Nursing Department, University of Social Welfare and Rehabilitation Science, Tehran, Iran.
Iranian Research Center on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Front Public Health. 2022 Aug 11;10:931287. doi: 10.3389/fpubh.2022.931287. eCollection 2022.
Nurses play a key role in providing rehabilitation care. In this regard, identifying the factors that affect their practice can be useful in planning to improve the quality of rehabilitation nursing care. This study aims to explore the experience of nurses and members of the rehabilitation team about barriers and facilitators of rehabilitation nursing care of patients with disability in the rehabilitation hospital. This qualitative study was conducted in the main public rehabilitation hospital in Tehran, Iran. Eighteen persons including 12 nurses in clinical and managerial positions, an occupational therapist, a physical medicine specialist, a patient, and an informal caregiver participated in this study. Participants were selected based on purposeful sampling. Data were collected through 18 in-depth semi-structured interviews and analyzed based on qualitative content analysis principles. Three themes were derived from the data analysis, which represented Barriers and facilitators related to nurses (specialized knowledge and skills, psychological status, mentoring, professional communication), barriers and facilitators related to the work environment (nurses' performance evaluation, nursing workforce, comprehensive care facilities, workplace design, specialized unit), barriers and facilitators related to patients and caregivers (patient's participation in nursing care, patient adaptation, efficiency of formal caregivers). The experiences of the rehabilitation team shows that not only nurses, but also the environment, patients, and caregivers can affect the provision of care and change the quality of care. Identifying these factors can help managers, researchers, and clinical nurses to facilitate and improve rehabilitation nursing care by modifying the influencing factors.
护士在提供康复护理方面发挥着关键作用。在这方面，确定影响他们实践的因素对于规划提高康复护理质量可能是有用的。本研究旨在探讨护士和康复团队成员在康复医院残疾患者康复护理方面的障碍和促进因素的经验。这是一项在伊朗德黑兰主要公立康复医院进行的定性研究。18 人参加了这项研究，包括临床和管理岗位的 12 名护士、一名职业治疗师、一名物理医学专家、一名患者和一名非正式护理人员。参与者是根据目的抽样选择的。通过 18 次深入的半结构化访谈收集数据，并根据定性内容分析原则进行分析。数据分析得出了三个主题，代表了与护士相关的障碍和促进因素（专业知识和技能、心理状态、指导、专业沟通）、与工作环境相关的障碍和促进因素（护士绩效评估、护理人员配备、综合护理设施、工作场所设计、专门单位）以及与患者和护理人员相关的障碍和促进因素（患者参与护理、患者适应、正式护理人员的效率）。康复团队的经验表明，不仅护士，而且环境、患者和护理人员都可以影响护理的提供并改变护理质量。确定这些因素可以帮助管理人员、研究人员和临床护士通过改变影响因素来促进和改善康复护理。
