The Experiences of Practical Nurse Students in Promoting the Rehabilitation of the Elderly Through Nursing Care and Its Education – A Secondary Publication
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Keywords

Rehabilitation-promoting nursing care
Practical nurse education
Organizational practices
Elderly population support

DOI

10.26689/ijgpn.v2i1.6264

Submitted : 2024-01-27
Accepted : 2024-02-11
Published : 2024-02-26

Abstract

The significance of rehabilitation-promoting nursing care is emphasized in aging Finland. According to studies, rehabilitation-promoting nursing care enhances the functional capacity of the elderly. The Elderly Services Act obliges municipalities to create a plan to support the elderly population, emphasizing living at home and rehabilitative measures. A large portion of graduated practical nurses will be working with the elderly, so the education of practical nurses must meet the needs of the workforce. The study aimed to produce new information on the implementation of rehabilitation-promoting nursing care in the elderly services system and on the education of rehabilitation-promoting nursing care for the elderly in vocational institutions. The research data was collected in the fall of 2020 through individual theme interviews with practical nurse students (n = 8). The data was analyzed using inductive content analysis. The experiences of practical nurse students regarding rehabilitation-promoting nursing care for the elderly were related to nurses’ time management, organizational practices, nurses’ competence, nurses’ attitudes, nurses’ methods of operation, organizational development, implementation and development of practical teaching, factors affecting the use of aids, and the technology of aids in the future. In conclusion, it can be stated that the content of education and practical work life do not align. It is essential to increase competence in rehabilitation-promoting nursing care and develop organizational practices.

References

World Health Organization (WHO), 2015, What is Healthy Ageing? viewed 22 Feb 2021, https://www.who.int/ageing/healthy-ageing/en

Finnish Ministry of Social Affairs and Health, 2020, Laatusuositus hyvän ikääntymisen turvaamiseksi ja palvelujen parantamiseksi 2020–2023 [Quality Recommendation for Ensuring Good Aging and Improving Services 2020–2023]. Ministry of Social Affairs and Health, Helsinki.

Finnish Institute for Health and Welfare (THL), 2021, Muuttuvat Vanhuspalvelut [Changing Elderly Services], viewed 8 Jan 2022, https://thl.fi/fi/web/ikaantyminen/muuttuvat-vanhuspalvelut

The Act on Supporting the Functional Capacity of the Elderly Population and on Social and Health Services for the Elderly, 28 Dec 2012, Finland.

Kehusmaa S, Alastalo H, 2021, Laki Muuttui – Lähi- ja Sairaanhoitajien Määrä ei Vielä Ole Noussut Vanhuspalveluissa. Tutkimuksesta Tiiviisti 47/2021. [The Law Changed – The Number of Practical and Registered Nurses Has Not Yet Increased in Elderly Care Services. Research Brief 47/2021]. Finnish Institute for Health and Welfare (THL), Helsinki.

Suvikas A, Laurell L, Nordman P, 2013, Kuntouttava Lähihoito [Rehabilitative Care in Practical Nursing]. Edita, Helsinki.

Maxwell H, Bramble M, Prior SJ, et al., 2021, Staff Experiences of a Reablement Approach to Care for Older People in a Regional Australian Community: A Qualitative Study. Health Soc Care Community, 29(3): 685–693. https://doi.org/10.1111/hsc.13331

Pitkälä K, Valvanne J, Huusko T, 2016, Geriatrinen Kuntoutus [Geriatric Rehabilitation], in Geriatria [Geriatrics]. Duodecim, Helsinki: 448–467.

Klemola L, 2016, Toimintakykyä Kuvaava Tieto Ikäihmisten Palveluissa: Tiedonhallinnan Näkökulma [Information Management Perspective on Functionality in Services for the Elderly], thesis, University of Eastern Finland.

Kari O, Niskanen T, Lehtonen H, et al., 2013, Kuntoutumisen Tukeminen [Supporting Rehabilitation]. Sanoma Pro, Helsinki.

Preyde M, Brassard K, 2011, Evidence-Based Risk Factors for Adverse Health Outcomes in Older Patients After Discharge Home and Assessment Tools: A Systematic Review. J Evid Based Soc Work, 8(5): 445–468. https://doi.org/10.1080/15433714.2011.542330

Heaven B, Brown LJE, White M, et al., 2013, Supporting Well-Being in Retirement Through Meaningful Social Roles: Systematic Review of Intervention Studies. Milbank Q, 91(2): 222–287. https://doi.org/10.1111/milq.12013

Eloranta S, Routasalo P, Arve S, 2008, Personal Resources Supporting Living at Home as Described by Older Home Care Clients. Int J Nurs Pract, 14(4): 308–314. https://doi.org/10.1111/j.1440-172X.2008.00698.x

de Jonge DM, Jones A, Phillips R, et al., 2011, Understanding the Essence of Home: Older People’s Experience of Home in Australia. Occup Ther Int, 18(1): 39–47. https://doi.org/10.1002/oti.312

Uotila H, 2011, Vanhuus ja Yksinäisyys: Tutkimus Iäkkäiden Ihmisten Yksinäisyyskokemuksista, Niiden Merkityksestä ja Tulkinnoista [Old Age and Loneliness: A Study on the Loneliness Experiences, Meanings, and Interpretations of Elderly People]. Acta Universitatis Tamperensis 1651, Tampere University Press, Tampere.

King AII, Parsons M, Robinson E, et al., 2012, Assessing the Impact of a Restorative Home Care Service in New Zealand: A Cluster Randomised Controlled Trial. Health Soc Care Community, 29(4): 365–374. https://doi.org/10.1111/j.1365-2524.2011.01039.x

Vähäkangas P, 2010, Kuntoutumista Edistävä Hoitajan Toiminta ja sen Johtaminen Pitkäaikaisessa Laitoshoidossa [Promoting Rehabilitation: Nursing Activities and Leadership in Long-Term Institutional Care]. Acta Universitatis Ouluensis D 1060, University of Oulu, Oulu.

Liaaen J, Vik K, 2019, Becoming an Enabler of Everyday Activity: Health Professionals in Home Care Services Experiences of Working with Reablement. Int J Older People Nurs, 14(4): e12270. https://doi.org/10.1111/opn.12270

Aspinal F, Glasby J, Rostgaard T, et al., 2016, New Horizons: Reablement – Supporting Older People Towards Independence. Age Ageing, 45(5): 572–576. https://doi.org/10.1093/ageing/afw094

Moe A, Ingstad K, Brataas HV, 2017, Patient Influence in Home-Based Reablement for Older Persons: Qualitative Research. BMC Health Serv Res, 17(1): 736. https://doi.org/10.1186/s12913-017-2715-0

Sheets D, 2016, Rehabilitation, in Long-Term Care in an Aging Society. Springer, New York, 149–178.

Sims-Gould J, Tong CE, Wallis-Mayer L, et al., 2017, Reablement, Reactivation, Rehabilitation and Restorative Interventions With Older Adults in Receipt of Home Care: A Systematic Review. J Am Med Dir Assoc, 18(8): 653–663. https://doi.org/10.1016/j.jamda.2016.12.070

Vocational Qualification in Social and Health Care 2018, viewed 28 Feb 2021, https://eperusteet.opintopolku.fi/#/fi/esitys/3689879/reformi/tiedot

Karhapää M, 2012, Valmistuvien Sairaanhoitajien Käsityksiä Iäkkään Henkilön Kuntoutumista Edistävästä Hoidosta [Perceptions of Graduating Nurses on Rehabilitative Care for the Elderly], thesis, University of Jyväskylä.

Vähäkangas P, Niemelä K, Noro A, 2012, Ikäihmisten Kuntoutumista Edistävän Toiminnan Lähijohtaminen: Koti-ja Ympärivuorokautisen Hoidon Laatu ja Kehittäminen [Local Leadership in Promoting Rehabilitation Activities for the Elderly: Quality and Development of Home and Round-the-Clock Care]. Finnish Institute for Health and Welfare (THL), Helsinki.

Salo T, 2010, Kuntoutuksen Koulutusohjelman Suorittanut Lähihoitaja: Kohtaavatko Koulutuksen Antamat Valmiudet ja Työelämän Mahdollisuudet [A Graduated Practical Nurse from the Rehabilitation Training Program: Do the Skills Provided by Education Match the Opportunities in the Workplace? thesis, University of Jyväskylä.

Kariniemi O, Siira H, Kyngäs H, et al., 2020, “Vanhakin on Ihminen”: Ikääntyneiden Kokemuksia Vahvuuksistaan, Voimavaroistaan ja Kotihoidosta [“Even the Elderly are Human”: Experiences on the Elderly Regarding Their Strengths, Resources, and Home Care]. Gerontologia, 34(1): 24–41. https://doi.org/10.23989/gerontologia.80436

Hjelle KM, Skutle O, Alvsvåg H, et al., 2018, Reablement Teams’ Roles: A Qualitative Study of Interdisciplinary Teams’ Experiences. J Multidiscip Healthc, 11: 305–316. https://doi.org/10.2147/JMDH.S160480

Resnick B, Gruber-Baldini AL, Galik E, et al., 2009, Changing the Philosophy of Care in Long-Term Care: Testing of the Restorative Care Intervention. Gerontologist, 49(2): 175–184. https://doi.org/10.1093/geront/gnp026

Meldgaard Hansen A, Kamp A, 2016, From Carers to Trainers: Professional Identity and Body Work in Rehabilitative Eldercare. Gender, Work & Organization, 25(1): 63–76. https://doi.org/10.1111/gwao.12126

Kettunen R, 2010, Voima-ja Tasapainoharjoittelu Ikääntyneiden Kotona Asumisen Tukena: Kuntouttavan Työotteen Toteutuminen Kotihoitotyössä Voitas-Koulutuksen Jälkeen [Strengths and Balance Training as Support for Elderly People Living at Home: Implementation of a Rehabilitative Approach in Home Care After Voitas Training], thesis, University of Jyväskylä.

Vertanen K, 2012, Asiakaslähtöinen ja Kuntouttava Työote: Havainnointitutkimus Ikääntyneiden Ajankäytöstä Lähijohtamisen Tueksi [Client-Centered and Rehabilitative Approach: Observational Study on the Time Use of the Elderly to Support Local Management], thesis, University of Vaasa.

Mäkinen L, 2015, Moniammatillinen Yhteistyö ja Kuntouttava Työote Tampereen Kotihoidon ja Kotikuntoutuksen Työntekijöiden Määrittelemänä [Interprofessional Collaboration and Rehabilitative Approach as Defined by the Employees of Tampere Home Care and Home Rehabilitation Services], thesis, University of Tampere.

Hirsjärvi S, Remes P, Sajavaara P, 2009, Tutki ja Kirjoita [Research and Write]. Tammi, Helsinki.

Kananen J, 2017, Laadullinen Tutkimus Pro Graduna ja Opinnäytetyönä [Qualitative Research as a Master’s Thesis and Final Project]. Jyväskylä University of Applied Sciences, Jyväskylä.

Elo S, Kyngäs H, 2008, The Qualitative Content Analysis Process. J Adv Nurs, 62(1): 107–115. https://doi.org/10.1111/j.1365-2648.2007.04569.x

Polit DF, Beck CT, 2012, Nursing Research: Generating and Assessing Evidence for Nursing Practice. Lippincott Williams & Wilkins, Philadelphia.

Ellingson LL, 2011, Analysis and Representation Across the Continuum, in The Sage Handbook of Qualitative Research. Sage, Los Angeles, 595–610.

Kyngäs H, 2019, Qualitative Research and Content Analysis, in The Application of Content Analysis in Nursing Science Research. Springer International Publishing, Cham, 3–11.

Tuomi J, Sarajärvi A, 2018, Laadullinen Tutkimus ja Sisällönanalyysi [Qualitative Research and Content Analysis]. Tammi, Helsinki.

Swoboda NL, Dahlke S, Hunter KF, 2020, Nurses’ Perceptions of Their Role in Functional Focused Care in Hospitalised Older People: An Integrated Review. Int J Older People Nurs, 15(4): e12337. https://doi.org/10.1111/opn.12337

Lotvonen S, Saarela KM, Tuomikoski AM, et al., 2021, Kotihoidossa Ikääntyneille Toteutetut Kuntoutumista Edistävän Hoitotyön Toimintamallit: Kartoittava Katsaus [Models of Rehabilitation Nursing Implemented for the Elderly in Home Care: A Scoping Review]. Hoitotiede, 33(2): 86–101.

Rooijackers TH, Rixt Ziljstra GA, van Rossum E, et al., 2021, Process Evaluation of a Reablement Training Program for Homecare Staff to Encourage Independence in Community-Dwelling Older Adults. BMC Geriatr, 21(1): 5. https://doi.org/10.1186/s12877-020-01936-7

Fox MT, Butler JI, 2016, Nurses’ Perspectives on How Operational Leaders Influence Function-Focused Care for Hospitalised Older People. J Nurs Manag, 24(8): 1119–1129. https://doi.org/10.1111/jonm.12421

Östlund G, Zander V, Elfström ML, et al., 2019, Older Adults’ Experiences of a Reablement Process. “To Be Treated Like an Adult, and Ask For What I Want and How I Want It”. Educational Gerontology, 45(8): 519–529. https://doi.org/10.1080/03601277.2019.1666525

Gutenbrunner C, Stievano A, Nugraha B, et al., 2022, Nursing – A Core Element of Rehabilitation. Int Nurs Rev, 69(1): 13–19. https://doi.org/10.1111/inr.12661

Birkeland A, Tuntland H, Førland O, et al., 2017, Interdisciplinary Collaboration in Reablement – A Qualitative Study. J Multidiscip Healthc, 10: 195–203. https://doi.org/10.2147/JMDH.S133417

Vaara E, Sjögren T, Korpi H, et al., 2020, Miten Koronavirus Vaikuttaa Fysioterapeutin Työhön? [How Does Coronavirus Affect the Work of Physiotherapists?] Fysioterapia, 67(4): 34–39.

Finnish Ministry of Social Affairs and Health, 2017, Laatusuositus Hyvän Ikääntymisen Turvaamiseksi ja Palvelujen Parantamiseksi 2017–2019 [Quality Recommendation for Ensuring Good Aging and Improving Services 2017–2019]. Ministry of Social Affairs and Health, Helsinki.

Finnish National Board on Research Integrity (TENK), 2012, Hyvä Tieteellinen Käytäntö ja sen Loukkausepäilyjen Käsitteleminen Suomessa [Good Scientific Practice and Handling Allegations of Misconduct in Finland]. Finnish National Board on Research Integrity, Helsinki.

Finnish National Board on Research Integrity (TENK), 2019, Ihmiseen Kohdistuvan Tutkimuksen Eettiset Periaatteet ja Ihmistieteiden Eettinen Ennakkoarviointi Suomessa [Ethical Principles of Research Involving Humans and Ethical Pre-Evaluation of Humanities in Finland]. Finnish National Board on Research Integrity, Helsinki.

Lincoln YS, Guba EG, 1985, Naturalistic Inquiry. Sage Publications, California.

Holloway I, Galvin K, 2017, Qualitative Research in Nursing and Healthcare. John Wiley & Sons, Iowa.

Kyngäs H, Kääriäinen M, Elo S, 2019, The Trustworthiness of Content Analysis, in The Application of Content Analysis in Nursing Science Research. Springer International Publishing, Cham, 41–48.