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Related Experiment Videos

Do nurses exercise power in rehabilitation wards?

S Giaquinto1

  • 1IRCCS San Raffaele Pisana Rehabilitation Center, Rome, Italy. salvatore.giaquinto@sanraffaele.it

Europa Medicophysica
|October 4, 2005
PubMed
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In rehabilitation settings, nurse-centered decision-making remains effective while respecting patient dignity. However, some nurses feel uninvolved, highlighting communication needs for improved role satisfaction.

Area of Science:

  • Nursing Policy
  • Rehabilitation Medicine
  • Healthcare Management

Background:

  • The shift from nurse-centered to patient-centered care models is transforming healthcare.
  • Existing research on this shift primarily focuses on acute and long-term care settings.
  • The effectiveness and implications of these models in rehabilitation wards require specific evaluation.

Purpose of the Study:

  • To assess the continued effectiveness of the nurse-centered model in rehabilitation.
  • To determine if patient dignity is upheld within this model.
  • To evaluate nurses' role satisfaction in a rehabilitation environment.

Main Methods:

  • A cross-sectional study design was employed.
  • Forty-eight nurses from a rehabilitation center anonymously completed a questionnaire.

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  • The questionnaire included questions on personal data and nurse-centered practices.

    • Main Results:

    • Nurses exercised the most power in organizing obligatory daily activities and rehabilitation programs.
    • Patients were involved in decision-making, and their dignity was maintained.
    • Nurses found rehabilitation wards more stressful than acute care, with some feeling uninvolved.

    Conclusions:

    • Nurse-centered power, particularly in time-sensitive rehabilitation, is not inherently negative and is compatible with patient dignity.
    • Clearer understanding and communication of the nursing role are needed.
    • Enhanced communication among rehabilitation staff can boost self-esteem and motivation, especially for less experienced nurses.