The Essential Role of the Rehabilitation Nurse in Facilitating Care Transitions: A White Paper by the Association of Rehabilitation Nurses

Abstract

The current process of care transitions for individuals with disabling conditions is both ineffective and inefficient. There is a need for clinicians with the necessary knowledge and skills to advocate and facilitate transitions that result in the greatest value to the patients, their families, and the healthcare delivery system. A review of the literature reveals significant problems with transitions to postacute care (PAC) settings. Care is fragmented, disorganized, and guided by factors unrelated to the quality of care or patient outcomes. Studies have demonstrated that the selection of a PAC setting for patients is influenced by multiple factors (Sandel et al

A day in the life of older people in a rehabilitation setting: an observational study

“…In a recent review of the literature, Carmicia claims that nurses with advanced education and experience in the specialty practice area of rehabilitation are the health professionals best able to promote quality outcomes and cost effective care through the coordination, support and oversight of the transition of patients from sub-acute settings to discharge [44]. One indicator of the value of the contribution of specialist rehabilitation nurses has been demonstrated as a 6% decrease in length of stay for each 1% increase in staffing of such nurses [45].…”

People Living With HIV: Implications for Rehabilitation Nurses

“…Rehabilitation nurses possess expertise in the effective transition of patients in acute and sub-acute settings, with care goals of restoring function among individuals who have experienced acute health crises and/or are living with chronic disease (Camicia et al, 2014). The transition of HIV to a chronic, manageable disease, coupled with the increased risk for cardiovascular and metabolic health complications among PLHIV will likely result in increased encounters between rehabilitation nurses and the aging population of PLHIV.…”

Rehabilitation Nursing in Head Neck Cancer Patients

“…Bununla birlikte, ABD'de "Amerikan Rehabilitasyon Hemşireleri Derneği" ve Avustralya'da "Avustralya Rehabilitasyon Hemşireleri Derneği" gibi sertifikasyon programlarının uygulandığı kuruluş-lar yer almaktadır. [18][19][20][21] Nelson ve ark. tarafından yapılan araştırmaya göre, sertifikalı rehabilitasyon hemşirelerinin %6 artışı ile ortalama hastanede kalış süresinde bir günlük azalma olduğu belirlenmiştir.…”

“…Turkiye Klinikleri J Nurs Sci 2018;10( 10,14,17,18,[20][21][22]25 Baş-boyun rehabilitasyonunda özellikle fonksiyonel ve kozmetik deformiteler üzerinde durulmaktadır. Bununla ilgili olarak; konuşma terapisi, beslenme desteği, yutma ve çiğneme terapisi, ağrı kontrolü ve trakeostomi bakımı baş-boyun kanserli hastaların rehabilitasyonunda yer almaktadır.…”