Waters K R, Luker K A
J Clin Nurs. 1996 Mar;5(2):105-14. doi: 10.1111/j.1365-2702.1996.tb00235.x.
The increasing demand for cost-effective and efficient health care may create a demand for more demonstrably effective hospital-based rehabilitation services, with the explicit goal of enabling patients to return home after short admissions; thus rehabilitation is centre stage. This paper reports the findings from a study of the rehabilitation of elderly people in hospital; in particular it focuses on an aspect of the process of care: namely staff perceptions of rehabilitation work, with particular emphasis on the role of the nurse. A conversational style of interviewing was used with 56 staff respondents from two rehabilitation wards for elderly people. Findings suggest that therapists are often seen as experts, and nursing is viewed as separate from rehabilitation, and hence nurses are an under-utilized resource in this field. It is suggested that there is a need to examine further the reality of multidisciplinary teamwork in rehabilitation, particularly with respect to maximizing the potential contribution of nurses, with the end goal of improving patient outcomes.
对经济高效的医疗保健需求不断增加，可能会催生对更具显著疗效的医院康复服务的需求，其明确目标是让患者在短期住院后回家；因此，康复成为核心议题。本文报告了一项针对住院老年人康复情况的研究结果；尤其关注护理过程的一个方面，即工作人员对康复工作的看法，特别强调护士的作用。采用对话式访谈方式，对来自两个老年康复病房的56名工作人员进行了调查。研究结果表明，治疗师常被视为专家，而护理被视为与康复相分离，因此护士在该领域是未得到充分利用的资源。建议进一步审视康复领域多学科团队合作的实际情况，特别是在最大限度发挥护士潜在贡献方面，最终目标是改善患者的治疗效果。
