The role of nurses in inpatient geriatric rehabilitation units: A scoping review
Abstract Aims (1) To review and synthesize research on the contributions of nurses to rehabilitation in inpatient geriatric rehabilitation units (GRUs), and (2) to compare these reported contributions to the domains of international rehabilitation nursing competency models. The roles and contributio...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-10-01
|
| Series: | Nursing Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/nop2.1951 |
| _version_ | 1797688282224525312 |
|---|---|
| author | Nicole A. Guitar Denise M. Connelly Kristin Prentice Angela Nguyen Amanda McIntyre Eric F. Tanlaka Nancy Snobelen |
| author_facet | Nicole A. Guitar Denise M. Connelly Kristin Prentice Angela Nguyen Amanda McIntyre Eric F. Tanlaka Nancy Snobelen |
| author_sort | Nicole A. Guitar |
| collection | DOAJ |
| description | Abstract Aims (1) To review and synthesize research on the contributions of nurses to rehabilitation in inpatient geriatric rehabilitation units (GRUs), and (2) to compare these reported contributions to the domains of international rehabilitation nursing competency models. The roles and contributions of nurses (e.g. Registered Practical Nurses, Registered Nurses and Licensed Practical Nurses) in GRUs are non‐specific, undervalued, undocumented and unrecognized as part of the formal Canadian rehabilitation process. Design Arksey and O'Malley's methodological framework for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses Extension for Scoping Reviews guidelines were used. Methods Six databases were searched for relevant literature: MEDLINE, PsychINFO, CINAHL, EMBASE, SCOPUS and Nursing and Allied Health. English articles were included if they examined nursing roles or contributions to inpatient geriatric rehabilitation. Integrated synthesis was used to combine the qualitative and quantitative data, and thematic analysis was used for coding. Three sets of international competency models were amalgamated to explore how different nurse roles in geriatric rehabilitation were portrayed in the included literature. Results Eight studies published between 1991 and 2020 were included in the review. Five main geriatric rehabilitation nursing roles were generated from synthesis of the domains of international rehabilitation nursing competency models: conserver, supporter, interpreter, coach and advocate. Conclusions Nurses working in inpatient geriatric rehabilitation are recognized more for their role in conserving the body than their roles in supporting, interpreting, coaching and advocacy. Interprofessional team members appear to be less sure of the nurses' role in the rehabilitation unit. Nurses themselves do not acknowledge the unique rehabilitation aspects of care for older adults. Enhancing formal education, or adding continuing education courses, to facilitate role clarity for nurses in geriatric rehabilitation could improve nurses' and interprofessional healthcare team members' understandings of the possible contributions of nurses working in rehabilitation settings. |
| first_indexed | 2024-03-12T01:29:58Z |
| format | Article |
| id | doaj.art-1c7ef0cb1e8a4b009f8dfb4e2c77695c |
| institution | Directory Open Access Journal |
| issn | 2054-1058 |
| language | English |
| last_indexed | 2024-03-12T01:29:58Z |
| publishDate | 2023-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Open |
| spelling | doaj.art-1c7ef0cb1e8a4b009f8dfb4e2c77695c2023-09-12T06:16:43ZengWileyNursing Open2054-10582023-10-0110106708672310.1002/nop2.1951The role of nurses in inpatient geriatric rehabilitation units: A scoping reviewNicole A. Guitar0Denise M. Connelly1Kristin Prentice2Angela Nguyen3Amanda McIntyre4Eric F. Tanlaka5Nancy Snobelen6School of Physical Therapy Western University London Ontario CanadaSchool of Physical Therapy Western University London Ontario CanadaHealth and Rehabilitation Sciences Western University London Ontario CanadaSchool of Physical Therapy Western University London Ontario CanadaArthur Labatt School of Nursing Western University London Ontario CanadaFaculty of Nursing University of Windsor Windsor Ontario CanadaRegistered Practical Nurses Association of Ontario (WeRPN) Mississauga Ontario CanadaAbstract Aims (1) To review and synthesize research on the contributions of nurses to rehabilitation in inpatient geriatric rehabilitation units (GRUs), and (2) to compare these reported contributions to the domains of international rehabilitation nursing competency models. The roles and contributions of nurses (e.g. Registered Practical Nurses, Registered Nurses and Licensed Practical Nurses) in GRUs are non‐specific, undervalued, undocumented and unrecognized as part of the formal Canadian rehabilitation process. Design Arksey and O'Malley's methodological framework for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses Extension for Scoping Reviews guidelines were used. Methods Six databases were searched for relevant literature: MEDLINE, PsychINFO, CINAHL, EMBASE, SCOPUS and Nursing and Allied Health. English articles were included if they examined nursing roles or contributions to inpatient geriatric rehabilitation. Integrated synthesis was used to combine the qualitative and quantitative data, and thematic analysis was used for coding. Three sets of international competency models were amalgamated to explore how different nurse roles in geriatric rehabilitation were portrayed in the included literature. Results Eight studies published between 1991 and 2020 were included in the review. Five main geriatric rehabilitation nursing roles were generated from synthesis of the domains of international rehabilitation nursing competency models: conserver, supporter, interpreter, coach and advocate. Conclusions Nurses working in inpatient geriatric rehabilitation are recognized more for their role in conserving the body than their roles in supporting, interpreting, coaching and advocacy. Interprofessional team members appear to be less sure of the nurses' role in the rehabilitation unit. Nurses themselves do not acknowledge the unique rehabilitation aspects of care for older adults. Enhancing formal education, or adding continuing education courses, to facilitate role clarity for nurses in geriatric rehabilitation could improve nurses' and interprofessional healthcare team members' understandings of the possible contributions of nurses working in rehabilitation settings.https://doi.org/10.1002/nop2.1951geriatricsinpatientsnurse's rolerehabilitation nursingreview |
| spellingShingle | Nicole A. Guitar Denise M. Connelly Kristin Prentice Angela Nguyen Amanda McIntyre Eric F. Tanlaka Nancy Snobelen The role of nurses in inpatient geriatric rehabilitation units: A scoping review Nursing Open geriatrics inpatients nurse's role rehabilitation nursing review |
| title | The role of nurses in inpatient geriatric rehabilitation units: A scoping review |
| title_full | The role of nurses in inpatient geriatric rehabilitation units: A scoping review |
| title_fullStr | The role of nurses in inpatient geriatric rehabilitation units: A scoping review |
| title_full_unstemmed | The role of nurses in inpatient geriatric rehabilitation units: A scoping review |
| title_short | The role of nurses in inpatient geriatric rehabilitation units: A scoping review |
| title_sort | role of nurses in inpatient geriatric rehabilitation units a scoping review |
| topic | geriatrics inpatients nurse's role rehabilitation nursing review |
| url | https://doi.org/10.1002/nop2.1951 |
| work_keys_str_mv | AT nicoleaguitar theroleofnursesininpatientgeriatricrehabilitationunitsascopingreview AT denisemconnelly theroleofnursesininpatientgeriatricrehabilitationunitsascopingreview AT kristinprentice theroleofnursesininpatientgeriatricrehabilitationunitsascopingreview AT angelanguyen theroleofnursesininpatientgeriatricrehabilitationunitsascopingreview AT amandamcintyre theroleofnursesininpatientgeriatricrehabilitationunitsascopingreview AT ericftanlaka theroleofnursesininpatientgeriatricrehabilitationunitsascopingreview AT nancysnobelen theroleofnursesininpatientgeriatricrehabilitationunitsascopingreview AT nicoleaguitar roleofnursesininpatientgeriatricrehabilitationunitsascopingreview AT denisemconnelly roleofnursesininpatientgeriatricrehabilitationunitsascopingreview AT kristinprentice roleofnursesininpatientgeriatricrehabilitationunitsascopingreview AT angelanguyen roleofnursesininpatientgeriatricrehabilitationunitsascopingreview AT amandamcintyre roleofnursesininpatientgeriatricrehabilitationunitsascopingreview AT ericftanlaka roleofnursesininpatientgeriatricrehabilitationunitsascopingreview AT nancysnobelen roleofnursesininpatientgeriatricrehabilitationunitsascopingreview |