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  4. Relationship of nursing education and care management inpatient rehabilitation interventions and patient characteristics to outcomes following spinal cord injury: The SCIRehab project

Relationship of nursing education and care management inpatient rehabilitation interventions and patient characteristics to outcomes following spinal cord injury: The SCIRehab project

The Journal of Spinal Cord Medicine, 2012 · DOI: 10.1179/2045772312Y.0000000067 · Published: January 1, 2012

Spinal Cord InjuryPatient ExperienceNursing

Simple Explanation

This study investigates how nursing education and care management during inpatient rehabilitation affect the recovery and well-being of patients with spinal cord injury (SCI). It looks at factors like functional abilities, community involvement, and overall quality of life. The research examines the time nurses spend on specific activities, such as educating patients about bladder management, providing emotional support, and coordinating with the healthcare team. It then analyzes how these activities relate to patient outcomes one year after their injury. The ultimate goal is to identify which nursing interventions are most effective in helping SCI patients achieve better functional outcomes, participate more fully in their communities, and experience a higher quality of life after their rehabilitation.

Study Duration
Not specified
Participants
1376 patients with traumatic SCI
Evidence Level
Prospective observational study

Key Findings

  • 1
    Greater patient participation in nursing activities is associated with better outcomes, suggesting nurses should encourage active involvement.
  • 2
    More RN time spent coordinating with the care team correlates with higher patient life satisfaction and mobility.
  • 3
    Increased time providing psychosocial support is linked to improved mobility, occupation scores, and a greater likelihood of returning to work or school.

Research Summary

The study examined the relationship between nursing interventions (education and care management) and patient outcomes following traumatic SCI. Data were collected through systematic recording of nursing activities, chart reviews, and patient interviews. Results indicated that greater patient participation in nursing activities is associated with better outcomes. Specific nursing activities, such as coordination with the care team and psychosocial support, were also linked to improved patient outcomes. The study highlights the importance of active patient involvement in care and the potential benefits of psychosocial support, while also suggesting the need to evaluate the allocation of nursing time to ensure a balance of necessary interventions.

Practical Implications

Promote Patient Participation

Nurses should actively encourage patient involvement in all aspects of their care to improve outcomes.

Prioritize Psychosocial Support

Allocate sufficient time for psychosocial support, recognizing its positive impact on mobility, occupation, and return to work/school.

Evaluate Nursing Time Allocation

Assess the balance of nursing interventions to ensure that psychosocial support does not overshadow other essential education or care management activities.

Study Limitations

  • 1
    Potential for incomplete documentation of nursing activities.
  • 2
    Possible variability in how nurses documented activities (e.g., psychosocial support).
  • 3
    Lack of assessment regarding the quality of teaching and care management.

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