Call for human contact and support: an interview study exploring patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions

Mia Ingerslev Loft; Bente Martinsen Woythal; Bente Appel Esbensen; Lone L. Mathiesen; Helle K. Iversen; Ingrid Poulsen

doi:10.1080/09638288.2017.1393698

Call for human contact and support: an interview study exploring patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions

Mia Ingerslev Loft^*, Bente Martinsen Woythal, Bente Appel Esbensen, Lone L. Mathiesen, Helle K. Iversen, Ingrid Poulsen

^*Corresponding author for this work

Department of Clinical Medicine

12 Citations (Scopus)

Abstract

Purpose: To describe patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions during hospitalisation. Materials and methods: In a qualitative study, 10 interviews with stroke patients were conducted, transcribed, and analysed using qualitative content analysis. Results: The patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions during hospitalisation were found to be related to one overall theme derived from 10 categories. As a recurring motif in the patients’ interviews, they experienced existential thoughts, and these thoughts unquestionably affected their experiences within the rehabilitation unit. These thoughts enhanced their need for human contact, thereby affecting their relationships with and perceptions of the nursing staff. Conclusion: The findings deepen our understanding of how patients experience inpatient rehabilitation. The patients struggled with existential thoughts and concerns about the future and therefore called for human contact and support from the nursing staff. They perceived the nursing staff as mostly polite and helpful, but were unclear about the nursing staff’s function in rehabilitation which, in the patients’ perspective, equals physical training.Implications for RehabilitationNursing staff need to pay attention to the patients’ needs, existential thoughts and concerns during inpatient rehabilitation.Meaningful goals for the rehabilitation of stroke patients are crucial, and it is vital that the patients commit to the goals.Patients expected polite and helpful nurses, but did not see them as therapeutic and active stakeholders, thus it is important that nursing staff present themselves as part of the interdisciplinary rehabilitation.There is a need for training and education of nursing staff, both pre and post graduate.

Original language	English
Journal	Disability and Rehabilitation
Pages (from-to)	1-9
Number of pages	9
ISSN	0963-8288
DOIs	https://doi.org/10.1080/09638288.2017.1393698
Publication status	Published - 13 Feb 2019

Keywords

neurology
nursing
Qualitative study
rehabilitation
stroke
vulnerability

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10.1080/09638288.2017.1393698

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Loft, M. I., Martinsen Woythal, B., Esbensen, B. A., Mathiesen, L. L., Iversen, H. K., & Poulsen, I. (2019). Call for human contact and support: an interview study exploring patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions. Disability and Rehabilitation, 1-9. https://doi.org/10.1080/09638288.2017.1393698

Call for human contact and support : an interview study exploring patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions. / Loft, Mia Ingerslev; Martinsen Woythal, Bente; Esbensen, Bente Appel et al.

In: Disability and Rehabilitation, 13.02.2019, p. 1-9.

Research output: Contribution to journal › Journal article › Research › peer-review

Loft, MI, Martinsen Woythal, B, Esbensen, BA, Mathiesen, LL, Iversen, HK & Poulsen, I 2019, 'Call for human contact and support: an interview study exploring patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions', Disability and Rehabilitation, pp. 1-9. https://doi.org/10.1080/09638288.2017.1393698

Loft MI, Martinsen Woythal B, Esbensen BA, Mathiesen LL, Iversen HK, Poulsen I. Call for human contact and support: an interview study exploring patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions. Disability and Rehabilitation. 2019 Feb 13;1-9. Epub 2019. doi: 10.1080/09638288.2017.1393698

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abstract = "Purpose: To describe patients{\textquoteright} experiences with inpatient stroke rehabilitation and their perception of nurses{\textquoteright} and nurse assistants{\textquoteright} roles and functions during hospitalisation. Materials and methods: In a qualitative study, 10 interviews with stroke patients were conducted, transcribed, and analysed using qualitative content analysis. Results: The patients{\textquoteright} experiences with inpatient stroke rehabilitation and their perception of nurses{\textquoteright} and nurse assistants{\textquoteright} roles and functions during hospitalisation were found to be related to one overall theme derived from 10 categories. As a recurring motif in the patients{\textquoteright} interviews, they experienced existential thoughts, and these thoughts unquestionably affected their experiences within the rehabilitation unit. These thoughts enhanced their need for human contact, thereby affecting their relationships with and perceptions of the nursing staff. Conclusion: The findings deepen our understanding of how patients experience inpatient rehabilitation. The patients struggled with existential thoughts and concerns about the future and therefore called for human contact and support from the nursing staff. They perceived the nursing staff as mostly polite and helpful, but were unclear about the nursing staff{\textquoteright}s function in rehabilitation which, in the patients{\textquoteright} perspective, equals physical training.Implications for RehabilitationNursing staff need to pay attention to the patients{\textquoteright} needs, existential thoughts and concerns during inpatient rehabilitation.Meaningful goals for the rehabilitation of stroke patients are crucial, and it is vital that the patients commit to the goals.Patients expected polite and helpful nurses, but did not see them as therapeutic and active stakeholders, thus it is important that nursing staff present themselves as part of the interdisciplinary rehabilitation.There is a need for training and education of nursing staff, both pre and post graduate.",

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Call for human contact and support: an interview study exploring patients’ experiences with inpatient stroke rehabilitation and their perception of nurses’ and nurse assistants’ roles and functions

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