Pryor Julie
Royal Rehabilitation Centre Sydney, New South Wales, Ryde, Australia.
Disabil Rehabil. 2008;30(4):314-22. doi: 10.1080/09638280701256900.
To generate a deeper understanding of contextual factors influencing nursing's contribution to inpatient rehabilitation units in Australia.
Grounded theory informed by the theoretical perspective of symbolic interactionism. Data were generated by interviews with nurses and observation of their everyday practice.
Nursing and allied health work in inpatient rehabilitation was segregated by divided and dividing work practices. Several contextual conditions contributed to the segregation. These were 'limited acknowledgment of nursing's complex role', 'divisive work practices' and 'discontinuous teamwork'. Segregation limited the extent to which nurses could contribute to patient rehabilitation.
The delivery of multi-professional inpatient rehabilitation is complex. By focusing efforts to ameliorate segregation, progress can be made towards optimizing the contribution of all disciplines to patient rehabilitation.
更深入地理解影响澳大利亚住院康复科护理工作贡献的背景因素。
基于符号互动主义理论视角的扎根理论。数据通过对护士的访谈以及对其日常工作的观察收集。
住院康复科的护理工作与联合健康工作因分工和分化的工作实践而被隔离。多种背景条件导致了这种隔离。这些条件包括“对护理复杂角色的认可有限”“分裂性的工作实践”和“不连续的团队协作”。隔离限制了护士对患者康复的贡献程度。
多专业住院康复服务的提供很复杂。通过集中精力改善隔离状况，可以在优化所有学科对患者康复的贡献方面取得进展。
