Experience of rehabilitation specialist nurses in providing bowel care for stroke patients: A qualitative study

主题分析 康复 护理部 医学 医疗保健 定性研究 感觉 心理学 物理疗法 社会科学 经济增长 社会心理学 社会学 经济
作者
Sumin Ma,Xutong Zheng,Jiayi Gu,Yongkang Yang,Chengjuan Li,Yuan Li,Xiaoyan Fan
出处
期刊:Journal of Advanced Nursing [Wiley]
卷期号:80 (4): 1523-1530
标识
DOI:10.1111/jan.15907
摘要

Abstract Aims This study aims to explore the experiences of rehabilitation specialist nurses in providing bowel care to stroke patients and to identify the factors that either facilitate or hinder their practice. Design This was a descriptive qualitative design study. Methods Between May 2022 and October 2022, we conducted in‐depth and semi‐structured interviews with 12 rehabilitation specialist nurses from two tertiary hospitals in Changsha, China. Thematic analysis was employed to analyse the interview transcripts. Findings Three key themes were revealed from our analysis: (1) acceptance of bowel care as a process, (2) high level of recognition improves the experience and (3) challenges stemming from limited knowledge and rights. Acceptance of bowel care as a dynamic process, coupled with a high level of recognition, enabled nurses to prioritize the health and safety of patients over personal feelings and achieve professional accomplishments. However, they encountered challenges in terms of professional development and restricted prescribing rights for bowel care. Conclusion The experiences of rehabilitation specialist nurses in providing bowel care are dynamic. These findings have important implications for healthcare improvement, including the need for collaboration with healthcare professionals and nurturing nurses' self‐identity, comprehensive training plans, innovative programs and expanding the scope of rehabilitation specialist nurses' rights. Impact This study enhances our understanding of the challenges faced by rehabilitation specialist nurses caring for stroke patients with neurogenic bowel dysfunction. The findings provide insights into how to enhance bowel care experience and develop further in this field. Reporting Method This study adhered to the EQUATOR guideline and utilized the COREQ checklist. Patient or Public Contributions This study involved participants who were registered nurses, and there were no contributions from patients or public.
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