Working the way up in neurological rehabilitation: the holistic approach of nursing care
Identifieur interne : 002662 ( Main/Corpus ); précédent : 002661; suivant : 002663Working the way up in neurological rehabilitation: the holistic approach of nursing care
Auteurs : Mari Carmen Portillo ; Sarah CowleySource :
- Journal of Clinical Nursing [ 0962-1067 ] ; 2011-06.
English descriptors
- KwdEn :
Abstract
Aim. To provide understanding of the nurses’ role in neurological holistic rehabilitation and identify strategies for the enhancement of rehabilitation services. Background. Although acute and chronic neurological patients and relatives experience emotional and social changes, most rehabilitation programmes do not deal with non‐physical needs or involve nurses, leading to a poor definition and specialisation of the nursing role. Design. Action research. Method. The project took place in two neurological wards of a highly specialised hospital in Spain and lasted 30 months. An individualised nurse‐led social rehabilitation programme was planned, implemented and evaluated. The nursing role and care in rehabilitation were explored with 37 nurses and 40 neurological patients and 40 relatives (convenience sampling). Semi‐structured interviews and participant observations were developed. Content (QSR NUDIST Vivo v.2.0) and statistical (SPSS v. 13.0) analyses were run. Results. The lack of time, knowledge and experience, the poor definition of the nursing role and ineffective communication with users limited holistic care in the wards. Some enhancing nursing strategies were proposed and explored: promotion of acceptance/adaptation of the disease through education, reinforcement of the discharge planning and planning of emotional and social choices based on the assessment of individual needs and resources at home. Conclusions. Nursing professionals are in a privileged position to deal with neurological patients’ and carers’ holistic needs. Several attributes of the advanced nursing role in rehabilitation teams have been proposed to deal with non‐physical aspects of care. Relevance to clinical practice. • Rehabilitation needs of neurological patients and carers at hospital have been described. • Nurses’ perceptions of their work and role in rehabilitation have been presented. • Clinical strategies to develop the advanced nursing role in holistic neurological rehabilitation have been highlighted.
Url:
DOI: 10.1111/j.1365-2702.2010.03379.x
Links to Exploration step
ISTEX:9C4837222B58632BEDAA3B451A524613F13B13A1Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Working the way up in neurological rehabilitation: the holistic approach of nursing care</title><author><name sortKey="Portillo, Mari Carmen" sort="Portillo, Mari Carmen" uniqKey="Portillo M" first="Mari Carmen" last="Portillo">Mari Carmen Portillo</name><affiliation><mods:affiliation>Authors: Mari Carmen Portillo, PhD, MSc, BSc, RGN, Associate Lecturer, School of Nursing, University of Navarre, Navarre; Spain, Sarah Cowley, BA, PhD, PGDE, RGN, RHV, HVT, Professor of Community Practice Development, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Cowley, Sarah" sort="Cowley, Sarah" uniqKey="Cowley S" first="Sarah" last="Cowley">Sarah Cowley</name><affiliation><mods:affiliation>Authors: Mari Carmen Portillo, PhD, MSc, BSc, RGN, Associate Lecturer, School of Nursing, University of Navarre, Navarre; Spain, Sarah Cowley, BA, PhD, PGDE, RGN, RHV, HVT, Professor of Community Practice Development, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:9C4837222B58632BEDAA3B451A524613F13B13A1</idno><date when="2011" year="2011">2011</date><idno type="doi">10.1111/j.1365-2702.2010.03379.x</idno><idno type="url">https://api.istex.fr/document/9C4837222B58632BEDAA3B451A524613F13B13A1/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">002662</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Working the way up in neurological rehabilitation: the holistic approach of nursing care</title><author><name sortKey="Portillo, Mari Carmen" sort="Portillo, Mari Carmen" uniqKey="Portillo M" first="Mari Carmen" last="Portillo">Mari Carmen Portillo</name><affiliation><mods:affiliation>Authors: Mari Carmen Portillo, PhD, MSc, BSc, RGN, Associate Lecturer, School of Nursing, University of Navarre, Navarre; Spain, Sarah Cowley, BA, PhD, PGDE, RGN, RHV, HVT, Professor of Community Practice Development, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Cowley, Sarah" sort="Cowley, Sarah" uniqKey="Cowley S" first="Sarah" last="Cowley">Sarah Cowley</name><affiliation><mods:affiliation>Authors: Mari Carmen Portillo, PhD, MSc, BSc, RGN, Associate Lecturer, School of Nursing, University of Navarre, Navarre; Spain, Sarah Cowley, BA, PhD, PGDE, RGN, RHV, HVT, Professor of Community Practice Development, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Clinical Nursing</title><idno type="ISSN">0962-1067</idno><idno type="eISSN">1365-2702</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-06">2011-06</date><biblScope unit="volume">20</biblScope><biblScope unit="issue">11‐12</biblScope><biblScope unit="page" from="1731">1731</biblScope><biblScope unit="page" to="1743">1743</biblScope></imprint><idno type="ISSN">0962-1067</idno></series><idno type="istex">9C4837222B58632BEDAA3B451A524613F13B13A1</idno><idno type="DOI">10.1111/j.1365-2702.2010.03379.x</idno><idno type="ArticleID">JOCN3379</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0962-1067</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>advanced nursing practice</term><term>carers</term><term>neurology</term><term>nurses</term><term>nursing role</term><term>rehabilitation</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Aim. To provide understanding of the nurses’ role in neurological holistic rehabilitation and identify strategies for the enhancement of rehabilitation services. Background. Although acute and chronic neurological patients and relatives experience emotional and social changes, most rehabilitation programmes do not deal with non‐physical needs or involve nurses, leading to a poor definition and specialisation of the nursing role. Design. Action research. Method. The project took place in two neurological wards of a highly specialised hospital in Spain and lasted 30 months. An individualised nurse‐led social rehabilitation programme was planned, implemented and evaluated. The nursing role and care in rehabilitation were explored with 37 nurses and 40 neurological patients and 40 relatives (convenience sampling). Semi‐structured interviews and participant observations were developed. Content (QSR NUDIST Vivo v.2.0) and statistical (SPSS v. 13.0) analyses were run. Results. The lack of time, knowledge and experience, the poor definition of the nursing role and ineffective communication with users limited holistic care in the wards. Some enhancing nursing strategies were proposed and explored: promotion of acceptance/adaptation of the disease through education, reinforcement of the discharge planning and planning of emotional and social choices based on the assessment of individual needs and resources at home. Conclusions. Nursing professionals are in a privileged position to deal with neurological patients’ and carers’ holistic needs. Several attributes of the advanced nursing role in rehabilitation teams have been proposed to deal with non‐physical aspects of care. Relevance to clinical practice. • Rehabilitation needs of neurological patients and carers at hospital have been described. • Nurses’ perceptions of their work and role in rehabilitation have been presented. • Clinical strategies to develop the advanced nursing role in holistic neurological rehabilitation have been highlighted.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Mari Carmen Portillo</name><affiliations><json:string>Authors: Mari Carmen Portillo, PhD, MSc, BSc, RGN, Associate Lecturer, School of Nursing, University of Navarre, Navarre; Spain, Sarah Cowley, BA, PhD, PGDE, RGN, RHV, HVT, Professor of Community Practice Development, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK</json:string></affiliations></json:item><json:item><name>Sarah Cowley</name><affiliations><json:string>Authors: Mari Carmen Portillo, PhD, MSc, BSc, RGN, Associate Lecturer, School of Nursing, University of Navarre, Navarre; Spain, Sarah Cowley, BA, PhD, PGDE, RGN, RHV, HVT, Professor of Community Practice Development, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>advanced nursing practice</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>carers</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>neurology</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>nurses</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>nursing role</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>rehabilitation</value></json:item></subject><articleId><json:string>JOCN3379</json:string></articleId><language><json:string>eng</json:string></language><abstract>Aim. To provide understanding of the nurses’ role in neurological holistic rehabilitation and identify strategies for the enhancement of rehabilitation services. Background. Although acute and chronic neurological patients and relatives experience emotional and social changes, most rehabilitation programmes do not deal with non‐physical needs or involve nurses, leading to a poor definition and specialisation of the nursing role. Design. Action research. Method. The project took place in two neurological wards of a highly specialised hospital in Spain and lasted 30 months. An individualised nurse‐led social rehabilitation programme was planned, implemented and evaluated. The nursing role and care in rehabilitation were explored with 37 nurses and 40 neurological patients and 40 relatives (convenience sampling). Semi‐structured interviews and participant observations were developed. Content (QSR NUDIST Vivo v.2.0) and statistical (SPSS v. 13.0) analyses were run. Results. The lack of time, knowledge and experience, the poor definition of the nursing role and ineffective communication with users limited holistic care in the wards. Some enhancing nursing strategies were proposed and explored: promotion of acceptance/adaptation of the disease through education, reinforcement of the discharge planning and planning of emotional and social choices based on the assessment of individual needs and resources at home. Conclusions. Nursing professionals are in a privileged position to deal with neurological patients’ and carers’ holistic needs. Several attributes of the advanced nursing role in rehabilitation teams have been proposed to deal with non‐physical aspects of care. Relevance to clinical practice. • Rehabilitation needs of neurological patients and carers at hospital have been described. • Nurses’ perceptions of their work and role in rehabilitation have been presented. • Clinical strategies to develop the advanced nursing role in holistic neurological rehabilitation have been highlighted.</abstract><qualityIndicators><score>8</score><pdfVersion>1.3</pdfVersion><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>6</keywordCount><abstractCharCount>2030</abstractCharCount><pdfWordCount>7291</pdfWordCount><pdfCharCount>48283</pdfCharCount><pdfPageCount>13</pdfPageCount><abstractWordCount>280</abstractWordCount></qualityIndicators><title>Working the way up in neurological rehabilitation: the holistic approach of nursing care</title><genre><json:string>article</json:string></genre><host><volume>20</volume><publisherId><json:string>JOCN</json:string></publisherId><pages><total>13</total><last>1743</last><first>1731</first></pages><issn><json:string>0962-1067</json:string></issn><issue>11‐12</issue><subject><json:item><value>RECOVERY AND REHABILITATION</value></json:item></subject><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1365-2702</json:string></eissn><title>Journal of Clinical Nursing</title><doi><json:string>10.1111/(ISSN)1365-2702</json:string></doi></host><publicationDate>2011</publicationDate><copyrightDate>2011</copyrightDate><doi><json:string>10.1111/j.1365-2702.2010.03379.x</json:string></doi><id>9C4837222B58632BEDAA3B451A524613F13B13A1</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/9C4837222B58632BEDAA3B451A524613F13B13A1/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/9C4837222B58632BEDAA3B451A524613F13B13A1/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/9C4837222B58632BEDAA3B451A524613F13B13A1/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Working the way up in neurological rehabilitation: the holistic approach of nursing care</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><p>WILEY</p></availability><date>2011</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Working the way up in neurological rehabilitation: the holistic approach of nursing care</title><author><persName><forename type="first">Mari Carmen</forename><surname>Portillo</surname></persName><affiliation>Authors: Mari Carmen Portillo, PhD, MSc, BSc, RGN, Associate Lecturer, School of Nursing, University of Navarre, Navarre; Spain, Sarah Cowley, BA, PhD, PGDE, RGN, RHV, HVT, Professor of Community Practice Development, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK</affiliation></author><author><persName><forename type="first">Sarah</forename><surname>Cowley</surname></persName><affiliation>Authors: Mari Carmen Portillo, PhD, MSc, BSc, RGN, Associate Lecturer, School of Nursing, University of Navarre, Navarre; Spain, Sarah Cowley, BA, PhD, PGDE, RGN, RHV, HVT, Professor of Community Practice Development, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK</affiliation></author></analytic><monogr><title level="j">Journal of Clinical Nursing</title><idno type="pISSN">0962-1067</idno><idno type="eISSN">1365-2702</idno><idno type="DOI">10.1111/(ISSN)1365-2702</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-06"></date><biblScope unit="volume">20</biblScope><biblScope unit="issue">11‐12</biblScope><biblScope unit="page" from="1731">1731</biblScope><biblScope unit="page" to="1743">1743</biblScope></imprint></monogr><idno type="istex">9C4837222B58632BEDAA3B451A524613F13B13A1</idno><idno type="DOI">10.1111/j.1365-2702.2010.03379.x</idno><idno type="ArticleID">JOCN3379</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2011</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Aim. To provide understanding of the nurses’ role in neurological holistic rehabilitation and identify strategies for the enhancement of rehabilitation services. Background. Although acute and chronic neurological patients and relatives experience emotional and social changes, most rehabilitation programmes do not deal with non‐physical needs or involve nurses, leading to a poor definition and specialisation of the nursing role. Design. Action research. Method. The project took place in two neurological wards of a highly specialised hospital in Spain and lasted 30 months. An individualised nurse‐led social rehabilitation programme was planned, implemented and evaluated. The nursing role and care in rehabilitation were explored with 37 nurses and 40 neurological patients and 40 relatives (convenience sampling). Semi‐structured interviews and participant observations were developed. Content (QSR NUDIST Vivo v.2.0) and statistical (SPSS v. 13.0) analyses were run. Results. The lack of time, knowledge and experience, the poor definition of the nursing role and ineffective communication with users limited holistic care in the wards. Some enhancing nursing strategies were proposed and explored: promotion of acceptance/adaptation of the disease through education, reinforcement of the discharge planning and planning of emotional and social choices based on the assessment of individual needs and resources at home. Conclusions. Nursing professionals are in a privileged position to deal with neurological patients’ and carers’ holistic needs. Several attributes of the advanced nursing role in rehabilitation teams have been proposed to deal with non‐physical aspects of care. Relevance to clinical practice. • Rehabilitation needs of neurological patients and carers at hospital have been described. • Nurses’ perceptions of their work and role in rehabilitation have been presented. • Clinical strategies to develop the advanced nursing role in holistic neurological rehabilitation have been highlighted.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>advanced nursing practice</term></item><item><term>carers</term></item><item><term>neurology</term></item><item><term>nurses</term></item><item><term>nursing role</term></item><item><term>rehabilitation</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article category</head><item><term>RECOVERY AND REHABILITATION</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2011-06">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/9C4837222B58632BEDAA3B451A524613F13B13A1/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1365-2702</doi><issn type="print">0962-1067</issn><issn type="electronic">1365-2702</issn><idGroup><id type="product" value="JOCN"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF CLINICAL NURSING">Journal of Clinical Nursing</title></titleGroup></publicationMeta><publicationMeta level="part" position="06111"><doi origin="wiley">10.1111/jcn.2011.20.issue-11-12</doi><numberingGroup><numbering type="journalVolume" number="20">20</numbering><numbering type="journalIssue">11‐12</numbering></numberingGroup><coverDate startDate="2011-06">June 2011</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="25" status="forIssue"><doi origin="wiley">10.1111/j.1365-2702.2010.03379.x</doi><idGroup><id type="unit" value="JOCN3379"></id></idGroup><countGroup><count type="pageTotal" number="13"></count></countGroup><titleGroup><title type="tocHeading1">Professional roles, patients’ experiences and family participation</title><title type="tocHeading2">Recovery and rehabilitation</title><title type="articleCategory">RECOVERY AND REHABILITATION</title></titleGroup><copyright>© 2010 Blackwell Publishing Ltd</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.4.9 mode:FullText" date="2011-05-10"></event><event type="publishedOnlineEarlyUnpaginated" date="2010-11-30"></event><event type="firstOnline" date="2010-11-30"></event><event type="publishedOnlineFinalForm" date="2011-05-10"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-20"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-24"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="1731">1731</numbering><numbering type="pageLast" number="1743">1743</numbering></numberingGroup><correspondenceTo>Mari Carmen Portillo, Associate Lecturer, Escuela Universitaria de Enfermería. Universidad de Navarra. C/Irunlarrea, s/n, Edificio Los Castaños, 31008 Pamplona (Navarra), Spain. Telephone: 0034 948 42 56 00 ext. 6535.
<b>E‐mail:</b><email>mportillo@unav.es</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JOCN.JOCN3379.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory><b>Accepted for publication:</b> 8 May 2010</unparsedEditorialHistory><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="4"></count></countGroup><titleGroup><title type="main">Working the way up in neurological rehabilitation: the holistic approach of nursing care</title><title type="shortAuthors"><i>MC Portillo and S Cowley</i></title><title type="short"><i>Nursing care in holistic rehabilitation</i></title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#aff-1-1"><personName><givenNames>Mari Carmen</givenNames><familyName>Portillo</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#aff-1-1"><personName><givenNames>Sarah</givenNames><familyName>Cowley</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="aff-1-1" countryCode="GB"><unparsedAffiliation><b>Authors:</b> <i>Mari Carmen Portillo</i>, PhD, MSc, BSc, RGN, Associate Lecturer, School of Nursing, University of Navarre, Navarre; Spain, <i>Sarah Cowley</i>, BA, PhD, PGDE, RGN, RHV, HVT, Professor of Community Practice Development, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">advanced nursing practice</keyword><keyword xml:id="k2">carers</keyword><keyword xml:id="k3">neurology</keyword><keyword xml:id="k4">nurses</keyword><keyword xml:id="k5">nursing role</keyword><keyword xml:id="k6">rehabilitation</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Aim. </b> To provide understanding of the nurses’ role in neurological holistic rehabilitation and identify strategies for the enhancement of rehabilitation services.</p><p><b>Background. </b> Although acute and chronic neurological patients and relatives experience emotional and social changes, most rehabilitation programmes do not deal with non‐physical needs or involve nurses, leading to a poor definition and specialisation of the nursing role.</p><p><b>Design. </b> Action research.</p><p><b>Method. </b> The project took place in two neurological wards of a highly specialised hospital in Spain and lasted 30 months. An individualised nurse‐led social rehabilitation programme was planned, implemented and evaluated. The nursing role and care in rehabilitation were explored with 37 nurses and 40 neurological patients and 40 relatives (convenience sampling). Semi‐structured interviews and participant observations were developed. Content (QSR NUDIST Vivo v.2.0) and statistical (<sc>SPSS</sc> v. 13.0) analyses were run.</p><p><b>Results. </b> The lack of time, knowledge and experience, the poor definition of the nursing role and ineffective communication with users limited holistic care in the wards. Some enhancing nursing strategies were proposed and explored: promotion of acceptance/adaptation of the disease through education, reinforcement of the discharge planning and planning of emotional and social choices based on the assessment of individual needs and resources at home.</p><p><b>Conclusions. </b> Nursing professionals are in a privileged position to deal with neurological patients’ and carers’ holistic needs. Several attributes of the advanced nursing role in rehabilitation teams have been proposed to deal with non‐physical aspects of care.</p><p><b>Relevance to clinical practice. </b><list xml:id="l1" style="custom"><listItem><label>•</label><p> Rehabilitation needs of neurological patients and carers at hospital have been described.</p></listItem><listItem><label>•</label><p> Nurses’ perceptions of their work and role in rehabilitation have been presented.</p></listItem><listItem><label>•</label><p> Clinical strategies to develop the advanced nursing role in holistic neurological rehabilitation have been highlighted.</p></listItem></list></p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Working the way up in neurological rehabilitation: the holistic approach of nursing care</title></titleInfo><titleInfo type="abbreviated"><title>Nursing care in holistic rehabilitation</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Working the way up in neurological rehabilitation: the holistic approach of nursing care</title></titleInfo><name type="personal"><namePart type="given">Mari Carmen</namePart><namePart type="family">Portillo</namePart><affiliation>Authors: Mari Carmen Portillo, PhD, MSc, BSc, RGN, Associate Lecturer, School of Nursing, University of Navarre, Navarre; Spain, Sarah Cowley, BA, PhD, PGDE, RGN, RHV, HVT, Professor of Community Practice Development, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sarah</namePart><namePart type="family">Cowley</namePart><affiliation>Authors: Mari Carmen Portillo, PhD, MSc, BSc, RGN, Associate Lecturer, School of Nursing, University of Navarre, Navarre; Spain, Sarah Cowley, BA, PhD, PGDE, RGN, RHV, HVT, Professor of Community Practice Development, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2011-06</dateIssued><edition>Accepted for publication: 8 May 2010</edition><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="tables">4</extent></physicalDescription><abstract lang="en">Aim. To provide understanding of the nurses’ role in neurological holistic rehabilitation and identify strategies for the enhancement of rehabilitation services. Background. Although acute and chronic neurological patients and relatives experience emotional and social changes, most rehabilitation programmes do not deal with non‐physical needs or involve nurses, leading to a poor definition and specialisation of the nursing role. Design. Action research. Method. The project took place in two neurological wards of a highly specialised hospital in Spain and lasted 30 months. An individualised nurse‐led social rehabilitation programme was planned, implemented and evaluated. The nursing role and care in rehabilitation were explored with 37 nurses and 40 neurological patients and 40 relatives (convenience sampling). Semi‐structured interviews and participant observations were developed. Content (QSR NUDIST Vivo v.2.0) and statistical (SPSS v. 13.0) analyses were run. Results. The lack of time, knowledge and experience, the poor definition of the nursing role and ineffective communication with users limited holistic care in the wards. Some enhancing nursing strategies were proposed and explored: promotion of acceptance/adaptation of the disease through education, reinforcement of the discharge planning and planning of emotional and social choices based on the assessment of individual needs and resources at home. Conclusions. Nursing professionals are in a privileged position to deal with neurological patients’ and carers’ holistic needs. Several attributes of the advanced nursing role in rehabilitation teams have been proposed to deal with non‐physical aspects of care. Relevance to clinical practice. • Rehabilitation needs of neurological patients and carers at hospital have been described. • Nurses’ perceptions of their work and role in rehabilitation have been presented. • Clinical strategies to develop the advanced nursing role in holistic neurological rehabilitation have been highlighted.</abstract><subject lang="en"><genre>Keywords</genre><topic>advanced nursing practice</topic><topic>carers</topic><topic>neurology</topic><topic>nurses</topic><topic>nursing role</topic><topic>rehabilitation</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Clinical Nursing</title></titleInfo><genre type="Journal">journal</genre><subject><genre>article category</genre><topic>RECOVERY AND REHABILITATION</topic></subject><identifier type="ISSN">0962-1067</identifier><identifier type="eISSN">1365-2702</identifier><identifier type="DOI">10.1111/(ISSN)1365-2702</identifier><identifier type="PublisherID">JOCN</identifier><part><date>2011</date><detail type="volume"><caption>vol.</caption><number>20</number></detail><detail type="issue"><caption>no.</caption><number>11‐12</number></detail><extent unit="pages"><start>1731</start><end>1743</end><total>13</total></extent></part></relatedItem><identifier type="istex">9C4837222B58632BEDAA3B451A524613F13B13A1</identifier><identifier type="DOI">10.1111/j.1365-2702.2010.03379.x</identifier><identifier type="ArticleID">JOCN3379</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2010 Blackwell Publishing Ltd</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/ParkinsonV1/Data/Main/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002662 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd -nk 002662 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= ParkinsonV1
|flux= Main
|étape= Corpus
|type= RBID
|clé= ISTEX:9C4837222B58632BEDAA3B451A524613F13B13A1
|texte= Working the way up in neurological rehabilitation: the holistic approach of nursing care
}}
| This area was generated with Dilib version V0.6.23. |  |