Nursing practice in stroke rehabilitation: Perspectives from multi-disciplinary healthcare professionals

Nurs Health Sci. 2020 Mar;22(1):28-37. doi: 10.1111/nhs.12641. Epub 2019 Aug 15.

Abstract

In this qualitative, descriptive study, we explored the status of and factors related to nursing practice for stroke rehabilitation in China, considering the perspectives of multi-disciplinary healthcare professionals. Fifteen participants were interviewed in depth, followed by field observations at three healthcare institutions. Data were analyzed using ethnographic data analysis methods. Current nursing practice for patients with stroke emerged as a cultural domain that included nine patterns: coordination of nursing, basic nursing following nursing procedures, limited rehabilitation nursing care with varied functions, therapeutic function in rehabilitation care, the importance of nurses' involvement in rehabilitation, environments making rehabilitation nursing possible, inadequate staffing for the numerous clinical nursing practices, lack of effective communication with other healthcare professionals, and lack of policies regarding rehabilitation nursing practice. Nurses' role in stroke rehabilitation must be addressed by updating nursing practice. Further, stroke team leaders must recognize the constraints faced by nurses in fulfilling their stroke-rehabilitation roles.

Keywords: China; ethnographic data; healthcare professional; nursing; qualitative design; stroke rehabilitation.

MeSH terms

  • Adult
  • China
  • Female
  • Health Personnel / psychology*
  • Humans
  • Interviews as Topic / methods
  • Male
  • Middle Aged
  • Nursing Process / standards*
  • Nursing Process / trends
  • Qualitative Research
  • Stroke Rehabilitation / nursing*
  • Stroke Rehabilitation / standards
  • Stroke Rehabilitation / statistics & numerical data