Nurses play a key role in providing rehabilitation care. In this regard, identifying the factors that affect their practice can be useful in planning to improve the quality of rehabilitation nursing care. This study aims to explore the experience of nurses and members of the rehabilitation team about barriers and facilitators of rehabilitation nursing care of patients with disability in the rehabilitation hospital. This qualitative study was conducted in the main public rehabilitation hospital in Tehran, Iran. Eighteen persons including 12 nurses in clinical and managerial positions, an occupational therapist, a physical medicine specialist, a patient, and an informal caregiver participated in this study. Participants were selected based on purposeful sampling. Data were collected through 18 in-depth semi-structured interviews and analyzed based on qualitative content analysis principles. Three themes were derived from the data analysis, which represented Barriers and facilitators related to nurses (specialized knowledge and skills, psychological status, mentoring, professional communication), barriers and facilitators related to the work environment (nurses' performance evaluation, nursing workforce, comprehensive care facilities, workplace design, specialized unit), barriers and facilitators related to patients and caregivers (patient's participation in nursing care, patient adaptation, efficiency of formal caregivers). The experiences of the rehabilitation team shows that not only nurses, but also the environment, patients, and caregivers can affect the provision of care and change the quality of care. Identifying these factors can help managers, researchers, and clinical nurses to facilitate and improve rehabilitation nursing care by modifying the influencing factors.
This research aims to determine the relationship between spiritual intelligence and resiliency of rehabilitation staff. The reliable and validated spiritual intelligence and CD-RISC resiliency and demographic scales were used to collect data. There is a significant relationship between spiritual intelligence and the resiliency of rehabilitation staff (r = 0.38). Results showed that by increasing spiritual intelligence, resilience could increase.
BackgroundDespite the importance of rehabilitation nursing care in improving patient outcomes, the provision of this care in the early stages of diseases and injuries is limited. In this situation, analyzing the concept of rehabilitation nursing care can increase nurses’ understanding of this concept and improve the provision of rehabilitation nursing care in the acute phase. This study aimed to analyze the concept of rehabilitation nursing care in acute phase of diseases with physical disability.MethodWalker and Avant's approach to concept analysis was performed in eight stages, including choosing a concept, determining the purpose of analysis, identifying all uses of the concept, defining attributes, identifying a model case, identifying borderline and contrary cases, identifying antecedents and consequences, and defining empirical referents.ResultsThe important characteristics of rehabilitation nursing are comprehensive, education‐based, specialized, client and family centered, interprofessional, and need‐based. The antecedents of rehabilitation nursing care are related to nurses, the care settings and the nursing profession. The most important consequence of rehabilitation nursing care is improving the quality of life of patients. Rehabilitation nursing care also has positive outcomes for nurses and the healthcare systems.ConclusionThe findings indicate that rehabilitation nursing care has several attributes that require antecedents such as knowledge and specialized skills such as teamwork skills, effective communication skills, cultural sensitivity, holistic perspective, intuitive thinking, and reasoning. The most important consequence of rehabilitation nursing care is improving the quality of life of patients.
Spirituality is an essential component of health. However, evidence suggests that patients’ spiritual dimension has received less attention, possibly due to the unpreparedness of nurses to provide spiritual care. This study aimed to investigate the context of spiritual care in nursing education and to review the necessary preparations to provide spiritual care, as well as to examine the effective models and methods of spiritual care education in nursing. A comprehensive and in-depth review of the texts was conducted using national and international databases including SID, Magiran, Barakat, PubMed, ProQuest, Scopus, Embase, Web of Science and Google Scholar, spanning the years 2016–2021 and using the keywords “Spiritual care”; “Spiritual Curriculum”; “Spirituality”; “Religion”; “Nursing curriculum”; “Nursing students”; “Nursing educator”; “Nursing education”; “Education”; “Nursing”; and “Curriculum.” Out of 743 obtained articles, 39 were enrolled. The results showed that the basis of spiritual care in nursing education is inappropriate and the necessary preparations for providing proper spiritual care are not well provided. Although various models and variants have been presented to educate spiritual care, they are not organised throughout the students’ curriculum. Using a curriculum includes spirituality, spiritual awareness, and spiritual care, as well as organising it throughout the student curriculum, which can be the first step in providing decent spiritual care. Therefore, it is worthwhile to take effective steps in promoting spiritual care by solving the existing challenges and reducing the gap between theoretical and clinical education.
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