Daily functioning support – a qualitative exploration of rehabilitative approach in acute hospitalised care
Corresponding Author
Kati Kannisto PhD
Nurse Manager
Satakunta Hospital District, Pori, Finland
SataDiag, Hospital District of Satakunta Public Utility of Diagnostic and Related Services, Pori, Finland
Correspondence to:
Kati Kannisto, Satakunta Hospital District, SataDiag, Sairaalantie 3, 28500 Pori, Finland.
E-mail: [email protected]
Search for more papers by this authorEila Hirvonen PhD
Consultant
Consulting Eila Hirvonen, Pori, Finland
Search for more papers by this authorMinna Koivuniemi MHSc
Project Manager
Satakunta Hospital District, Pori, Finland
Turku School of Economics, Pori, Finland
Search for more papers by this authorSari Teeri PhD
Principal Lecturer
Satakunta University of Applied Sciences, Pori, Finland
Search for more papers by this authorPaula Asikainen PhD
Chief Executive Nursing Officer, Adjunct Professor
Satakunta Hospital District, Pori, Finland
Nursing Science, Faculty of Social Sciences, Tampere University, Tampere, Finland
Search for more papers by this authorMarita Koivunen PhD
Nursing Director, Docent
Satakunta Hospital District, Pori, Finland
Department of Nursing Science, University of Turku, Turku, Finland
Search for more papers by this authorCorresponding Author
Kati Kannisto PhD
Nurse Manager
Satakunta Hospital District, Pori, Finland
SataDiag, Hospital District of Satakunta Public Utility of Diagnostic and Related Services, Pori, Finland
Correspondence to:
Kati Kannisto, Satakunta Hospital District, SataDiag, Sairaalantie 3, 28500 Pori, Finland.
E-mail: [email protected]
Search for more papers by this authorEila Hirvonen PhD
Consultant
Consulting Eila Hirvonen, Pori, Finland
Search for more papers by this authorMinna Koivuniemi MHSc
Project Manager
Satakunta Hospital District, Pori, Finland
Turku School of Economics, Pori, Finland
Search for more papers by this authorSari Teeri PhD
Principal Lecturer
Satakunta University of Applied Sciences, Pori, Finland
Search for more papers by this authorPaula Asikainen PhD
Chief Executive Nursing Officer, Adjunct Professor
Satakunta Hospital District, Pori, Finland
Nursing Science, Faculty of Social Sciences, Tampere University, Tampere, Finland
Search for more papers by this authorMarita Koivunen PhD
Nursing Director, Docent
Satakunta Hospital District, Pori, Finland
Department of Nursing Science, University of Turku, Turku, Finland
Search for more papers by this authorAbstract
Objectives
Hospitalised patients are at risk of temporary or permanent loss of functioning which impacts their future independence. Implementation of a rehabilitative approach in everyday nursing in the acute care setting may produce good therapeutic results and promote independent daily living of patients. Thus, the aim of the study was to explore and understand the patterns of a rehabilitative approach in acute hospital wards from the perspective of interdisciplinary team members. Specifically, our aim was to identify the factors promoting and preventing a rehabilitative approach.
Method
We conducted four focus group interviews with 21 participants, including multidisciplinary team members from acute hospital wards. Data were analysed with conventional inductive content analysis.
Results
The findings highlighted that the rehabilitative approach, as a personal way of working and personal working attitude, was a part of comprehensive nursing. The main goals of the rehabilitative approach were to support the physical functioning of the patients and their independent initiative and individuality during clinical care in hospital ward. The promoting and preventing factors that influenced the development of the rehabilitative approach consisted of personal factors, organisational factors and the physical settings of the hospital wards.
Conclusion
The findings of this study indicate that the rehabilitative approach in nursing focused on supporting the physical functioning, independence and self-confidence of the patient. The staff highlighted that interdisciplinary teamwork was one feature of the rehabilitative approach. The rehabilitative approach in nursing should be established as a part of everyday activity in clinical practice.
Conflict of interest
The authors report no conflicts of interest.
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