Supporting Stroke Patients’ Autonomy During Rehabilitation
| Autor: | Ruud ter Meulen, Harry F.J.M. Crebolder, Ireen M. Proot, Huda Huijer Abu-Saad |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
030506 rehabilitation
Activities of daily living media_common.quotation_subject medicine.medical_treatment MEDLINE Psychological intervention Grounded theory Paternalism 03 medical and health sciences Nursing Activities of Daily Living Humans Medicine media_common Rehabilitation 030504 nursing business.industry Stroke Rehabilitation Nursing Homes Self Care Stroke Issues ethics and legal aspects Personal Autonomy Nurse-Patient Relations 0305 other medical science business Autonomy Qualitative research |
| Zdroj: | Nursing Ethics. 14:229-241 |
| ISSN: | 1477-0989 0969-7330 |
| DOI: | 10.1177/0969733007073705 |
| Popis: | In a qualitative study, 22 stroke patients undergoing rehabilitation in three nursing homes were interviewed about constraints on and improvements in their autonomy and about approaches of health professionals regarding autonomy. The data were analysed using grounded theory, with a particular focus on the process of regaining autonomy. An approach by the health professionals that was responsive to changes in the patients’ autonomy was found to be helpful for restoration of their autonomy. Two patterns in health professionals’ approach appeared to be facilitatory: (1) from full support on admission through moderate support and supervision, to reduced supervision at discharge; and (2) from paternalism on admission through partial paternalism (regarding treatment) to shared decision making at discharge. The approach experienced by the patients did not always match their desires regarding their autonomy. Support and supervision were reduced over time, but paternalism was often continued too long. Additionally, the patients experienced a lack of information. Tailoring interventions to patients’ progress in autonomy would stimulate their active participation in rehabilitation and in decision making, and would improve patients’ preparation for autonomous living after discharge. |
| Databáze: | OpenAIRE |
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