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Motivation in geriatric rehabilitation
1Division of Family Practice, University of Maryland, Columbia, USA.
Image--The Journal of Nursing Scholarship
|January 1, 1996
Summary
This study explored motivational factors in geriatric rehabilitation. Key findings highlight the importance of goals, humor, and supportive relationships for enhancing motivation in older adults.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Qualitative Research Methods
Background:
- Older adults in geriatric rehabilitation often face motivation challenges.
- Understanding these motivational factors is crucial for effective care.
- Previous research has not fully explored the nuanced factors influencing motivation in this setting.
Purpose of the Study:
- To explore factors that enhance and decrease motivation in older adults undergoing geriatric rehabilitation.
- To identify actionable strategies for clinicians to improve patient motivation.
Main Methods:
- Critical ethnography approach.
- Purposeful selection of five key informants (average age 87, all white women).
- In-depth interviews (3-8 per participant) and direct observation on the nursing unit and during therapy.
Main Results:
- Factors enhancing motivation included: goal setting, humor, perceived caring, personal beliefs, encouragement, intrinsic motive disposition, and "power with" relationships.
- Factors decreasing motivation included: feelings of domination and negative personal beliefs.
Conclusions:
- Clinicians can foster motivation by incorporating patient goals, humor, and supportive interactions.
- Addressing negative beliefs and avoiding dominating approaches are essential for improving motivation in geriatric rehabilitation.
- These findings offer practical insights for optimizing rehabilitation outcomes in older adults.