Nursing Strategies in Spinal Cord Injury Rehab

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Questions and Answers

What is emphasized as a key factor in successful person-centred healthcare?

  • Creating a healthful culture (correct)
  • Use of advanced medical technologies
  • Specialized training for nursing staff
  • Rigid adherence to protocols

Which aspect was noted as difficult for nursing staff in interprofessional teams?

  • Communicating with colleagues
  • Understanding patient needs
  • Implementing technological solutions
  • Identifying their own contribution (correct)

In terms of patient participation, what did the study find when nursing staff engaged in understanding the patient’s perspective?

  • It increased patient participation in care (correct)
  • It diverted attention from medical tasks
  • It complicated communication processes
  • It led to a lack of interest from the patients

What was a primary methodology used by the nursing staff in this study?

<p>Developing an environment for dialogue (A)</p> Signup and view all the answers

What was noted as a barrier to the implementation of person-centred care in rehabilitation settings?

<p>Existing fixed time logic and overall organization (B)</p> Signup and view all the answers

What did the study reveal about the outcomes of nursing staff engagement?

<p>The nursing staff experienced a renewed sense of engagement (D)</p> Signup and view all the answers

What is a recommendation made for future research in this area?

<p>Investigating long-term outcomes of nursing initiatives (C)</p> Signup and view all the answers

What was the overall impact of the tailored interventions on nursing staff?

<p>It sparked their engagement and attention to care (A)</p> Signup and view all the answers

What aspect of patient care did the nursing staff need to adjust during the rehabilitation process?

<p>Participate differently in the rehabilitation process (B)</p> Signup and view all the answers

How did the new approach impact patient expression during rehabilitation?

<p>It allowed them to express their personality and voice needs. (A)</p> Signup and view all the answers

What was a challenge faced by nursing staff in implementing a person-centred approach?

<p>Finding a balance between autonomy and support (A)</p> Signup and view all the answers

What does engagement in person-centred care primarily promote?

<p>A shared relationship between patients and staff (A)</p> Signup and view all the answers

What is goal setting considered important for in rehabilitation?

<p>Facilitating person-centred rehabilitation (C)</p> Signup and view all the answers

What effect did consecutive communicative initiatives have on patients?

<p>They sparked reflections leading to individualized goals. (A)</p> Signup and view all the answers

What role does a shared task play in the patient-nurse dynamic?

<p>It promotes engagement and collaboration. (B)</p> Signup and view all the answers

What misconception about engagement in care might nursing staff have?

<p>Shared decision-making is effective in all rehabilitation stages. (A)</p> Signup and view all the answers

What impact does patient participation have on hospitalized patients?

<p>It enhances patient safety. (B)</p> Signup and view all the answers

Which organization published the World Report on Disability in 2011?

<p>World Health Organization (D)</p> Signup and view all the answers

What aspect of rehabilitation was explored in the systematic review by Maribo et al. in 2020?

<p>Patient perspectives on goal setting (B)</p> Signup and view all the answers

What is the main focus of Coulter and Ellins' 2006 review?

<p>Patient-focused interventions (A)</p> Signup and view all the answers

Which study discusses the evaluation of patient participation from the staff's perspective in spinal cord injury rehabilitation?

<p>Melin J, Persson LO, Taft C, Kreuter M (B)</p> Signup and view all the answers

What does the International Classification of Functioning, Disability and Health (ICF) focus on?

<p>Health-related functioning and disability (C)</p> Signup and view all the answers

What is an aim of the Magic Programme as mentioned in the provided content?

<p>To help patients participate in care during hospitalization (D)</p> Signup and view all the answers

What was identified as a common theme in the experiences shared by patients in rehabilitation settings according to the studies reflected in the content?

<p>Desire for more control in their care (C)</p> Signup and view all the answers

What was the main focus of the PRIDE Project according to the listed studies?

<p>Exploring the relationship between quality of life and health innovations (D)</p> Signup and view all the answers

Which study specifically focused on anxiety prevalence following spinal cord injury?

<p>Le &amp; Dorstyn 2016 (B)</p> Signup and view all the answers

What major theme was addressed in the works of Greenwood and Levin?

<p>Analyses of action research methodologies (B)</p> Signup and view all the answers

What psychological condition was examined alongside spinal cord injuries in the 2015 study by Williams and Murray?

<p>Depression (B)</p> Signup and view all the answers

Which author contributed to understanding the cognitive process of identity reconstruction after neurological disabilities?

<p>Gendreau A (C)</p> Signup and view all the answers

In which publication did Dewey present his thoughts on democracy and education?

<p>Democracy and Education (C)</p> Signup and view all the answers

What is one of the purposes of action research in a hospital setting according to the systematic review by Montgomery et al.?

<p>To implement patient care improvements (D)</p> Signup and view all the answers

Which of the following studies does NOT involve research related to spinal cord injuries?

<p>Coghlan D’s methodological work (C)</p> Signup and view all the answers

What is one focus of Angel and Frederiksen's review on patient participation?

<p>The challenges in achieving patient participation (B)</p> Signup and view all the answers

Which aspect of rehabilitation does Kirkevold emphasize in her research?

<p>The role of nursing in rehabilitating stroke survivors (C)</p> Signup and view all the answers

What concept is explored by Titchen and McCormack in their work?

<p>Critical creativity in action research (B)</p> Signup and view all the answers

What does the action research paradigm proposed by Lewin primarily influence?

<p>Personal and intellectual influences in research (D)</p> Signup and view all the answers

What is a primary topic of concern in the studies by Angel, Kirkevold, and Pedersen regarding spinal cord injury?

<p>Professional support and its impact on rehabilitation (C)</p> Signup and view all the answers

In which publication would you find information about arts-informed research?

<p>Handbook of the Arts in Qualitative Research (B)</p> Signup and view all the answers

Which element is crucial to the methodological approach discussed by McCormack and Dewing?

<p>Transformational intent in action research (B)</p> Signup and view all the answers

Which issue is highlighted regarding patient participation in the context of empirical studies?

<p>Inconsistent approaches to defining participation (B)</p> Signup and view all the answers

What is a common focus of person-centered rehabilitation care?

<p>Personalizing care according to individual needs and goals (B)</p> Signup and view all the answers

Which of the following is emphasized in person-centered healthcare practice?

<p>Patient participation and perspective are crucial (A)</p> Signup and view all the answers

What aspect of nursing is highlighted in the challenges faced in rehabilitation contexts?

<p>Facilitating patient participation (C)</p> Signup and view all the answers

According to the systematic literature review on adult rehabilitation, what is an important goal-setting strategy?

<p>Involving patients in the goal-setting process (C)</p> Signup and view all the answers

What common misconception might hinder effective rehabilitation care?

<p>Patients are only passive recipients of care (B)</p> Signup and view all the answers

What is a critical factor in enhancing goal pursuit in adult rehabilitation?

<p>Utilizing systematic reviews to guide practice (C)</p> Signup and view all the answers

Which of the following is NOT a suggested strategy for effective rehabilitation?

<p>Encouraging competition among patients (A)</p> Signup and view all the answers

What does the term 'individual rehabilitation project' refer to?

<p>A personalized approach to enhancing rehabilitation outcomes (B)</p> Signup and view all the answers

Flashcards

Patient-centered care

A patient-centered approach to care focuses on the patient's perspective, needs, and goals, rather than solely on the provider's perspective.

Shared decision-making

A process where patients and healthcare providers work together to make decisions about the patient's care.

Reduced ability to participate

Patients with certain conditions, like spinal cord injury (SCI), might not be able to fully participate in decisions in the early stages of rehabilitation.

Autonomy and support

A balance of respecting the patient's independence while still providing the necessary help in the rehabilitation.

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Goal setting

A common method in rehabilitation focused on collaboratively setting objectives.

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Person-centred approach

A way of caring for patients that involves understanding their individual needs and preferences.

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Communicative initiatives

Nursing actions that encourage conversation and reflection for patients.

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Individualized goals

Goals that are specifically tailored to the needs and preferences of each patient.

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Nursing staff participation

The active involvement of nursing staff in the patient's rehabilitation process.

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Person-centered approach

A patient-focused approach to healthcare that considers the patient's needs, goals, and wishes.

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Patient participation

Active involvement of the patient in their care and rehabilitation process.

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Nursing staff engagement

The active participation and commitment of nurses in providing care and rehabilitation.

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Tailored interventions

Interventions that are specifically designed to meet the individual needs of the patient.

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Successful implementation

The successful adoption and use of a person-centered approach in rehabilitation settings.

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Interprofessional team

A team of healthcare professionals from different disciplines working together to provide comprehensive patient care.

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Time frame of study

The duration of the research study.

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Dialogue and reflection

A space for discussion and introspection, an essential component of the study.

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Study environment

The setting or structure of the study that facilitated the change in nurses.

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Long-term possibilities

Potential outcomes and consequences that extend beyond the study's time frame.

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Patient Participation

The involvement of patients in decisions about their care.

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Biopsychosocial Elements

Factors influencing health: thoughts, emotions, and social support.

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Quality of Care

The degree to which healthcare meets patients' needs and expectations.

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Patient Safety

Freedom from preventable harm in a healthcare setting.

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Spinal Cord Injury Rehabilitation

Treatment and recovery process for people with spinal cord damage.

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Goal Setting

Establishing achievable targets for improvement or recovery.

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International Classification of Functioning, Disability and Health (ICF)

A system for classifying health conditions and their effects on functioning.

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Hospitalized Patients' Participation

The engagement of patients in their healthcare while hospitalized.

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Action Research in Healthcare

A research approach where researchers work directly with healthcare professionals to improve practices and solve problems.

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Spinal Cord Injury (SCI)

Damage to the spinal cord, often causing physical impairments and impacting quality of life.

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Quality of Life (QOL)

An individual's overall well-being, considering physical, mental, and social factors.

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Self-Efficacy

A person's belief in their ability to succeed in specific situations or accomplish tasks.

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Suicide and SCI

A study showing a potential link between traumatic spinal cord injury and suicide risk.

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Anxiety after SCI

A common issue for people after spinal cord injury, often requiring support and treatment.

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Depression after SCI

A common issue, requiring assessment and treatment, in those who have experienced spinal cord injury.

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Identity Reconstruction

The process of adapting to a new identity after a neurological disability, adjusting to new circumstances affecting life.

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Action Research in Nursing

A research approach where nurses actively participate in solving problems and improving patient care within their own practice settings.

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Person-Centered Rehabilitation Care

A patient-focused approach to rehabilitation that emphasizes the patient's individual needs, preferences, and goals.

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Goal Setting in Rehab

Collaboratively defining objectives and strategies for achieving specific outcomes in treatments and improving function.

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Patient Vulnerability and Care

Understanding the factors making patients susceptible to challenges in care, and strategies to provide supportive care.

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Patient Participation in Rehabilitation

Active involvement of patients in decisions concerning their care and treatment, including setting goals and creating strategies.

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Individualized Goals

Tailoring goals to specific patient needs, preferences, and abilities.

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Nursing Staff's Role in Patient Participation

Active involvement of nursing staff in facilitating the patient's participation in the rehabilitation process.

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Action Research

A research approach focusing on solving real-world problems through collaborative action and reflection.

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Patient Participation

Involving patients in decisions related to their care and recovery.

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Spinal Cord Injury (SCI)

Damage to the spinal cord, potentially affecting movement and sensation.

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Rehabilitation

The process of restoring function and independence after an injury or illness.

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Challenges in Patient Participation

Obstacles encountered when patients are involved in treatment decisions.

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Professional Support

The assistance from healthcare providers that aids patient recovery.

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Arts-informed Research

Research using artistic methods and creativity for understanding experiences.

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Critical Creativity

Creative thinking combined with critical analysis to improve healthcare practice.

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Human Flourishing

Enhancing the well-being and fulfillment of individuals.

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Nursing's Role in Stroke Survivor Rehabilitation

The important contribution nurses make in helping stroke survivors recover.

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Study Notes

Nursing Staff Facilitate Patient Participation in Spinal Cord Injury Rehabilitation

  • Background: Spinal cord injury significantly alters a person's life, making rehabilitation challenging for both patients and healthcare professionals. Patient participation is crucial for successful outcomes, but varying psychological/physical abilities make support difficult.

  • Study Aim: Develop and facilitate patient participation by involving nursing staff and identifying supportive methods.

  • Methodology: Action research, encompassing four stages, used data collected from 2016 to 2018 at a Danish spinal cord injury center.

    • Problem identification: 8 nurses and nursing assistants (co-researchers) identified challenges to patient participation.
    • Planning: Jointly developing 4 communicative initiatives supporting patient participation.
  • Action Implementations: Testing and evaluating 4 communiative initiatives (detailed in Figure 1).

    • All initiatives focused on the patient's perspective ("My...")
    • Provided structured support for conversations.
    • Promoted patient-centered care.
  • Evaluation: Ricoeur's phenomenological-hermeneutic approach analyzed data from workshops, interviews, and evaluations of the initiatives.

  • Findings: Patient participation significantly improved when nursing staff:

    • Perspective-aware: Demonstrating caring, attentiveness, and engagement enabled tailored rehabilitation.
    • Collaborative: Nursing staff actively participated as equal partners, not just as care providers.
    • Attentive: By getting to know the patients as individuals and understanding their narratives, nurses demonstrated more caring and personal engagement.
    • Prioritization: Recognizing and incorporating the patient's prior life experiences in planning the pathway.
  • Ethical Considerations: The study was approved by the Danish Data Protection Agency and observed the Helsinki II Declaration and Ethical Guidelines for Nursing Research. Patients provided informed consent.

  • Strengths/Limitations: Acknowledged social complexity of action research and the limitations of involving only 8 nurses. The timeframe restricted analysis of long-term consequences.

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