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An exploration of the contribution of nurses and care assistants to patients’ mobility rehabilitation.

Kneafsey, Rosie (2012)
Ph.D. thesis, University of Birmingham.

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Abstract

Aim of the thesis: To report on a study to describe and explain the contribution of registered nurses’ and care assistants’ to hospitalised patients’ mobility rehabilitation.
Background: Studies internationally have shown that older adults often experience a decrease in their ability to mobilise during and after hospitalisation. Rehabilitation nursing interventions could be important in maximising the functional abilities of this population.
Methods: A grounded theory approach structured data collection and analysis. Data were derived from three hospital settings (general rehabilitation, spinal injuries and stroke rehabilitation) and included 39 staff interviews and 61 hours of observation.
Findings: Mobility rehabilitation is an ‘embedded activity’ and is achieved indirectly when nurses and care assistants transfer patients safely from one place to another. These events are described as ‘A to B transfers’. Practitioners perceive distinct differences in the process and purpose of ‘A to B’ transfers in comparison to ‘therapeutic handling’ activities undertaken by physiotherapists and occupational therapists. The core category for the grounded theory (Care to keep safe: Safe to care) is used to explain the findings.
Conclusion: Theoretically, the nursing team could implement more structured intentional strategies’ to promote patients’ mobility rehabilitation. However, teamworking arrangements and work environments do not facilitate this.

Type of Work:Ph.D. thesis.
Supervisor(s):Clifford, Collette and Greenfield, Sheila
School/Faculty:Colleges (2008 onwards) > College of Medical & Dental Sciences
Department:School of Health and Population Science
Subjects:R Medicine (General)
RT Nursing
Institution:University of Birmingham
ID Code:3242
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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