TY - JOUR

T1 - Call for human contact and support

T2 - an interview study exploring patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions

AU - Loft, Mia Ingerslev

AU - Martinsen Woythal, Bente

AU - Esbensen, Bente Appel

AU - Mathiesen, Lone L.

AU - Iversen, Helle K.

AU - Poulsen, Ingrid

PY - 2019

Y1 - 2019

N2 - Purpose: To describe patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions during hospitalisation. Materials and methods: In a qualitative study, 10 interviews with stroke patients were conducted, transcribed, and analysed using qualitative content analysis. Results: The patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions during hospitalisation were found to be related to one overall theme derived from 10 categories. As a recurring motif in the patients’ interviews, they experienced existential thoughts, and these thoughts unquestionably affected their experiences within the rehabilitation unit. These thoughts enhanced their need for human contact, thereby affecting their relationships with and perceptions of the nursing staff. Conclusion: The findings deepen our understanding of how patients experience inpatient rehabilitation. The patients struggled with existential thoughts and concerns about the future and therefore called for human contact and support from the nursing staff. They perceived the nursing staff as mostly polite and helpful, but were unclear about the nursing staff’s function in rehabilitation which, in the patients’ perspective, equals physical training.Implications for RehabilitationNursing staff need to pay attention to the patients’ needs, existential thoughts and concerns during inpatient rehabilitation.Meaningful goals for the rehabilitation of stroke patients are crucial, and it is vital that the patients commit to the goals.Patients expected polite and helpful nurses, but did not see them as therapeutic and active stakeholders, thus it is important that nursing staff present themselves as part of the interdisciplinary rehabilitation.There is a need for training and education of nursing staff, both pre and post graduate.

AB - Purpose: To describe patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions during hospitalisation. Materials and methods: In a qualitative study, 10 interviews with stroke patients were conducted, transcribed, and analysed using qualitative content analysis. Results: The patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions during hospitalisation were found to be related to one overall theme derived from 10 categories. As a recurring motif in the patients’ interviews, they experienced existential thoughts, and these thoughts unquestionably affected their experiences within the rehabilitation unit. These thoughts enhanced their need for human contact, thereby affecting their relationships with and perceptions of the nursing staff. Conclusion: The findings deepen our understanding of how patients experience inpatient rehabilitation. The patients struggled with existential thoughts and concerns about the future and therefore called for human contact and support from the nursing staff. They perceived the nursing staff as mostly polite and helpful, but were unclear about the nursing staff’s function in rehabilitation which, in the patients’ perspective, equals physical training.Implications for RehabilitationNursing staff need to pay attention to the patients’ needs, existential thoughts and concerns during inpatient rehabilitation.Meaningful goals for the rehabilitation of stroke patients are crucial, and it is vital that the patients commit to the goals.Patients expected polite and helpful nurses, but did not see them as therapeutic and active stakeholders, thus it is important that nursing staff present themselves as part of the interdisciplinary rehabilitation.There is a need for training and education of nursing staff, both pre and post graduate.

KW - neurology

KW - nursing

KW - Qualitative study

KW - rehabilitation

KW - stroke

KW - vulnerability

U2 - 10.1080/09638288.2017.1393698

DO - 10.1080/09638288.2017.1393698

M3 - Journal article

C2 - 29065725

AN - SCOPUS:85032227766

VL - 41

SP - 396

EP - 404

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

SN - 0963-8288

IS - 4

ER -