Patient autonomy during rehabilitation: the experiences of stroke patients in nursing homes
This article describes the results of a grounded theory study among stroke patients ( N=17, aged 50–85) in rehabilitation wards in nursing homes. Patient autonomy (dimensions: self-determination, independence and self-care) increases during rehabilitation due to patient factors (conditions and strat...
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| Veröffentlicht in: | International journal of nursing studies 2000-06, Vol.37 (3), p.267-276 |
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| container_title | International journal of nursing studies |
| container_volume | 37 |
| creator | Proot, Ireen M. Abu-Saad, Huda Huijer de Esch-Janssen, Wilma P. Crebolder, Harry F.J.M. ter Meulen, Ruud H.J. |
| description | This article describes the results of a grounded theory study among stroke patients (
N=17, aged 50–85) in rehabilitation wards in nursing homes. Patient autonomy (dimensions: self-determination, independence and self-care) increases during rehabilitation due to patient factors (conditions and strategies of patient) and environmental factors (nursing home and strategies of health professionals and family). During rehabilitation patients are in a state of transition regarding autonomy: patients need support to enhance autonomy, gradually regain autonomy, and thereby need less support. Although facilitating environmental factors were discovered, patients also experienced constraining factors regarding patient autonomy. Health professionals should give more attention to self-determination and independence; the nursing home should offer stroke patients more opportunities to do familiar activities autonomously. |
| doi_str_mv | 10.1016/S0020-7489(00)00008-0 |
| format | Article |
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N=17, aged 50–85) in rehabilitation wards in nursing homes. Patient autonomy (dimensions: self-determination, independence and self-care) increases during rehabilitation due to patient factors (conditions and strategies of patient) and environmental factors (nursing home and strategies of health professionals and family). During rehabilitation patients are in a state of transition regarding autonomy: patients need support to enhance autonomy, gradually regain autonomy, and thereby need less support. Although facilitating environmental factors were discovered, patients also experienced constraining factors regarding patient autonomy. Health professionals should give more attention to self-determination and independence; the nursing home should offer stroke patients more opportunities to do familiar activities autonomously.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Autonomy</subject><subject>Biological and medical sciences</subject><subject>Changing autonomy</subject><subject>Female</subject><subject>Humans</subject><subject>Independence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Neurology</subject><subject>Nursing</subject><subject>Nursing Care</subject><subject>Nursing Homes</subject><subject>Patients</subject><subject>Rehabilitation</subject><subject>Self Care</subject><subject>Self-determination</subject><subject>Stroke - nursing</subject><subject>Stroke Rehabilitation</subject><subject>Strokes</subject><subject>Support</subject><subject>Surveys and Questionnaires</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0020-7489</issn><issn>1873-491X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0U1v1DAQBmALgei28BNAPiA-DoHxxnZiLghVtEWqBBIgIXGwbGfCGpJ4sZ2q_fd4NyvgRH3xwc-MR_MS8ojBSwZMvvoEsIaq4a16DvACymkruENWrG3qiiv29S5Z_SFH5DilH8WwFtr75IhBIzhT6xX59tFkj1OmZs5hCuMN7ebop-804sZYP_hc3sP0muYNUrzeYizaYaKhpynH8BPpdumQqJ_oNMe0q96EEdMDcq83Q8KHh_uEfDl79_n0orr8cP7-9O1l5bioc2Vda5UEUfdrK5S0FkEpA4YjR4duLWUnpBQ177hgzDLVozNoFdS8drJx9Ql5tvTdxvBrxpT16JPDYTAThjnpRvKyMsbrIp_-XxbXCqluhaIpC2x4U6BYoIshpYi93kY_mnijGehdUHoflN6loAH0PigNpe7x4YPZjtj9U7UkU8CTAzDJmaGPZnI-_XU156zlhb1ZGJYFX3mMOrl9Qp2P6LLugr9lkt8ava_4</recordid><startdate>20000601</startdate><enddate>20000601</enddate><creator>Proot, Ireen M.</creator><creator>Abu-Saad, Huda Huijer</creator><creator>de Esch-Janssen, Wilma P.</creator><creator>Crebolder, Harry F.J.M.</creator><creator>ter Meulen, Ruud H.J.</creator><general>Elsevier Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><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>7QJ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20000601</creationdate><title>Patient autonomy during rehabilitation: the experiences of stroke patients in nursing homes</title><author>Proot, Ireen M. ; Abu-Saad, Huda Huijer ; de Esch-Janssen, Wilma P. ; Crebolder, Harry F.J.M. ; ter Meulen, Ruud H.J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-bc8b96053f2b596bbe099a0a4e4ecec266d566534d4511b19fecaeb90343c67c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Autonomy</topic><topic>Biological and medical sciences</topic><topic>Changing autonomy</topic><topic>Female</topic><topic>Humans</topic><topic>Independence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Neurology</topic><topic>Nursing</topic><topic>Nursing Care</topic><topic>Nursing Homes</topic><topic>Patients</topic><topic>Rehabilitation</topic><topic>Self Care</topic><topic>Self-determination</topic><topic>Stroke - nursing</topic><topic>Stroke Rehabilitation</topic><topic>Strokes</topic><topic>Support</topic><topic>Surveys and Questionnaires</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Proot, Ireen M.</creatorcontrib><creatorcontrib>Abu-Saad, Huda Huijer</creatorcontrib><creatorcontrib>de Esch-Janssen, Wilma P.</creatorcontrib><creatorcontrib>Crebolder, Harry F.J.M.</creatorcontrib><creatorcontrib>ter Meulen, Ruud H.J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>International journal of nursing studies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Proot, Ireen M.</au><au>Abu-Saad, Huda Huijer</au><au>de Esch-Janssen, Wilma P.</au><au>Crebolder, Harry F.J.M.</au><au>ter Meulen, Ruud H.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient autonomy during rehabilitation: the experiences of stroke patients in nursing homes</atitle><jtitle>International journal of nursing studies</jtitle><addtitle>Int J Nurs Stud</addtitle><date>2000-06-01</date><risdate>2000</risdate><volume>37</volume><issue>3</issue><spage>267</spage><epage>276</epage><pages>267-276</pages><issn>0020-7489</issn><eissn>1873-491X</eissn><coden>IJNUA6</coden><abstract>This article describes the results of a grounded theory study among stroke patients (
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| ispartof | International journal of nursing studies, 2000-06, Vol.37 (3), p.267-276 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Aged Aged, 80 and over Autonomy Biological and medical sciences Changing autonomy Female Humans Independence Male Medical sciences Middle Aged Netherlands Neurology Nursing Nursing Care Nursing Homes Patients Rehabilitation Self Care Self-determination Stroke - nursing Stroke Rehabilitation Strokes Support Surveys and Questionnaires Vascular diseases and vascular malformations of the nervous system |
| title | Patient autonomy during rehabilitation: the experiences of stroke patients in nursing homes |
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