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

Abstract

Aim:To explore the factors affecting the quality of accelerated rehabilitation for patients with cervical spinal cord injury, therefore, to propose targeted improvement strategies and provide reference for promoting the quality of nursing care for accelerated rehabilitation.Design: This descriptive qualitative inquiry followed the COREQ guidelines.Methods: From December 2020 to April 2021, 16 subjects including orthopaedic nurses, nursing management experts, orthopaedic surgeons, anaesthesiologists and physical therapists experienced in accelerated rehabilitation were selected by objective sampling method to conduct semi-structured interviews. Thematic analysis was used to analyse the interview content.Results: Through analysis and summary of the interview data, the following two themes and nine sub-themes were finally extracted. Factors related to the quality of accelerated rehabilitation structure include: construction of multidisciplinary teams, thorough system guarantee and adequate staffing. Factors related to the quality of accelerated rehabilitation process include: inadequate training and assessment, lack of medical staff's awareness, incapability of the accelerated rehabilitation team members, poor multidisciplinary communication and collaboration, lack of patient's awareness, and ineffective health education. Conclusion:Quality of implementation of accelerated rehabilitation can be improved by maximizing the role of multidisciplinary team, establishing a flawless accelerated rehabilitation system, increasing allocation of nursing resources, enhancing knowledge of medical staff, improving their awareness of accelerated rehabilitation, establishing personalized clinical pathways of accelerated rehabilitation, increasing communication and collaboration among multidisciplinary disciplines, and improving health education of patients.

Real emotional experience of family members of patients transported within hospital in neurosurgical intensive care unit: A descriptive qualitative study

“…The negative feelings of the family members are reinforced by the internal experiences of the family members at different stages and their perception of problems with IHTs, poor communication between medical staff, weak awareness of risk assessment and shortcomings in the transfer process. The root of this problem is that medical staff and family members had insufficient understanding of each other's roles, needs, expectations and even limitations (Li et al., 2023 ). These factors suggest that medical staff should thoroughly consider the psychological feelings of family members and understand the causes of family stress before transport.…”

“…These negative emotions are bound to affect the satisfaction of patients and their families during medical treatment (Li et al, 2023).…”

“…• Lack of accurate docking time with the examination room. The root of this problem is that medical staff and family members had insufficient understanding of each other's roles, needs, expectations and even limitations (Li et al, 2023). These factors suggest that medical staff should thoroughly consider the psychological feelings of family members and understand the causes of family stress before transport.…”

“…One study (Saeid et al., 2020 ) shows that family members of ICU patients experience severe physical, psychological and social stress, and that these issues can severely affect the health of family members and lead to problems such as limited rest, sleep and physical activity. These negative emotions are bound to affect the satisfaction of patients and their families during medical treatment (Li et al., 2023 ). However, family satisfaction refers to the extent to which healthcare professionals meet the needs and expectations of family members and how family expectations, information and communication affect family satisfaction (Weber et al., 2021 ), and thus has become an important parameter reflecting ICU quality (Saeid et al., 2020 ).…”

“…Therefore, family‐centred care should be considered an important skill for NICU medical staff (Gerritsen et al., 2017 ). Understanding the inner world and coping styles of family members of NICU patients during visits is an issue of great concern to medical staff (Li et al., 2023 ).…”