Atwal Anita, Tattersall Kirsty, Caldwell Kay, Craik Christine
Brunel University Isleworth, Middlesex, UK.
J Clin Nurs. 2006 Nov;15(11):1418-25. doi: 10.1111/j.1365-2702.2005.01451.x.
This paper describes the perceptions of nurses, healthcare assistants, doctors and therapists of rehabilitation and the role of nurses and healthcare assistants on an acute older adults ward in a London teaching hospital.
The role perception, education and training and attitudes towards the older adults have been identified as barriers that have an impact upon the nurses' role within rehabilitation. However, little is known about the role of nurses and healthcare assistants in rehabilitation of older adults in acute health care.
Action research study.
Twenty-four semi-structured interviews were conducted and audio recorded about healthcare professionals' understanding of rehabilitation, the type of skills needed and their perceptions of the role of nurses and healthcare assistants in rehabilitation. The interview transcripts were analysed using the thematic content analysis.
The findings suggest that the therapists relied on nurses and healthcare assistants for therapy carry-over. Healthcare assistants were perceived as the professional group who could deliver therapy carry-over. There was an evidence of role hierarchy as healthcare assistants perceived that they were not actively involved in decision-making or discharge planning.
This paper suggests that healthcare assistants and nurses are viewed as the professional group best placed to deliver therapy carry-over. However, whilst there is an acknowledgement of their role, there remains a reluctance to acknowledge healthcare assistants as a professional group and to involve them within decision-making and discharge planning.
Employers must be seen to advocate, support and implement education and training programs for healthcare assistants. However, whilst nurses and healthcare assistants have an integral role in rehabilitation, there needs to be more research into the how they are supported by therapy professionals.
本文描述了护士、医疗护理员、医生和治疗师对康复的看法，以及护士和医疗护理员在伦敦一家教学医院急性老年病房中的作用。
角色认知、教育与培训以及对老年人的态度已被确定为影响护士在康复中作用的障碍。然而，对于护士和医疗护理员在急性医疗保健中老年人康复方面的作用，人们了解甚少。
行动研究。
对医疗保健专业人员进行了24次半结构化访谈并录音，内容涉及他们对康复的理解、所需技能类型以及他们对护士和医疗护理员在康复中作用的看法。使用主题内容分析法对访谈记录进行分析。
研究结果表明，治疗师依靠护士和医疗护理员进行康复训练的延续。医疗护理员被视为能够进行康复训练延续的专业群体。有证据表明存在角色等级制度，因为医疗护理员认为他们没有积极参与决策或出院计划。
本文表明，医疗护理员和护士被视为最适合进行康复训练延续的专业群体。然而，尽管承认他们的作用，但仍然不愿意将医疗护理员视为一个专业群体，并让他们参与决策和出院计划。
雇主必须倡导、支持并实施针对医疗护理员的教育和培训项目。然而，尽管护士和医疗护理员在康复中起着不可或缺的作用，但对于治疗专业人员如何支持他们，还需要进行更多研究。
