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  4. Nursing staff facilitate patient participation by championing the patient's perspective: An action research study in spinal cord injury rehabilitation

Nursing staff facilitate patient participation by championing the patient's perspective: An action research study in spinal cord injury rehabilitation

Health Expectations, 2022 · DOI: 10.1111/hex.13574 · Published: July 20, 2022

Spinal Cord InjuryNursingRehabilitation

Simple Explanation

This study aimed to improve patient involvement in spinal cord injury rehabilitation by engaging nursing staff. It explored how nurses can better support patients in their rehabilitation journey, focusing on the patient's unique needs and perspectives. The study used action research, where nurses actively participated in developing and testing new approaches. This collaborative process helped them understand the patient's point of view and tailor rehabilitation to individual needs. The research found that when nurses focused on understanding the patient's perspective, it enhanced patient participation. This led to a more caring and attentive approach, where nurses became active partners in the patient's rehabilitation process.

Study Duration
2 Years
Participants
8 nursing staff members and 11 patients
Evidence Level
Not specified

Key Findings

  • 1
    Awareness of the patient's perspective facilitates a caring, attentive, and engaged approach from the nursing staff, fostering a stronger nurse-patient relationship.
  • 2
    Attentiveness to the patient's perspective and pre-SCI life guides the rehabilitation pathway, making the process more meaningful and personalized.
  • 3
    Developing a collaborative process, where nursing staff actively participate in the patient's rehabilitation, enhances patient engagement and motivation.

Research Summary

The study developed four communicative nursing initiatives to support patient participation in spinal cord injury rehabilitation, emphasizing the patient's perspective and promoting their agenda. The nursing staff experienced a shift in their approach to patient participation, becoming more caring, attentive, and engaged by understanding and including the patient's perspective in the rehabilitation process. The research highlights the importance of involving nursing staff in the development of person-centered practices to enhance patient participation and improve the overall rehabilitation experience.

Practical Implications

Enhanced Patient-Centered Care

Focusing on the patient's perspective can improve care quality and tailor rehabilitation to individual needs.

Improved Nurse-Patient Relationship

A caring and attentive approach from nursing staff can foster a stronger connection, increasing patient engagement.

Effective Implementation Strategies

Involving nursing staff in developing and testing new procedures can lead to more effective and sustainable changes in practice.

Study Limitations

  • 1
    Limited generalizability due to the social complexity of action research.
  • 2
    The personal involvement was limited to a section of the entire nursing staff group.
  • 3
    Only included nursing staff, reflecting only the nursing contribution to rehabilitation.

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