Suter-Riederer Susanne, Mahrer Imhof Romy, Gabriel Claudia, Kesselring Jürg, Schnepp Wilfried, Imhof Lorenz
Zurich University of Applied Sciences, Winterthur, Switzerland.
University of Witten/Herdecke, Witten, Germany.
Rehabil Nurs. 2018 Nov/Dec;43(6):E35-E41. doi: 10.1097/rnj.0000000000000111.
Patient-centeredness, evidence-based interventions, and interdisciplinary teamwork have been described as key in neurological rehabilitation nursing. In order to develop future action plans, a group of Swiss rehabilitation nurses sought agreement on concrete principles that led the efforts to develop a common understanding of rehabilitation nursing care in Switzerland.
A three-round Delphi study was conducted.
Literature-based statements were formulated and sent out twice to 54 rehabilitation nursing stakeholders. In the third round, the participants ranked the three most important statements out of 13.
Highest priority reached the statements: Rehabilitation nursing care (1) considers the uniqueness of the patients and their family, (2) offers support that promises the greatest potential for patients and their family, and (3) uses evidence-based knowledge.
Statements on patient- and family-centeredness were ranked highest. Patients and families' preferences have to be considered as much as evidence-based knowledge and interventions to support patients and family.
The study supported the discussion on action plans and enlivened new services and nursing interventions in a Swiss nursing community.
以患者为中心、基于证据的干预措施以及跨学科团队合作被认为是神经康复护理的关键要素。为制定未来的行动计划,一群瑞士康复护士就具体原则达成共识,这些原则引领着人们努力在瑞士形成对康复护理的共同理解。
开展了三轮德尔菲研究。
制定基于文献的陈述,并向54位康复护理利益相关者发送了两次。在第三轮中,参与者从13条陈述中选出最重要的三条进行排序。
优先级最高的陈述为:康复护理(1)考虑患者及其家庭的独特性,(2)提供对患者及其家庭具有最大潜在益处的支持,(3)运用基于证据的知识。
以患者和家庭为中心的陈述排名最高。必须像考虑基于证据的知识和干预措施一样,充分考虑患者和家庭的偏好,以支持患者及其家庭。
该研究为行动计划的讨论提供了支持,并在瑞士护理界激发了新的服务和护理干预措施。