Exploring Partnerships in the Rehabilitation Setting: The 24‐Hour Approach of the Bobath Concept

Fraser, Clare

doi:10.1002/9781444314601.ch8

Cited by 1 publication

(2 citation statements)

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“…Rehabilitation is provided by the interventions of the whole team over a 24-hour period (Fraser, 2009). Nurses have previously been identified as the only health professionals who are continuously present on a ward and therefore play a key role in ensuring optimum positioning (Jones et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

“…People with severe neurological physical impairments can have difficulty maintaining or changing their posture and position and they frequently spend long periods of time in bed across a 24-hour period (Pope, 2007). Therapeutic positioning (referred to hereinafter as positioning) interventions are recommended for people with neurological impairments, with a consensus of their importance across a variety of therapeutic approaches (Fraser, 2009;Carr and Shepherd, 2010;Kilbride and Cassidy, 2011). It is also recommended within stroke clinical guidelines (Intercollegiate Stroke Working Party, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the current practice of therapeutic positioning in neurological rehabilitation: a qualitative interview study

Gooch,

Jones,

Stockley

2023

International Journal of Therapy and Rehabilitation

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Background/Aims Therapeutic positioning is believed to enable the achievement of a good postural alignment, optimise rehabilitation and prevent the complications of immobility. It is considered important in the management of people with physical neurological impairments, but achieving a favourable position in a bed can be challenging. There is little evidence to inform present practice. Therefore, this study explored staff views and experiences of bed positioning practice on a regional neurological rehabilitation unit. Methods Face-to-face, semi-structured interviews were completed with a purposive sample of nurses, physiotherapists and occupational therapists working on a neurological rehabilitation unit. The interviews were audio recorded, transcribed and analysed using inductive thematic analysis. Results A total of 12 participants completed an interview and six themes were identified relating to positioning practice. An interaction of four of these themes (patient needs, staff role, communication and knowledge) influenced a fifth theme of staff experiences. The sixth theme of practical positioning resources identified a pattern of resource use within current practice. Conclusions Positioning was recognised as integral to rehabilitation, and staff experiences were influenced by the interaction of a range of factors. The participants’ views and experiences around practical positioning resources provide a valuable new insight into positioning practice. Further research is needed to evaluate these resources.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%