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

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

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

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

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

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

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

Hyperkinetic movement disorders are defined as excessive, abnormal involuntary movements such as chorea, ballism, and athetosis ( Mehanna & Jankovic, 2013 ). Hemiballismus/hemichorea is the most common movement disorder to occur after a stroke ( Bansil et al., 2012 ; Tater & Pandey, 2021 ). These movements are described as vigorous, irregular movements on one side of the body ( Mehanna & Jankovic, 2013 ). While most poststroke movement disorders are temporary, there is a chance that they may persist long term, which can significantly affect that person's quality of life. When symptoms are identified, treatment and education should immediately be initiated to accelerate recovery. Many articles have been written describing the problem, but few articles describe how to care for these individuals. If the rehabilitation nurse is not familiar with common medication management, side effects, or hyperkinetic movements, important medical and functional changes could be missed. This is a case that describes a 54-year-old female patient who experienced an ischemic posterior cerebral artery stroke resulting in hemiballismus/hemichorea. This case will review the nursing assessment and the implementation of interventions to address this patient's special needs including safety, nutrition, sleep, medication management, and aspects of care for patients with a hyperkinetic movement disorder after stroke and highlight how rehabilitation nurses can integrate their knowledge into practice.

Simulation-based training has long been integral to nursing education, gaining momentum since the 1960s and 1970s. Research highlights its effectiveness in fostering clinical judgment, skill acquisition, and student confidence in a risk-free environment. Its widespread adoption is due to its ability to replicate real-world scenarios, promote critical thinking, and provide immediate feedback. For rehabilitation nurses, education is a crucial component of patient care, helping patients and caregivers adapt to new self-care routines. However, barriers such as knowledge gaps and health-related challenges can delay progress. This article explores using simulation-based learning techniques for patients and caregivers. By leveraging these methods, rehabilitation nurses can enhance readiness and confidence, improving outcomes and facilitating smoother transitions to home settings. Effective patient and family education is essential for continuity of care postdischarge, as caregivers often face stress when learning medical tasks. Simulation-based training addresses barriers by empowering caregivers and providing a safe environment for practice. An inpatient rehabilitation facility in Northern Virginia implemented a customized simulation-based program using anatomical models and mannequins. This approach aligns with other successful caregiver training settings and can reduce the need for prolonged inpatient care. A survey showed substantial improvements in caregiver confidence following training, indicating that simulation-based training can be an effective approach for enhancing caregiver preparedness and improving home care management.

Purpose: The aim of the study was to describe healthcare professionals involved in training for patient mobilization and explore associations between professional identity and perceptions of training. Study results might inform the enhancement of staff training programs.

Design: A descriptive, cross-sectional, online survey was conducted.

Methods: We surveyed over 700 nursing and rehabilitation therapy staff from 18 hospitals. We used the exact Pearson chi-square test to compare frequencies of responses describing training perceptions based on the (1) respondent's professional identity and (2) professional identity of the instructor(s).

Results: Three hundred twenty individuals responded to the survey, with 186 indicating their hospital had offered training for patient mobilization within the past year. As learners, nursing staff believed the training had greater value than rehabilitation therapy staff. Respondents more frequently believed training was important and improved confidence when provided by rehabilitation therapists alone or in conjunction with nurses, compared to training provided by nursing staff alone.

Clinical relevance: Lack of training is a common barrier to patient mobilization cited by nursing staff. Hospital leadership should ensure nursing staff have opportunities to participate in collaborative, interdisciplinary training programs involving rehabilitation staff.

Conclusions: Nursing staff value training in patient mobilization, more so when rehabilitation therapists provided the training.

Purpose: The aim of the study was to examine whether healthcare professionals' access to a unit-specific respite room compared to an organizational respite room leads to improved compassion satisfaction, burnout, and secondary traumatic stress.

Design: This quasi-experimental matched pairs prospective study compared compassion satisfaction, burnout, and secondary traumatic stress as measured by the Professional Quality of Life (ProQoL) Scale for healthcare professionals with access to a unit-specific respite room (intervention) compared to the organizational respite room (control).

Methods: The ProQoL Scale for healthcare professionals was administered pre- and post-intervention to the intervention and control group.

Results: Results indicated statistically significant improvements in all three ProQOL subscales for the interventional group post-intervention, while the control group showed stagnation or decline.

Clinical relevance to the practice of rehabilitation nursing: This study demonstrates the relevance of access to unit-specific respite rooms in promoting the well-being of rehabilitation nurses, who experience prolonged exposure to secondary stress.

Conclusion: Providing accessible, private spaces for on-the-spot stress recovery can enhance resilience and enable these professionals to provide high-quality care.

Purpose: Clean intermittent catheterization (CIC) is a reliable and effective method of maintaining bladder function. However, if not properly managed, especially during long-term use, it can lead to complications such as pain, infection, bleeding, urethritis, and urethral stricture, negatively affecting the individual's quality of life. This study was conducted to evaluate the quality of life and anxiety levels of patients undergoing CIC, and to determine the factors affecting them in relation to descriptive characteristics and CIC usage.

Materials and methods: A descriptive cross-sectional study was conducted with 47 inpatients from a state hospital's Physical Medicine and Rehabilitation Clinic. Data collection tools included a Patient Information Form, the World Health Organization Quality of Life Scale-Short Form, and the Beck Anxiety Inventory.

Results: Among the patients, 74.5% performed seven or more intermittent catheterizations daily, 48.9% self-administered the procedure, and 74.5% received education about it. The lowest quality-of-life scale score was in the environmental domain (22.9 ± 5.62), while the highest was in the psychological domain (18.5 ± 4.92). The mean Beck Anxiety Inventory score was 16.79 ± 11.12. Anxiety levels showed a weak but significant negative correlation with the social domain of the quality-of-life scale (r = -.356, p = .014).

Conclusion: Except for the psychological domain, the subdimension scores for quality of life were below average. The total score on the scale indicated that patients experienced moderate levels of anxiety. Lower anxiety levels moderately correlated with better social relationships, suggesting that reducing anxiety may contribute to improvements in interpersonal interactions and overall social well-being.

Clinical relevance: Nurses can play a critical role in improving patients' quality of life by offering education, psychological support, guidance on proper catheterization techniques, anxiety management, and consistent follow-up care.

Purpose: This study aimed to assess the readiness of family members caring for people with stroke (PwS) and to examine the relationship between psychological resilience and social support, as well as their impact on caregiving preparedness.

Design: This study used a cross-sectional design.

Methods: The study was conducted between April and June 2024 with PwS (n=150) and their family members (n=150) in the neurology ward of a university hospital. Data were collected using the Sociodemographic Characteristics Questionnaire, Preparedness Assessment for the Transition Home after Stroke Instrument (PATHs Tr ), the Resilience Scale for Adults (RSA), and the Multidimensional Scale of Perceived Social Support (MSPSS).

Results: Data analysis revealed that PATH-s Tr , RSA, and MSPSS scores were moderate. Readiness to provide care was positively associated with psychological resilience and social support. MSPSS and RSA significantly associated care readiness, explaining 34.1% of the variance. Family members' preparedness is associated with perceived social support.

Conclusion: The results showed that family members were insufficiently prepared for the care of PwS. Perceived level of social support was associated with caregiver preparedness . Consequently, it is crucial to consider social support when participating in appropriate initiatives.

Relevance to clinical practise: The findings of this study underscore important implications for nursing, particularly in the management and support of family members for PwS. Given the identified relationships between perceived social support, psychological resilience, and caregiver readiness, nurses are positioned to play a pivotal role in enhancing the overall well-being of both caregivers and those they care for.