Nursing contribution to the rehabilitation of older patients: patient and family perspectives

Abstract

Patients and family members appreciate 'best fit relationships' where nurses seek to enter into the older person's world of disability to form a partnership which enhances their motivation to achieve independence.

The nurse–patient relationship as a story of health enhancement in community care: A meta‐ethnography

“…As patients in community care often have the same nurse attending to them over time, the NPR develops and patients seem to share more personal experiences. In these relationships, patients also seek personal information about the nurse, leading to their feeling a connection on a deeper level (Turpin, McWilliam, & Ward‐Griffin, ; Tyrrell et al., ; Van Hecke et al., ; Wilkes, Cioffi, Warne, Harrison, & Vonu‐boriceanu, ).…”

Understanding informal carers’ experiences of caring for older people with a hip fracture: a systematic review of qualitative studies

“…During the last phase of the experience, named as 'getting on with it', carers strove for predictability and focused on facilitating social participation for themselves and their relatives. According to Byrne et al [31] i) Wanting to be involved Carers expected to participate and be engaged in the decision-making process [40][41][42][43]48,49]. Most of the carers did not feel incorporated in this process: "No, I actually wasn't (involved).…”

“…Some carers also felt that the timing of information was often difficult to cope with, for example too early during the admission or too late [36,43]. Generally carers felt unprepared and needed information about pain management, rehabilitation procedures and the availability of care support [31,37,[39][40][41][42][43]49]: "We did not really know how to proceed with my Mother's care upon discharge from the hospital" [38 p.6]. Carers required comprehensive and accurate information to reduce mismatched information about their role in the recovery phase, especially carers of people with dementia who expressed more unknowns about the progression and medication [31].…”

“…Carers required comprehensive and accurate information to reduce mismatched information about their role in the recovery phase, especially carers of people with dementia who expressed more unknowns about the progression and medication [31]. Carers needed to anticipate immediate and long-term problems [31] and to understand their role as motivators throughout recovery [36,49].…”

A day in the life of older people in a rehabilitation setting: an observational study

“…Long et al [46] suggest the nursing role requires the creation of ''therapy integration'', which involves a therapeutic and rehabilitative environment in which rehabilitation principles are incorporated into all aspects of practice. Increasing engagement with the specialty nature of their work and higher professional esteem has the potential for enhanced rehabilitation outcomes, patient satisfaction [47,48], improved teamwork [49] and the advancement of rehabilitation nursing [50]. Even though the nursing contribution to rehabilitation for older persons following admission to hospital is fully acknowledged by patients and their families [47] and known to impact considerably on their functional ability [49], nurses' awareness of their professional identity, skill set and knowledge in rehabilitation practice is not well developed [50,51].…”