Skip to main content

Sensitive Indicators to Rehabilitation Nursing Care in a Rehabilitation Program for People in the Surgical Process, Based on the Health Quality Model

  • Conference paper
  • First Online:
Gerontechnology (IWoG 2018)

Part of the book series: Communications in Computer and Information Science ((CCIS,volume 1016))

Included in the following conference series:

Abstract

Continued improvement in care is one of the primary objectives of Rehabilitation Nursing. With the current medical-surgical evolution, the Rehabilitation Nurse faces new challenges related to the recovery, enhancement and maintenance of the functionality and capacity of the person in the surgical process. The identification of the indicators that are sensitive to the care of Rehabilitation Nursing, presents in the intervention plans carried out, allow us to measure the quality of the care provided and guarantee the excellence of the care performed. Objective: To identify sensible indicators for Rehabilitation Nursing care, presents in the Rehabilitation programs executed to the person in the surgical process, based on the health quality model. Methods: A systematic review of the literature was carried out through the EBSCO host (MEDLINE with Full Text, CINAHL Plus with Full Text and MedicLatina), using the PI [C] O method. Results: 49 indicators were identified, with emphasis on: “Percentage of clients to whom rehabilitation plan and/or rehabilitation program has been implemented to maximize functional capabilities”; “Percentage of clients with potential to improve the walking ability” and “Percentage of clients with risk of muscle stiffness who were monitored for the range of joint motion through the goniometer”. Conclusion: The surgical patient, in the various areas of intervention (vascular, neurosurgical, orthopedic), presents health gains with the implementation of Rehabilitation programs, with 49 indicators that are sensitive to Rehabilitation Nursing care in the programs executed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. World Health Organization (WHO): World Health Statistics 2017: Monitoring Health for the SDGs. World Health Organization (2017). https://doi.org/10.1017/CBO9781107415324.004

  2. Ministério da Saúde: Rede Nacional de Especialidade Hospitalar e de Referenciação Neurocirurgica (2017). https://www.sns.gov.pt/wp-content/uploads/2017/09/RRH-Neurocirurgia-Aprovada-a-6-setembro-2017.pdf

  3. Instituto Nacional de Estatística (INE): Cirurgias (exceto pequenas cirurgias) por dia (nº) nos hospitais por Localização geográfica (NUTS – 2013). Instituto Nacional de Estatística (2017). https://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_indicadores&indOcorrCod=0008030&contexto=bd&selTab=tab2

  4. Dindo, D., Demartines, N., Clavien, P.: Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann. Surg. (2004). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1360123/

  5. Gibbs, N.: Safety of anesthesia in Australia. A review of anaesthesia mortality 2000–2002. In: Australian and New Zealand College of Anaesthetists, Melbourne (2006). http://www.anzca.edu.au/resources/college-publications/a-review-of-anaesthesia-related-mortality-1997-199

  6. Monahan, F.: A enfermagem perioperatória. In: Enfermagem Médico-Cirúrgica: Perspectivas de Saúde e Doença, p. 245. Lusodidata, Loures (2010)

    Google Scholar 

  7. Juan, K.: O impacto da cirurgia e os aspectos psicológicos do paciente: uma revisão. Psicol. Hosp. 5(1), 48–59 (2007). http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1677-74092007000100004

  8. Ordem dos Enfermeiros (OE): Regulamento das competências específicas do enfermeiro especialista em Enfermagem de Reabilitação (2010). https://www.ordemenfermeiros.pt/arquivo/legislacao/Documents/LegislacaoOE/RegulamentoCompetenciasReabilitacao_aprovadoAG20Nov2010.pdf

  9. Malcato, M.: A pessoa submetida a cirúrgia cardiotorácica. In: Cuidados de Enfermagem de Reabilitação à pessoa ao longo da vida, pp. 515–523. Lusodidacta, Loures (2016)

    Google Scholar 

  10. OE: Resumo Mínimo de Dados e Core de Indicadores de Enfermagem para o Repositório Central de Dados da Saúde (2007) http://www.esenfcvpoa.eu/wp-content/uploads/2012/03/RMDE.pdf

  11. Doran, D., et al.: An empirical test of nursing role effectiveness model. J. Adv. Nurs. 30(1), 29–39 (2002). https://doi.org/10.1046/j.1365-2648.2002.02143.x

    Article  Google Scholar 

  12. McDonald, K., et al.: Closing the quality gap: a critical analysis of quality improvement strategies. In: Agency for Healthcare Research and Quality, Rockville, vol. 7 (2007). https://www.ncbi.nlm.nih.gov/books/NBK44015/

  13. Bachion, M., Pereira, A.: Atualidades em revisão sistemática de literatura, critérios de força e grau de recomendação de evidência. Rev. Gaúcha Enferm. 27(4), 491–498 (2006). https://seer.ufrgs.br/index.php/RevistaGauchadeEnfermagem/article/view/4633/2548. Accessed in 2009/2018

    Google Scholar 

  14. Melnyk, B., Fineout-Overholt, E., Stetler, C., Allan, J.: Outcomes and implementation strategies from the first U.S. evidence-based practice leadership summit. Worldviews Evid. Based Nurs. 2(3), 113–121 (2005)

    Article  Google Scholar 

  15. Briggs, J.: Joanna Briggs Institute (2018). http://joannabriggs.org/research/critical-appraisal-tools.html

  16. PRISMA Flow Diagram Generator. http://prisma.thetacollaborative.ca

  17. Bruch, F., et al.: Interdisciplinary rehabilitation for a patient with incomplete cervical spinal cord injury and multimorbidity. Medicine 96(34) (2017). http://web.a.ebscohost.com/ehost/detail/detail?vid=4&sid=2a20aa9a-398e-405c-b2b8ab507d1763b6%40ssionmgr4008&bdata=Jmxhbmc9cHQtYnImc2l0ZT1laG9zdC1saXZl#AN=124940379&db=ccm

  18. Crotty, M., Killington, M., Walker, R.: The chaotic journey: recovering from hip fracture in a nursing home. Arch. Gerontol. Geriatr. 67, 106–112 (2016). http://web.b.ebscohost.com/ehost/detail/detail?vid=4&sid=76cfdc85-0aa0-492d-b5c6-ce64966ff02c%40sessionmgr103&bdata=Jmxhbmc9cHQtYnImc2l0ZT1laG9zdC1saXZl#AN=27483995&db=mdc

    Article  Google Scholar 

  19. Benedicic, M., Kos, B., Kos, N.: Early medical rehabilitation after neurosurgical treatment of malignant brain tumors in Slovenia. Radiol. Oncol. 50(2), 139–144 (2016). http://web.a.ebscohost.com/ehost/detail/detail?vid=6&sid=2a20aa9a-398e-405c-b2b8ab507d1763b6%40sessionmgr4008&bdata=Jmxhbmc9cHQtYnImc2l0ZT1laG9zdC1saXZl#AN=115049443&db=ccm

    Google Scholar 

  20. Bahouth, M.N., et al.: Physiological effects of early incremental mobilization on a patient with acute intracerebral and intraventricular hemorrhage requiring dual external ventricular drainage. Neurocritical Care 27(1), 115–119 (2017). http://web.a.ebscohost.com/ehost/detail/detail?vid=9&sid=2a20aa9a-398e-405c-b2b8-ab507d1763b6%40sessionmgr4008&bdata=Jmxhbmc9cHQtYnImc2l0ZT1laG9zdC1saXZl#AN=28243999&db=mdc

    Article  Google Scholar 

  21. Aiba, T., et al.: Efficacy and safety of postoperative early mobilization for chronic subdural hematoma in elderly patients. Acta Neurochir. 152(7), 1171–1174 (2010). http://web.a.ebscohost.com/ehost/detail/detail?vid=11&sid=2a20aa9a-398e-405c-b2b8-ab507d1763b6%40sessionmgr4008&bdata=Jmxhbmc9cHQtYnImc2l0ZT1laG9zdC1saXZl#AN=20336332&db=mdc

    Article  Google Scholar 

  22. Ekstrom, W., et al.: Power to the patient: care tracks and empowerment a recipe for improving rehabilitation for hip fracture patients. Scand. J. Caring Sci. 29(3), 462–469 (2015). http://web.a.ebscohost.com/ehost/detail/detail?vid=13&sid=2a20aa9a-398e-405c-b2b8-ab507d1763b6%40sessionmgr4008&bdata=Jmxhbmc9cHQtYnImc2l0ZT1laG9zdC1saXZl#AN=24953232&db=mdc

    Article  Google Scholar 

  23. Pérez-de la Cruz, S., et al.: Home-based versus hospital-based rehabilitation program after total knee replacement. Biomed. Res. Int. 2015, 1–9 (2015). http://web.a.ebscohost.com/ehost/detail/detail?vid=15&sid=2a20aa9a-398e-405c-b2b8-ab507d1763b6%40sessionmgr4008&bdata=Jmxhbmc9cHQtYnImc2l0ZT1laG9zdC1saXZl#AN=109273968&db=ccm

    Google Scholar 

  24. Chen, C., et al.: Comprehensive and subacute care interventions improve health-related quality of life for older patients after surgery for hip fracture: a randomised controlled trial. Int. J. Nurs. Stud. 50(8), 1013–1024 (2013). http://web.a.ebscohost.com/ehost/detail/detail?vid=17&sid=2a20aa9a-398e-405c-b2b8-ab507d1763b6%40sessionmgr4008&bdata=Jmxhbmc9cHQtYnImc2l0ZT1laG9zdC1saXZl#AN=23245454&db=mdc

    Article  Google Scholar 

  25. Cavill, S., et al.: The effect of prehabilitation on the range of motion and functional outcomes in patients following the total knee or hip arthroplasty: a pilot randomized trial. Physiother. Theory Prat. 12(4), 262–270 (2016). http://web.a.ebscohost.com/ehost/detail/detail?vid=5&sid=07874f83-ca12-4242-a73f-e9ffcf8831da%40sessionmgr4007&bdata=Jmxhbmc9cHQtYnImc2l0ZT1laG9zdC1saXZl#AN=27050325&db=mdc. Accessed Sep 2018

    Article  Google Scholar 

  26. OE (Mesa do Colégio da Especialidade de Enfermagem de Reabilitação da Ordem dos Enfermeiros Mandato 2011-2015 e 2016-2019): Bilhetes de identidade dos indicadores que integram o core de indicadores por categoria de enunciados descritivos dos Padrões de Qualidade dos Cuidados de Enfermagem de Reabilitação. OE (2018). https://www.ordemenfermeiros.pt/media/5443/enfermagemreabilitacao.pdf

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Vânia Nascimento .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Nascimento, V., Fonseca, C., Marques, M.C., Costa, A. (2019). Sensitive Indicators to Rehabilitation Nursing Care in a Rehabilitation Program for People in the Surgical Process, Based on the Health Quality Model. In: García-Alonso, J., Fonseca, C. (eds) Gerontechnology. IWoG 2018. Communications in Computer and Information Science, vol 1016. Springer, Cham. https://doi.org/10.1007/978-3-030-16028-9_25

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-16028-9_25

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16027-2

  • Online ISBN: 978-3-030-16028-9

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics