title: Relationship of nursing education and care management inpatient rehabilitation interventions and patient characteristics to outcomes following spinal cord injury: the SCIRehab project.
abstract: OBJECTIVE
  To investigate associations of nursing bedside education and care management activities during inpatient rehabilitation with functional, participation, and quality-of-life outcomes for patients with traumatic spinal cord injury (SCI).
  
  
  METHODS
  In  a prospective observational study, data were obtained by means of systematic recording of nursing activities by registered nurses (RNs), chart review and patient interview.
  
  
  RESULTS
  Greater patient participation in nursing activities is associated with better outcomes. More  time spent by RNs in coordination with other members of the care team, consultants and specialists, along with participation in physician rounds (team process) is associated with patient report of higher life satisfaction and higher CHART mobility at the one-year injury anniversary; more time  providing psychosocial support is associated with higher CHART mobility and occupation scores and with greater likelihood of working or being in school at the anniversary. More time spent providing education about specific care needs is associated with several outcomes but not as consistently  as might be expected.
  
  
  CONCLUSIONS
  Higher levels of patient participation in nursing care activities is associated with multiple better outcomes, and hence, nurses should promote active patient participation during all aspects of care and interactions between themselves  and patients with SCI. Time spent providing psychosocial support of patients and their families should be evaluated to ensure that other necessary education or care management interventions are not minimized. Note:  This is the seventh of nine articles in the SCIRehab series.
authors: Shepherd Center, Atlanta, Georgia, GA, USA.
authors: Joy
authors: J
authors: Bailey
authors: Marcel P
authors: MP
authors: Dijkers
authors: Julie
authors: J
authors: Gassaway
authors: Jane
authors: J
authors: Thomas
authors: Patricia
authors: P
authors: Lingefelt
authors: Scott E D
authors: SE
authors: Kreider
authors: Gale
authors: G
authors: Whiteneck
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D002404:Catheterization / Q000379:methods; D004506:Education, Nursing; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007297:Inpatients; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000209:etiology / Q000451:nursing / Q000534:rehabilitation; D009726:Nurses / Q000523:psychology*; D019370:Observation; D010146:Pain / Q000209:etiology; D010351:Patient Discharge; D017060:Patient Satisfaction; D003668:Pressure Ulcer / Q000209:etiology / Q000628:therapy; D011446:Prospective Studies; D012047:Rehabilitation Centers; D012720:Severity of Illness Index; D013119:Spinal Cord Injuries / Q000150:complications / Q000451:nursing* / Q000523:psychology / Q000534:rehabilitation*; D001745:Urinary Bladder Diseases / Q000209:etiology / Q000451:nursing / Q000601:surgery