Autonomy in stroke rehabilitation: the perceptions of care providers in nursing homes.
Twenty-seven health care providers from three nursing homes were interviewed about the autonomy of stroke patients in rehabilitation wards. Data were analysed using the grounded theory method for concept development recommended by Strauss and Corbin. The core category 'changing autonomy' was developed, which identifies the process of stroke patients regaining their autonomy (dimensions: self-determination, independence and self-care), and the factors affecting this process (conditions (i.e. circumstances) and strategies of patients; strategies of care providers and families; and the nursing home). Teamwork on increasing patient autonomy is recommended, which can be stimulated by multidisciplinary guidelines and education, and by co-ordination of the process of changing autonomy.
Proot
Ireen M
IM
Institute for Bioethics, PO Box 616, 6200 MD Maastricht, The Netherlands. i.proot@ige.unimaas.nl
Abu-Saad
Huda Huijer
HH
Van Oorsouw
Gijs G J
GG
Stevens
Jos J A M
JJ
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009426:Netherlands; D024802:Nurse's Role; D009723:Nurse-Patient Relations / Q000941:ethics; D009735:Nursing Homes / Q000592:standards*; D015404:Nursing Methodology Research; D010348:Patient Care Team / Q000941:ethics* / Q000592:standards; D010353:Patient Education as Topic / Q000592:standards; D010358:Patient Participation; D026684:Personal Autonomy; D012648:Self Care / Q000941:ethics* / Q000379:methods; D012944:Social Support; D020521:Stroke / Q000451:nursing* / Q000523:psychology; D000071939:Stroke Rehabilitation