Examining subacute nurses' roles in a changing healthcare context

Journal of Clinical Nursing
Robin DigbyTracey K Bucknall

Abstract

To explore and describe nurses' role in the rehabilitation and care of patients in one subacute care facility in Melbourne, Australia. The role of nurses in subacute care and within the rehabilitation team is evolving and remains unclear. Mixed methods. Fourteen nurses from seven rehabilitation and geriatric evaluation and management wards in one subacute facility in Melbourne, Australia, were observed in practice for two hours and then interviewed. Activities were recorded electronically. Interviews were audio-recorded and transcribed. Data were analysed using content analysis. The study complied with the Consolidated Criteria for Reporting Qualitative Research (COREQ). Three main themes are as follows: (a) Nurses as rehabilitators; (b) Teamwork in rehabilitation; and (c) The changing context of subacute care. Nurses prioritised patient personal and clinical care above other responsibilities. They were largely excluded from team decision-making because clinical responsibilities precluded them from attending team meetings. Unsuitable buildings, increased patient acuity and time constraints were further challenges. Nurses have a multifaceted role in patient rehabilitation that is poorly understood. An evaluation of the nursing r...Continue Reading

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Citations

Oct 24, 2020·Disability and Rehabilitation·Julia PaxinoElizabeth Molloy

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