Determining Stroke Rehabilitation Inpatients' Level of Nursing Care

Abstract

The purpose of this study was to evaluate the feasibility of using the Functional Independence Measure (FIM) to predict staffing needs of stroke patients in an acute inpatient rehabilitation program. The Patient Care Index (PCI) was concurrently administered with the FIM on all stroke admissions to a stroke rehabilitation unit over a 3-month period. One hundred fourteen patients 18 years of age or older admitted to the unit with a medical diagnosis of stroke were included in the sample. Total FIM score had a strong inverse relationship to the level of care indicated by the PCI at Days 1, 5, 7, 10, 15, and 20 of rehabilitation (r(s) = -. 76 to -.87). Total FIM score and the need for staff supervision for safety were the two factors predictive of the level of nursing care. The FIM has potential to guide nurse-staffing decisions.

Nursing Roles and Functions in the Inpatient Neurorehabilitation of Stroke Patients

“…This was described as physical care; carrying out daily activities such as maintaining hygiene, nutrition, sleep, and rest (Gross, Goodrich, Kain, & Faulkner, 2001;Lui & Mackenzie, 1999). In 1998, Macduff described the conserving role as typically a role of assistance, helping the patient with personal care, washing, dressing, and mobility functions.…”

“…This implied feedback to the staff about the patient's progress as well as how the patient was responding to enable the staff to adjust their care plans (Long et al, 2002). In addition, the education of the nurse was an issue (Edwards, 2006;HafsteinsdFttir & Grypdonck, 2004). This included goal setting, problem solving, and advice on specific issues.…”

Experiences of hospital care reported by bereaved relatives of patients after a stroke: a retrospective survey using the VOICES questionnaire

“…Assessing individual needs, responding to patients as individuals and engaging with those close to them may be especially difficult when patients are unable to engage in normal social interactions and about whom nursing staff may have little or no prior knowledge (Rogers & Addington-Hall 2005). Such patients are easily forgotten in busy acute environments, where the focus of specialist stroke care tends to be on rehabilitation and recovery (Coleman Gross et al 2001, Hilderley et al 2002, Nir et al 2004.…”

Development of Patient Classification System based on Nursing Intensity in Stroke Unit

“…그러나 이러한 도구들은 병원 전체 단위에 표 준화하기 어렵고, 다양하고 변화하는 간호의 복잡성을 객관적 으로 평가하는 데에 있어 신뢰도가 저하된다는 제한점을 가지 고 있다 [1,10]. 따라서 의료 조직 내 특수 단위에서 수행되고 있는 간호업무량을 반영하는 것으로 신생아 중환자실 [11], 혈 액투석 환자 [12], 심장혈관센터 [9], 화상센터 [13] 및 위장관 외 과센터 [14], 뇌졸중 재활 환자 [15], 지역사회 노인대상 [16] (Table 1).…”