Clinical Judgment by Nurses to "Discontinue Observation" during Stroke Patients' Movement

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Bibliographic Information

Other Title
  • 脳卒中患者の移乗時「見守り解除」における看護師の臨床判断
  • ─ 中堅看護師を対象としたフォーカス・グループ・インタビューを通して ─
  • -- Through Focus Group Interviews with Proficient Nurses --

Abstract

This study aimed to identify clues that nurses can use to exercise clinical judgment regarding when/whether to discontinue the observation-only approach for stroke patients in recovery during bed/wheelchair transfer and allow patients to care for themselves. A qualitative and inductive approach was employed to analyze data collected through focus group interviews of 17 proficient nurses on convalescent rehabilitation wards. As a result, clues for deciding whether to cease observation during bed and wheelchair transfer were classified into 4 categories: "cognitive abilities", "abilities to perform transfer activities", "willingness and feelings about transfer", and "the use of sleep medication". These nurses had difficulties with clinical judgment in relation to patients who either "became quite frustrated about being observed", "were likely to independently perform various activities including those other than bed/wheelchair transfer, once the observation had been discontinued", or those for whom "nursing staff were divided over the cessation of observation". These nurses, in principle, "continued with the observation-only approach when having difficulties with judgments", but they also "discontinued the observation-only approach while assuming the occurrence of falls". The findings revealed that nurses exercised clinical judgment from a unique standpoint as a professional providing rehabilitation care and services for real-life situations.

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Details 詳細情報について

  • CRID
    1390282680717697536
  • NII Article ID
    130005133617
  • DOI
    10.15065/jjsnr.20130307007
  • ISSN
    21896100
    21883599
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
    • KAKEN
  • Abstract License Flag
    Disallowed

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