Working the way up in neurological rehabilitation: the holistic approach of nursing care
Identifieur interne : 000093 ( Main/Exploration ); précédent : 000092; suivant : 000094Working the way up in neurological rehabilitation: the holistic approach of nursing care
Auteurs : Mari Carmen Portillo [Royaume-Uni] ; Sarah Cowley [Royaume-Uni]Source :
- Journal of Clinical Nursing [ 0962-1067 ] ; 2011-06.
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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.
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DOI: 10.1111/j.1365-2702.2010.03379.x
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<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></author><author><name sortKey="Cowley, Sarah" sort="Cowley, Sarah" uniqKey="Cowley S" first="Sarah" last="Cowley">Sarah Cowley</name></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><idno type="wicri:Area/Main/Curation">002322</idno><idno type="wicri:Area/Main/Exploration">000093</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 wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>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</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Cowley, Sarah" sort="Cowley, Sarah" uniqKey="Cowley S" first="Sarah" last="Cowley">Sarah Cowley</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>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</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></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><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Portillo, Mari Carmen" sort="Portillo, Mari Carmen" uniqKey="Portillo M" first="Mari Carmen" last="Portillo">Mari Carmen Portillo</name></region><name sortKey="Cowley, Sarah" sort="Cowley, Sarah" uniqKey="Cowley S" first="Sarah" last="Cowley">Sarah Cowley</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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