020] [Indexed: 12/21/2022] Open
Affiliation(s)
- Lucrezia Savioni
- Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.,Applied Research Division for Cognitive and Psychological Science, IEO European Institute of Oncology IRCCS, Milan, Italy
| | - Stefano Triberti
- Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.,Applied Research Division for Cognitive and Psychological Science, IEO European Institute of Oncology IRCCS, Milan, Italy
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28
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Tuomisto S, Koivula M, Åstedt-Kurki P, Helminen M. Family composition and living arrangements-Cross-sectional study on family involvement to self-managed rehabilitation of people with coronary artery disease. Nurs Open 2020; 7:1715-1724. [PMID: 33072355 PMCID: PMC7544853 DOI: 10.1002/nop2.555] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 05/21/2020] [Accepted: 06/11/2020] [Indexed: 11/24/2022] Open
Abstract
Aim To describe the family composition and living arrangements of persons diagnosed with coronary artery disease and those relationships to family involvement in self‐managed rehabilitation. Design A cross‐sectional study. Methods Data were collected with postal questionnaire from persons diagnosed with coronary artery disease (CAD) by using the Family Involvement in Rehabilitation (FIRE) scale. It measures family members' promotion of patients' rehabilitation and issues encumbering rehabilitation in family. Statistical methods were used to analyse the data. Results Patients' gender and having children in the family were predictors of issues encumbering rehabilitation in the family. But when examining living arrangements, patients who lived with a spouse or underage children had a better environment for recovery than those who lived alone or with adult children. More attention should be paid to targeting appropriate support for persons with coronary artery disease and their family members during the rehabilitation phase.
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Affiliation(s)
- Sonja Tuomisto
- Faculty of Social Sciences Health Sciences University of Tampere Tampere Finland
| | - Meeri Koivula
- Faculty of Social Sciences Health Sciences University of Tampere Tampere Finland
| | - Päivi Åstedt-Kurki
- Faculty of Social Sciences Health Sciences University of Tampere Tampere Finland.,Pirkanmaa Hospital District Tampere Finland
| | - Mika Helminen
- Faculty of Social Sciences Health Sciences University of Tampere Tampere Finland.,Research, Development and Innovation Centre Tampere University Hospital Tampere Finland
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Methodology Proposal for the Management of Nursing Competencies towards a Strategic Training. A Theoretical Analysis. Healthcare (Basel) 2020; 8:healthcare8020170. [PMID: 32545771 PMCID: PMC7349343 DOI: 10.3390/healthcare8020170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Revised: 06/06/2020] [Accepted: 06/10/2020] [Indexed: 12/04/2022] Open
Abstract
Professional and academic legislation relating to nursing skills reflects conceptual and professional developments. In this sense, conceptual and methodological analyses are required to describe the concept of nursing competencies, the individual or group self-perception of competencies, to identify training needs, and to specify the nursing professional profile within the health organization. A sequential mixed methodology was proposed combining qualitative and quantitative approaches. The qualitative methodology involves the Focus Group and the Delphi technique. The quantitative methodology involves surveying and analyzing self-perception (descriptive and analytical in relation to personal and professional variables and levels of excellence). The methodology was piloted among primary care nurses. Competencies were analyzed and distributed across the training program. The combination of qualitative and quantitative methods showed that obtaining a deep insight into the nurses’ competencies would be a good process. This proposal is applicable as an approach to global nursing competencies or to a particular specialty.
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Wade DT. What attributes should a specialist in rehabilitation have? Seven suggested specialist Capabilities in Practice. Clin Rehabil 2020; 34:995-1003. [PMID: 32466680 DOI: 10.1177/0269215520925869] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PROBLEM Many services and professionals refer to themselves as providing rehabilitation. There is no agreed method for determining whether someone has specific expertise in rehabilitation. This makes it difficult for patients and payers to know whether professionals who claim to provide rehabilitation are specifically expert in rehabilitation. CONTEXT Doctors have a medical speciality of rehabilitation. The medical training curriculum gives attributes that differentiate a rehabilitation specialist from other doctors. Until recently, these attributes were competencies to undertake activities associated with specialization. Apart from nurses, who have at least one, unofficial, curriculum identifying specific competencies, other professions involved in rehabilitation do not have any way to show specialization in rehabilitation. CAPABILITIES IN PRACTICE The U.K. General Medical Council accredits specialist medical training. It has moved from specifying multiple practical clinical competencies to specifying fewer high-level 'Capabilities in Practice'. Six are generic to all doctors, eight identify the trained doctor as having specialist rehabilitation skills. This article adopts this approach to put forward seven generic and seven specialist capabilities to identify any professional as having special expertise in rehabilitation. The seven specialist capabilities centre on the biopsychosocial model of illness and multidisciplinary teamwork. Four of them could be used to define a specialist rehabilitation team. CONCLUSION Seven capabilities identifying specialization in rehabilitation are put forward for discussion. They could form the basis of a formal recognition that any professional has additional expertise in rehabilitation. A validating authority would be needed to provide oversight and governance.
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Affiliation(s)
- Derick T Wade
- OxINMAHR, and Movement Science Group, Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK
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Silva RA, da Silva VM, Lopes MVO, Guedes NG, Oliveira-Kumakura AR. Diagnostic Accuracy of the Defining Characteristics of Impaired Swallowing in Children with Encephalopathy. J Pediatr Nurs 2020; 52:e7-e14. [PMID: 31676210 DOI: 10.1016/j.pedn.2019.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2019] [Revised: 09/30/2019] [Accepted: 10/01/2019] [Indexed: 11/30/2022]
Abstract
The purpose of this study was to analyze the accuracy of the defining characteristics of the nursing diagnosis of impaired swallowing in children with encephalopathy. The measures of diagnostic accuracy for each indicator were verified through latent class analysis. The prevalence of swallowing impairment was 59.76% for a total of 82 children evaluated. The defining characteristics that had good measures of sensitivity (range: 79.59-99.99) and specificity (range: 72.72-99.99) were as follows: food falls from the mouth, tongue action ineffective in forming bolus, prolonged bolus formation, inability to clear the oral cavity, and food refusal. Eight characteristics can be used as warning signs for impaired swallowing because they have high sensitivity values. In addition, ten characteristics presented high specificity and can be used to confirm this diagnosis in children with encephalopathy. Considering the findings of the swallowing pattern assessments through the analysis of the accuracy measures, it is verified that the evidence presented here should guide the pediatrics nurses in the diagnosis decision making. Indicators of high sensitivity should be used as warning signs for swallowing impairment, and the high specificity indicators should be used as a confirmatory sign of this condition and requires immediate intervention.
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Affiliation(s)
- Renan Alves Silva
- Programa de Pós Graduação em Enfermagem da Universidade Federal do Ceará, Fortaleza, Ceará, Brazil.
| | - Viviane Martins da Silva
- Programa de Pós Graduação em Enfermagem da Universidade Federal do Ceará, Fortaleza, Ceará, Brazil
| | | | - Nirla Gomes Guedes
- Programa de Pós Graduação em Enfermagem da Universidade Federal do Ceará, Fortaleza, Ceará, Brazil
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Roulin MJ, Jonniaux S, Guisado H, Séchaud L. Perceptions of inpatients and nurses towards the importance of nurses' caring behaviours in rehabilitation: A comparative study. Int J Nurs Pract 2020; 26:e12835. [PMID: 32207212 DOI: 10.1111/ijn.12835] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Revised: 12/24/2019] [Accepted: 02/22/2020] [Indexed: 11/29/2022]
Abstract
AIMS This study was conducted to describe and compare nurses' and inpatients' perceptions of caring attitudes and behaviours in rehabilitation. METHODS A comparative descriptive design was used. Perceptions of caring attitudes and behaviours were compared between 34 nurses working in rehabilitation and 64 elderly patients, using the Caring Nurse Patient Inventory-23, to explore Watson's carative factors through four dimensions. Patients' and nurses' ratings of importance for each dimension were compared. The study data were collected from 8 November 2017 to 5 May 2018. RESULTS Patients' and nurses' responses showed high scores in terms of their perceptions of caring, with nurses having the higher scores, and significant differences were found between patients and nurses. Patients scored items linked to clinical aspects of caring as the most important, whereas nurses scored items linked to humanistic and clinical caring as equally important. Comfort care was considered important for nurses and patients. Both groups considered relational caring items as the least important. CONCLUSION Results show that patients and nurses value clinical aspects of care, which is the visible aspect of care. The Caring Nurse Patient Inventory-23 is a reliable instrument to measure the nurses' and patients' perception of caring behaviours in rehabilitation.
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Affiliation(s)
| | | | - Huguette Guisado
- Department of Rehabilitation and Geriatrics, University Hospitals of Geneva, Geneva, Switzerland
| | - Laurence Séchaud
- School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland
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Querido DL, Christoffel MM, Nóbrega MMLD, Almeida VSD, Andrade M, Esteves APVDS. Terminological subsets of the International Classification for Nursing Practice: an integrative literature review. Rev Esc Enferm USP 2019; 53:e03522. [PMID: 31800814 DOI: 10.1590/s1980-220x2018030103522] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Accepted: 10/01/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To characterize the scientific production available in the literature on the construction of terminological subsets of ICNP® with emphasis on the clientele and/or health priority to which the subsets are intended, the theoretical reference used and the validation process of constructed statements. METHOD An integrative review of the literature with bibliometric approach of publications between 2008 and 2017. RESULTS Thirty-five (35) publications were included for analysis. Most of the studies were linked to postgraduate programs of universities in Northeast Brazil. Regarding the attended clientele, there was a trend towards the care of cancer, older adult and child/adolescent patients. For the theoretical reference for constructing the subset, there was a trend towards using the Basic Human Needs model. The validation process was not described in all studies. CONCLUSION The importance of constructing terminological subsets of ICNP® aimed at priority health clientele is reinforced in order to enhance the use of this terminology. The methodological course should be based on specific methodologies, and the construction process should be parallel to the validation process.
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Affiliation(s)
| | | | | | | | - Marilda Andrade
- Universidade Federal Fluminense, Escola de Enfermagem Aurora de Afonso Costa, Niterói, RJ, Brasil
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Billings C, Bernard H, Caffery L, Dolan SA, Donaldson J, Kalp E, Mueller A. Advancing the profession: An updated future-oriented competency model for professional development in infection prevention and control. Am J Infect Control 2019; 47:602-614. [PMID: 31146830 DOI: 10.1016/j.ajic.2019.04.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
| | | | | | | | - John Donaldson
- Association for Professionals in Infection Control and Epidemiology, Arlington, VA
| | - Ericka Kalp
- Pennsylvania Department of Health, Harrisburg, PA
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Yamaguchi T, Sakai I. The unlearning process of senior clinical nurses in rehabilitation wards. J Adv Nurs 2019; 75:2659-2672. [PMID: 31115087 PMCID: PMC6899509 DOI: 10.1111/jan.14050] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Revised: 02/20/2019] [Accepted: 03/12/2019] [Indexed: 11/25/2022]
Abstract
Aims The aim of this study was to create a model and verify its fitness for focusing on unlearning of senior clinical nurses who transferred from acute to rehabilitation wards. Background The processes by which nurses with experience in acute wards acquire expertise in rehabilitation wards, the ‘process of unlearning’, have not yet been clarified. Design This research used a cross‐sectional study. Methods Content analysis of interview data of 23 senior clinical nurses was used to reveal factors constituting nurses’ unlearning and a base model was created. Data were collected between May ‐ September 2016. For its verification, categories extracted through content analysis were used as latent variables and subcategories as observation variables. The model's fit was confirmed through a survey of 5,435 senior clinical nurses from July to September 2017. Results We extracted six categories—‘awareness’, ‘conflict’, ‘discard’, ‘acquisition’, ‘acceptance’ and ‘establishment’—and 22 subcategories of the factors constituting unlearning and created a base model. The effective response rate in the survey for verifying the fitness of the base model was 20.2%. The base model generally fulfilled the fitness, but we further studied the model fit with the data and modified it to comprise five categories, excluding ‘acceptance’, with 16 subcategories. The fitness of the modified model further improved. Through revalidation, we confirmed that the modified model satisfies the goodness of fit. Conclusion Our findings add to the development of rehabilitation nursing skills of nurses transferred from acute to rehabilitation wards in a Japanese community‐based integrated care system. Impact This study revealed the unlearning process of senior clinical nurses. The unlearning process identified in this study contributes to knowledge and skills acquisition specific to nurses specializing in rehabilitation. It will be used for developing a re‐education programme for rehabilitation nurses in the future.
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Affiliation(s)
- Tae Yamaguchi
- Department of Nursing, Faculty of Nursing and Nutrition, University of Nagasaki, Nagasaki, Japan
| | - Ikuko Sakai
- Graduate School of Nursing, Chiba University, Chiba, Japan
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Ličen S, Plazar N. Developing a Universal Nursing Competencies Framework for Registered Nurses: A Mixed‐Methods Approach. J Nurs Scholarsh 2019; 51:459-469. [DOI: 10.1111/jnu.12483] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/15/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Sabina Ličen
- Upsilon Xi‐at‐LargeAssistant ProfessorFaculty of Health SciencesUniversity of Primorska Izola Slovenia
| | - Nadja Plazar
- Associate ProfessorScience and Research Centre Koper Slovenia
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Jesus TS, Landry MD, Dussault G, Fronteira I. Classifying and Measuring Human Resources for Health and Rehabilitation: Concept Design of a Practices- and Competency-Based International Classification. Phys Ther 2019; 99:396-405. [PMID: 30561749 DOI: 10.1093/ptj/pzy154] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2018] [Accepted: 09/28/2018] [Indexed: 02/09/2023]
Abstract
The burden of physical impairments and disabilities is growing across high-, middle-, and low-income countries, but populations across the globe continue to lack access to basic physical rehabilitation. Global shortages, uneven distributions, and insufficient skill mix of human resources for health and rehabilitation (HRH&R) contribute to such inequitable access. However, there are no international standards to classify HRH&R and to promote their global monitoring and development. In this article, we conceptually develop an international classification of HRH&R based on the concept of monitoring HRH&R through their stock of practices and competencies, and not simply counting rehabilitation professionals such as physical or occupational therapists. This concept accounts for the varying HRH&R configurations as well as the different training, competencies, or practice regulations across locations, even within the same profession. Our perspective specifically develops the concept of a proposed classification, its structure, and possible applications. Among the benefits, stakeholders using the classification would be able to: (1) collect locally valid and internationally comparable data on HRH&R; (2) account for the rehabilitation practices and competencies among nonspecialized rehabilitation workers (eg, in less resourced/specialized contexts); (3) track competency upgrades or practice extensions over time; (4) implement competency-based human resources management practices, such as linking remuneration to competency levels rather than to professional categories; and (5) inform the development of (inter-)professional education, practice regulation, or even task-shifting processes for the whole of HRH&R. The proposed classification standard, still in a concept-development stage, could help drive policies to achieve the "right" stock of HRH&R, in terms of practices and competencies.
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Affiliation(s)
- Tiago S Jesus
- Global Health and Tropical Medicine, WHO Collaborating Center on Health Workforce Policy and Planning, and Institute of Hygiene and Tropical Medicine, NOVA University of Lisbon, Rua da Junqueira 100, Lisbon 1349-008, Portugal
| | - Michel D Landry
- Duke Doctor of Physical Therapy Division, Duke University Medical Center, and Duke Global Health Institute, Duke University, Durham, North Carolina, United States
| | - Gilles Dussault
- Global Health and Tropical Medicine, WHO Collaborating Center on Health Workforce Policy and Planning, and Institute of Hygiene and Tropical Medicine, NOVA University of Lisbon
| | - Inês Fronteira
- Global Health and Tropical Medicine, WHO Collaborating Center on Health Workforce Policy and Planning, and Institute of Hygiene and Tropical Medicine, NOVA University of Lisbon
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Smart DA, Dermody G, Coronado ME, Wilson M. Mobility Programs for the Hospitalized Older Adult: A Scoping Review. Gerontol Geriatr Med 2018; 4:2333721418808146. [PMID: 30450367 PMCID: PMC6236485 DOI: 10.1177/2333721418808146] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Revised: 08/30/2018] [Accepted: 09/24/2018] [Indexed: 11/16/2022] Open
Abstract
Objectives: This scoping review (a) describes programs to improve mobility
in hospitalized adults and (b) determines the methods used to measure mobility.
Method: The Joanna Briggs Institute Methodology for Scoping Reviews was
used to conduct this review. Results: Our findings suggest that using a
multidisciplinary approach may be the most effective way to promote mobility in
hospitalized older adults. Most studies did not articulate how physical activity was
measured, indicating that more research is needed. Discussion: The literature
shows that implementation of protocols designed to improve the early and regular
implementation of physical mobility activities improves the health outcomes of
hospitalized older people. Costs associated with healthcare utilization are also reduced,
including hospital length of stay. Mobility programs that quantified mobility through
validated measurement tools or accelerometers are the most promising as they provide
feedback that reinforces progress of the patient and the expected benefits of early
mobility.
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40
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Disability and Rehabilitation are Only Words. Rehabil Nurs 2018; 43:243-244. [PMID: 30161080 DOI: 10.1097/rnj.0000000000000188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Digby R, Bolster D, Perta A, Bucknall TK. The perspective of allied health staff on the role of nurses in subacute care. J Clin Nurs 2018; 27:4089-4099. [DOI: 10.1111/jocn.14553] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/03/2018] [Indexed: 11/29/2022]
Affiliation(s)
| | | | | | - Tracey K Bucknall
- Alfred Health; Department of Nursing; Deakin University; Burwood Vic. Australia
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42
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Implementing Evidence-Informed Practice: Our Ethical Imperative. Rehabil Nurs 2017; 42:299-300. [PMID: 29244036 DOI: 10.1097/rnj.0000000000000135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Camicia M, Lutz BJ. Nursing’s Role in Successful Transitions Across Settings. Stroke 2016; 47:e246-e249. [DOI: 10.1161/strokeaha.116.012095] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2016] [Accepted: 07/07/2016] [Indexed: 12/24/2022]
Affiliation(s)
- Michelle Camicia
- From the Kaiser Permanente, Kaiser Foundation Rehabilitation Center, Vallejo, CA (M.C.); The Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA (M.C.); and School of Nursing, College of Health and Human Services, University of North Carolina, Wilmington (B.J.L.)
| | - Barbara J. Lutz
- From the Kaiser Permanente, Kaiser Foundation Rehabilitation Center, Vallejo, CA (M.C.); The Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA (M.C.); and School of Nursing, College of Health and Human Services, University of North Carolina, Wilmington (B.J.L.)
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Soundy A, Roskell C, Adams R, Elder T, Dawes H. Understanding Health Care Professional-Patient Interactions in Multiple Sclerosis: A Systematic Review and Thematic Synthesis. ACTA ACUST UNITED AC 2016. [DOI: 10.4236/ojtr.2016.44018] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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