The Effect of Advanced Practice Nurse-Modulated Education on Rehabilitation Nursing Staff Knowledge.

The effect of advanced practice nurse-modulated education on rehabilitation nursing staff knowledge.

Rehabil Nurs. 2013 Mar-Apr; 38(2): 99-111
Mauk KL

Rehabilitation is a specialty area with defined competencies and discrete nursing knowledge. Nurses need to be educated in the basic competencies of rehabilitation to provide safe, quality care to patients with chronic illnesses and disabilities. A critical appraisal of the literature showed that education increased knowledge in a specialty area and had positive benefits for nurses, organizations, and patients. The purpose of this paper is to describe an evidence-based educational intervention. Self-study modules on 15 rehabilitation competencies were developed for 16 nurses working on a new inpatient unit. Outcomes were evaluated using pre and post tests via the online Association of Rehabilitation Nurses (ARN) Competency Assessment Tool (CAT). Data were analyzed using the SPSS14.0 statistical package. Paired t-tests demonstrated a significant difference between pre and post test scores on 14 of the 15 competencies measured. Findings suggested that education of nursing staff resulted in increased knowledge about rehabilitation nursing competencies. HubMed – rehab


The impact of interactions with providers on stroke caregivers’ needs.

Rehabil Nurs. 2013 Mar-Apr; 38(2): 88-98
Creasy KR, Lutz BJ, Young ME, Ford A, Martz C

Preparation for caregiving is improved through engaged interactions between stroke family caregivers and healthcare providers throughout the care trajectory. We explored caregivers’ perceptions about interactions with providers in rehabilitation, and how these experiences affected caregiver preparation.Seventeen caregivers, included in this grounded theory study, were interviewed during a rehabilitation stay and postdischarge. Data were analyzed using dimensional and comparative analysis.Caregivers described interactions with providers on a continuum from collaborative to disconnected, and a range of strategies to enhance interactions.Caregivers want to be actively engaged with providers during inpatient rehabilitation and collaborative interactions enhance preparedness and care satisfaction.Family members should be assessed for caregiving capacity and interactions between providers and caregivers should be individualized to specific needs. Providers must also be aware that many caregivers are not active information seekers. They must engage caregivers who may not even know what questions to ask. HubMed – rehab


Choices: anger and anger management in rehabilitative care.

Rehabil Nurs. 2013 Mar-Apr; 38(2): 80-7
Pierce LL, Pierce SW, Gies CE

BACKGROUND AND PURPOSE: Violent acts are on rise and rehabilitation providers as caregivers may encounter anger on a daily basis. The purpose of this article is to discuss anger and describe anger management strategies based on behavioral interventions grounded in Choice Theory. CHOICE THEORY: Applying choice theory to anger is the belief that people are internally, not externally motivated, and that outside events do not make people do anything. Thus, what drives people’s anger behaviors are internally developed notions of what is important and satisfying for them. CLINICAL RELEVANCE AND CONCLUSION: Anger becomes a choice along with its management. Choosing strategies to manage anger are key to reducing the potential for angry emotions to escalate to the point of aggressive and violent acts that threaten caregivers and clients safety. Anger-free environments promote mental/physical health and establish elements of safe living and working environments in a variety of rehabilitative care settings. HubMed – rehab