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Examining subacute nurses' roles in a changing healthcare context
Robin Digby1,2, Danielle Bolster3, Leanne Hughes4
1School of Nursing and Midwifery, Faculty of Health, Deakin University Locked Bag, Geelong, Victoria, Australia.
Journal of Clinical Nursing
|March 8, 2020
Summary
Nurses play a vital role in patient rehabilitation and care within subacute facilities. However, their contributions are often misunderstood, highlighting a need for clearer roles and better integration into interdisciplinary teams.
Area of Science:
- Nursing
- Rehabilitation Medicine
- Healthcare Management
Background:
- The evolving and unclear role of nurses in subacute care.
- The importance of the rehabilitation team in patient recovery.
Purpose of the Study:
- To explore and describe the multifaceted role of nurses in patient rehabilitation and care.
- To investigate nurses' experiences within a subacute care setting.
Main Methods:
- Mixed-methods approach utilizing observation and interviews.
- Content analysis of transcribed interviews and observed nursing activities.
- Study conducted in seven rehabilitation and geriatric evaluation and management wards.
Main Results:
- Nurses prioritize direct patient care over other responsibilities.
- Exclusion from team decision-making due to clinical duties.
- Challenges include unsuitable facilities, increased patient acuity, and time constraints.
Conclusions:
- Nurses' complex role in rehabilitation is poorly understood.
- Need for role clarity and skill differentiation within the nursing workforce.
- Improved interdisciplinary communication and team integration are essential for optimal patient outcomes.
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