Stroke patients’ needs and experiences regarding autonomy at discharge from nursing home
In this qualitative study stroke patients rehabilitating in nursing homes experienced an increase in their autonomy (particularly in self-determination, independence and self-care) in the last weeks before discharge. The change in autonomy was found to be related to regained abilities and self-confi...
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| Veröffentlicht in: | Patient education and counseling 2000-10, Vol.41 (3), p.275-283 |
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| container_end_page | 283 |
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| container_title | Patient education and counseling |
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| creator | Proot, Ireen M Crebolder, Harry F.J.M Abu-Saad, Huda Huijer Macor, Ton H.G.M Ter Meulen, Ruud H.J |
| description | In this qualitative study stroke patients rehabilitating in nursing homes experienced an increase in their autonomy (particularly in self-determination, independence and self-care) in the last weeks before discharge. The change in autonomy was found to be related to regained abilities and self-confidence, and to patients’ strategies (e.g. taking initiative, being assertive). The attitude of health professionals and family, and the nursing home could influence patient autonomy. Overprotection, paternalism, care routines and an inconsistent approach constrain autonomy. Conversely, attentiveness, tailored interventions and a respectful dialogue facilitate autonomy, like moderate instrumental and emotional support by the family. Nursing homes can enhance autonomy by minimizing care routines and by providing room for doing activities independently and privately. Attention to patient autonomy may improve patients’ active participation in rehabilitation, quality of life, and autonomous living after discharge. Multidisciplinary guidelines based on the results may increase attention to the stroke patients’ autonomy and stimulate a team approach. |
| doi_str_mv | 10.1016/S0738-3991(99)00113-5 |
| format | Article |
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The change in autonomy was found to be related to regained abilities and self-confidence, and to patients’ strategies (e.g. taking initiative, being assertive). The attitude of health professionals and family, and the nursing home could influence patient autonomy. Overprotection, paternalism, care routines and an inconsistent approach constrain autonomy. Conversely, attentiveness, tailored interventions and a respectful dialogue facilitate autonomy, like moderate instrumental and emotional support by the family. Nursing homes can enhance autonomy by minimizing care routines and by providing room for doing activities independently and privately. Attention to patient autonomy may improve patients’ active participation in rehabilitation, quality of life, and autonomous living after discharge. Multidisciplinary guidelines based on the results may increase attention to the stroke patients’ autonomy and stimulate a team approach.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Changing autonomy</subject><subject>Environment</subject><subject>Family</subject><subject>Female</subject><subject>Humans</subject><subject>Independence</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Nursing Homes</subject><subject>Patient Discharge</subject><subject>Personal Autonomy</subject><subject>Quality of Health Care</subject><subject>Self-care</subject><subject>Self-determination</subject><subject>Stroke - psychology</subject><subject>Stroke Rehabilitation</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM1O3DAQgK2qqCzbPgLIpwoOgXH8k_iEEGqhEhKHbS-9WI49uwQ28WInqNx4DV6PJ6n3R_TY04zG3_z4I-SQwSkDps5mUPG64FqzY61PABjjhfxAJqyucsK4-Egm78g-OUjpHgCUEuwT2WcMRCk4TMjv2RDDA9KVHVrsh_T28kp7RJ-o7T3FPyuMue4w0YgLG33bL6gdh9CH7pnagfo2uTsbF0jnMXS0H2NaI3ehw89kb26XCb_s4pT8-v7t5-V1cXN79ePy4qZwXLGhcJDP5FzNmS-F1eigUWjLBoCrqlK1bngFgjdN7aX0rgYQopHAy6rSUuSXKfm6nbuK4XHENJguH4XLpe0xjMlUIEsmhcqg3IIuhpQizs0qtp2Nz4aBWUs1G6lmbcxobTZSjcx9R7sFY9Oh_9e1s5iB8y2A-ZtPLUaT3MaabyO6wfjQ_mfFX61Uhy0</recordid><startdate>20001001</startdate><enddate>20001001</enddate><creator>Proot, Ireen M</creator><creator>Crebolder, Harry F.J.M</creator><creator>Abu-Saad, Huda Huijer</creator><creator>Macor, Ton H.G.M</creator><creator>Ter Meulen, Ruud H.J</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20001001</creationdate><title>Stroke patients’ needs and experiences regarding autonomy at discharge from nursing home</title><author>Proot, Ireen M ; Crebolder, Harry F.J.M ; Abu-Saad, Huda Huijer ; Macor, Ton H.G.M ; Ter Meulen, Ruud H.J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-c0073336f1d24a9ec0b6ea2b003677689b37043bb8d55dc80044b503277954043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Changing autonomy</topic><topic>Environment</topic><topic>Family</topic><topic>Female</topic><topic>Humans</topic><topic>Independence</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Nursing Homes</topic><topic>Patient Discharge</topic><topic>Personal Autonomy</topic><topic>Quality of Health Care</topic><topic>Self-care</topic><topic>Self-determination</topic><topic>Stroke - psychology</topic><topic>Stroke Rehabilitation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Proot, Ireen M</creatorcontrib><creatorcontrib>Crebolder, Harry F.J.M</creatorcontrib><creatorcontrib>Abu-Saad, Huda Huijer</creatorcontrib><creatorcontrib>Macor, Ton H.G.M</creatorcontrib><creatorcontrib>Ter Meulen, Ruud H.J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Patient education and counseling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Proot, Ireen M</au><au>Crebolder, Harry F.J.M</au><au>Abu-Saad, Huda Huijer</au><au>Macor, Ton H.G.M</au><au>Ter Meulen, Ruud H.J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stroke patients’ needs and experiences regarding autonomy at discharge from nursing home</atitle><jtitle>Patient education and counseling</jtitle><addtitle>Patient Educ Couns</addtitle><date>2000-10-01</date><risdate>2000</risdate><volume>41</volume><issue>3</issue><spage>275</spage><epage>283</epage><pages>275-283</pages><issn>0738-3991</issn><eissn>1873-5134</eissn><abstract>In this qualitative study stroke patients rehabilitating in nursing homes experienced an increase in their autonomy (particularly in self-determination, independence and self-care) in the last weeks before discharge. 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| ispartof | Patient education and counseling, 2000-10, Vol.41 (3), p.275-283 |
| issn | 0738-3991 1873-5134 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Aged, 80 and over Changing autonomy Environment Family Female Humans Independence Interviews as Topic Male Middle Aged Nursing Nursing Homes Patient Discharge Personal Autonomy Quality of Health Care Self-care Self-determination Stroke - psychology Stroke Rehabilitation |
| title | Stroke patients’ needs and experiences regarding autonomy at discharge from nursing home |
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