Medical staff's perception of factors contributing to accelerated rehabilitation in patients with cervical spinal cord injury: A qualitative research

Nursing Open, 2023 · DOI: 10.1002/nop2.1715 · Published: January 1, 2023

Spinal Cord Injury Nursing Rehabilitation

Simple Explanation

This study explores factors influencing accelerated rehabilitation quality for cervical spinal cord injury patients, aiming to propose improvement strategies and enhance nursing care quality. The study uses a qualitative approach, interviewing 16 medical professionals experienced in accelerated rehabilitation, including nurses, surgeons, and therapists. Thematic analysis of the interviews revealed key factors related to both the structure and process of accelerated rehabilitation.

Study Duration

December 2020 to April 2021

Participants

16 medical staff including orthopaedic nurses, surgeons, anaesthesiologists and physical therapists

Evidence Level

Level IV, Qualitative Research

Key Findings

1
The study found that multidisciplinary teams, system guarantees, and adequate staffing are crucial for the structural quality of accelerated rehabilitation.
2
Inadequate training, lack of awareness, poor communication, and insufficient health education hinder the process quality of accelerated rehabilitation.
3
The study emphasizes the importance of addressing both structural and process-related factors to improve the overall quality of accelerated rehabilitation.

Research Summary

The study aimed to identify factors affecting the quality of accelerated rehabilitation for patients with cervical spinal cord injury from the perspective of medical staff. The research identified two main themes: factors related to the structure of accelerated rehabilitation and factors related to the process. The study suggests that improving multidisciplinary collaboration, system support, staffing, training, communication, and patient education can enhance the quality of accelerated rehabilitation.

Practical Implications

Optimizing Resource Allocation

Hospitals should ensure sufficient nursing staff and resources are available to support accelerated rehabilitation programs.

Enhancing Training Programs

Regular training and assessment should be conducted to ensure medical staff have a consistent understanding and implementation of accelerated rehabilitation protocols.

Improving Communication

Implement strategies to improve communication and collaboration among multidisciplinary team members to ensure consistent information and care for patients.

Study Limitations

1
The study only includes the views of medical staff, not patients.
2
The sample is limited to two cities in China, potentially limiting the generalizability of the findings.
3
Face-to-face interviews were impacted by mask-wearing due to the epidemic.

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