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</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</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</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</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</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</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.</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</p> Signup and view all the answers

    What does engagement in person-centred care primarily promote?

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

    What is goal setting considered important for in rehabilitation?

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

    What effect did consecutive communicative initiatives have on patients?

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

    What impact does patient participation have on hospitalized patients?

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

    Which organization published the World Report on Disability in 2011?

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

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

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

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

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

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

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

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

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

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

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

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

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

    What common misconception might hinder effective rehabilitation care?

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

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

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

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

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

    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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    Description

    This quiz explores how nursing staff can enhance patient participation in spinal cord injury rehabilitation. It covers the methodologies used in a Danish study aimed at addressing challenges faced by patients and healthcare professionals. Dive into the communicative initiatives designed to support and empower patients during their recovery journey.

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