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Rehabilitation nursing in home care
B Brillhart1, L Heard, B Kruse
1Arizona State University College of Nursing, PO Box 872602, Tempe, AZ 85287-2602, USA.
Summary
Rehabilitation nurses in home care experience distinct roles and challenges. Key rewards include patient interaction and autonomy, while difficulties involve coordination and resource limitations.
Area of Science:
- Nursing
- Rehabilitation Nursing
- Home Healthcare
Background:
- Home care is a growing area for rehabilitation nursing.
- Understanding the specific roles and challenges faced by these nurses is crucial for professional development and patient care.
- The Association of Rehabilitation Nurses (ARN) sought to define these aspects.
Purpose of the Study:
- To determine the role intensity of rehabilitation nurses in home care.
- To identify the rewards and difficulties associated with home-based rehabilitation nursing.
- To compare home rehabilitation nursing with inpatient settings.
Main Methods:
- A survey was administered to 83 members of the ARN's Home Health Special Interest Group (SIG).
- The survey instrument was developed based on role descriptions formulated by ARN.
- Data were collected in 1998 and 1999.
Main Results:
- Significant differences were found in the roles of caregiver, case manager, counselor, educator, advocate, administrator, and researcher.
- Rewards included one-to-one client interaction, teaching, promoting function, and nurse autonomy.
- Difficulties encompassed poor interdisciplinary coordination, budget constraints, lack of understanding, and inadequate support staff.
Conclusions:
- Home rehabilitation nursing involves unique roles, rewards, and challenges compared to inpatient settings.
- Increased responsibility and reduced resources characterize home-based care.
- Barriers to transitioning into home rehabilitation nursing include communication, reimbursement, time management, and role autonomy.