The Caring-Disability Creation Process model: a new way of combining 'Care' in nursing and 'Rehabilitation' for better quality of services and patient safety

Rehabilitation nursing care in the acute phase of diseases with physical disabilities: A concept analysis study

BACKGROUND

Despite 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.

METHOD

Walker 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.

RESULTS

The 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.

CONCLUSION

The 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.

Ariadne's thread: a promising new multidisciplinary tool to foster clients' resilience throughout the rehabilitation process

INTRODUCTION

Resilience plays an important role in the rehabilitation process as it helps people adapt and grow through difficulties. Ariadne's Thread is one of the few assessment and intervention tools that aim to maximize clients' resilience but its impacts have yet to be studied.

PURPOSE

This study explored health professionals' perceptions regarding the impact of Ariadne's Thread on clients, on themselves and on the rehabilitation process.

METHOD

An exploratory qualitative clinical research design was used to conduct semi-structured interviews with ten health professionals who used Ariadne's Thread directly or indirectly with clients.

RESULTS

Health professionals perceived that Ariadne's Thread had a positive impact on clients' personal factors, especially resilience, self-knowledge, self-esteem and motivation. Moreover, as it fosters a common understanding of clients and use of their strengths and interests in interventions, Ariadne's Thread facilitates the interdisciplinary rehabilitation process. It also enables professionals to confirm their treatment approaches and facilitates therapeutic relationships.

CONCLUSIONS

Ariadne's Thread is an innovative intervention and a promising way to enhance clients' resilience. Through a positive, holistic and client-centered vision, Ariadne's Thread can have a positive impact on the rehabilitation process, according to the perceptions of the health professionals in this study. Implications for rehabilitation Ariadne's Thread (AT) is one of the few assessment and intervention tools that aims to maximise clients' resilience and spirituality, and enables professionals to address important themes not usually covered in rehabilitation. Due to its effects on knowledge of the client and clients' resilience, self-esteem, strengths and spirituality, AT can enhance the rehabilitation process. Nevertheless, integrating resilience into practice requires a major paradigm shift, not only focusing on treatment results or helping clients to adapt to their disabilities, but also taking into account clients' and their families' strengths and resources.