Rehabilitation Nursing最新文献

Purpose: The purpose of this study was to determine whether symptoms of spasticity, pain, and fatigue are correlated in people with stroke.

Design: A longitudinal-correlation, mixed-method design was used.

Methods: Spasticity, pain, and fatigue symptoms were explored in 22 patients with stroke admitted to three different rehabilitation units certified by the Commission on Accreditation of Rehabilitation Facilities. Data were obtained upon admission, postdischarge, and 1 month after discharge. Demographics, numeric ratings, and a semistructured interview were used to determine associations over time.

Results: Symptoms of spasticity, pain, and fatigue were quite variable. Fatigue was more likely to impair recovery. Spasticity appears to contain pain experiences. Pain does not appear to be a major factor over time.

Conclusions: In this sample of patients with stroke, symptoms of spasticity, pain, and fatigue were correlated.

Clinical relevance: In managing poststroke spasticity, pain, and fatigue, nurses should recognize that these symptoms are correlated.

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.

Abstract: Violence and human trafficking are frequently paired and violate human rights. Human trafficking is a complex, global health issue. Trafficking survivors report seeking medical care for women's services, physical abuse, mental health, and gastrointestinal issues while being held in captivity. However, the majority of healthcare providers are unaware or unprepared to intervene, thus missing the chance to identify victims during these encounters. Rehabilitation nurses are no exception. Trafficking victims may come in contact with rehabilitation nurses because of injuries or chronic diseases caused by trafficking abuse. This article shares human trafficking red flags, victims' access to services, barriers to identification, and nursing interventions and implications.

Purpose: The specific aims of this scoping review of the literature are to (1) map the current scope of literature regarding nonpharmacological interventions for informal stroke caregivers and (2) explore the degree to which racial/ethnic minority groups were represented in nonpharmacological interventions for stroke caregivers in the United States.

Design and methods: Arksey and O'Malley's methodological framework was used to conduct this scoping review. The framework entails formulating research questions, developing criteria for selecting relevant studies, charting the data, and synthesizing results.

Findings: The scoping review yielded 11 studies that varied in intervention design, methods of implementation, and outcome measurements. The review indicated that racial and ethnic minorities were less likely to be represented in nonpharmacological intervention studies for stroke caregivers.

Conclusion: Currently, there is sparse research that focuses on interventions with family caregivers of varying racial/ethnic groups in the United States.

Purpose: The aim of the study was to understand continence care in geriatric rehabilitation from the perspectives of older persons and nursing staff.

Design: This is a qualitative descriptive study.

Methods: Ten patients and 10 nursing staff participated in semistructured interviews. Observations of care were recorded in field notes. Content analysis was used to develop themes of patient and nursing staff perspectives.

Findings: Three themes were developed: Perceptions of Assessment, Continence Management, and Rehab: The Repair Shop. Patients had limited insight into continence assessment and management by nursing staff. For older persons, incontinence was embarrassing and created dependence; independence in toileting meant gaining control. Staff viewed continence as an important part of rehabilitation nursing but focused on containment and regular toileting, with patients seeing absorbent pads as commonly suggested.

Conclusions: Continence care approaches that engage older persons during rehabilitation are needed.

Clinical relevance: Restoration of continence through patient-centered care is core to older person rehabilitation.