Discussion/ implications for practice
The method used to explain and discover the above, where literature review and empirical studies. Empirical studies involved the use of tangible situations and scenarios in the United States, where nurses came out to form cohorts for the study, and in the event, explained that which they go through, in meeting their duty. Through literature review, researchers affirmed how nurses understand or do not understand their roles, and how patients, relatives and interdisciplinary collaborators misunderstand their mandates. The good thing is that the participants knew those doing the research, and thus the academic procedural events of doing research were evident, including ethical issues. With that, it is essential to note that the researchers did commit themselves in ensuring they address the gap in nursing of stroke patients in a rehabilitation unit. The gap was that the roles of the nurses, their assistants and even the patients were not defined, and thus the study went forth to define each party’s position. Thus far, the positions of each party are known, although more research still needs to be done, to make the roles more defined.
Discussion/ implications for practice
It is important to note that in as much as all the articles under this study were done reparably, under unique methodologies and research questions; they all drove to one main point, which includes nurses’ service to stroke patients in rehabilitation units. The findings thus mean the following. Nurses have their roles when it comes to nursing the stroke patients. First, they admit that relatives to patients living with stroke need care and support because of the loss of predictability, considering that the nature of a stroke can cause life-threatening conditions. Despite the challenges, they encounter while on duty, they need to ensure they cope with the challenges as a way of ensuring they manage their work. The finding as well means there is a need to systematically structure the entire development of rehabilitation intervention when it comes to managing stroke inpatients. From the previous research, the articles as well acknowledge that the findings did address the roles of the nursing staffs as well as their functions in managing this community. As explained in relation to the previous research, the needs of stroke patients in rehabilitation units were important when it came to developing interventions. What comes to reality if the elements that suggested interventions for the stroke patient, were empirically supplemented. The supplementation was done through field observations as well as engaging the stakeholders in interviews. Even so, the findings reveal that nursing intervention, in this regard, were criticized as underdeveloped and thus, they had undocumented effects.
To that extend, many have criticized how nurses are intervening to help serve stroke patients. In that regard, the findings were to some degree, significant because they proved documented information on how the intervention should be made to optimize patient rehabilitation through the strengthening of the staff. It is now clear that as much as nurses were using their knowledge to handle and manage patients in this setting, their roles were not clear, and thus intervening strategies were as well unsupported. Besides, these findings have put new procedures in place to provide new information, and thus identification of the evidence base as well as the current new information will supplement the current ideology of serving the stroke patients. In that regard, it is essential to not those nursing positions in serving these communities is in complex stage, and thus there is a need to simplify the roles of both the nurses and their assistants.
Besides, the findings as well illustrate that nurses have varied attitudes and beliefs when it comes to the concept of rehabilitation. These varied beliefs and attitudes range from ideas that are only limited to training to a broader concept, that is related to social and physiological aspects. The reality, as seen in these studies, all the nurses should admit they have a shared responsibility when it comes to rehabilitation. Their work and responsibility are primarily linked to facilitating the patients’ independence and self-care, and the secondary purpose. A secondary purpose is majored on helping those suffering from stroke to adjust to stroke, which becomes their new life situation.
Further, the implication of the findings draws on how patient diversity can affect the roles of the nurses. In most cases, not only in patients that are affected by stroke, they will consider themselves as passive recipients of care the moment they encounter nurses. Many patients will depersonalize themselves, through a ceremony called depersonalization, which in most cases is symbolic in terms of how patients put on their clothes to form an identity band. As a result, they find the chance of acting as a passive recipient of care, which makes them leave all the responsibilities to the knowledgeable professionals. That means that patients too constituents to a more significant degree, what roles the nurses will play. The duties which nurses face while serving one stroke patient in rehabilitation, will not necessarily replicate what the same nurse will give to another patient of the same calibre. The issues about patients’ responsibilities and the relative’s roles come in play, helping the nurses in their decision-making capacities. Even so, nurses are supposed to comply, considering that regardless of the circumstances, they are associated with care.
As a result, they are supposed to help the patients with their activities on a daily basis, as this is considered their responsibilities. Even so, nurses have a role also to help the patients to be independent. One nurse revealed that they were forced to redefine the usually morning toilet, from the strategy that was goal-oriented training while interacting with the patients, in the context of clarifying lines they need to adhere. The main aim in this regard was to make the patients become active and appreciate the work, which the nurses are rendered to them at the same time. Thus far, there was a need for the nurses to understand that they have a conflicting role, which makes them take up an attitude that is very instructive towards providing information and towards the patients. In such a manner, the patients are made to see the current situation, as it entails in their rehabilitation process. The findings as well reveal that quest of understanding the roles of nurses, is not diversified because as earlier said, nurses take up their medical roles professionalisms.
In this regard, it is essential to note that cultural aspects too constitutes to the broader roles of nurses, when it comes to rehabilitation processes. Almost the entire society understands that the place of the nurses is to help the patients. That is why, in some circumstances, the relatives might choose not to cooperate with the nurses, and instead blame them on what they are not doing right. That being the case, it is very significant for society to understand the ultimate roles of the nurse when it comes to rehabilitating stroke patients. In the event, the relatives and the patients will learn how to appreciate the efforts of the nurses, and the long run will help in defining the limits through which nurses are expected to perform.
Recommendations and implications
Implication
The main issue that provoked the study was to address the roles of nurses because there was lack of researches that clearly outline the roles of nurses when it comes to rehabilitating stroke patients. As a result, the study has used various articles that try to elaborate on the roles of these professionals when it comes to serving stroke patients. This information is currently very significant, considering that the available literature does not explain in reality, that which needs to be done by nurses and their assistants. This information will to a higher degree help all the stakeholders, including the CEOs, will permit the consultants, trainers as well as other design initiators to come in and help the medical fraternity in creating a workable structure. In this regard, the stakeholders will understand where the nursing and healthcare organizations are now, and where they should be. As a result, this will, to a certain degree, push those who are concerned to restructure and redesign their documents expectedly (Reeves, et al. 2017). This being the case, it is admissible that this study will be responding to the call, which is made among others, in highlighting the problems which nursing and healthcare organization are facing, when it comes to rehabilitating of stroke patients.
Recommendation
The findings of this literature review will be helpful in managing nurses’ roles when it comes to rehabilitating stroke patients. These finding, for instance, explain the current limitations to services it occurs towards rehabilitating the stroke patients as follows;
Practice: The finding will help individuals with disabilities to be facilitated by nurses with renovating nursing knowledge, training as well as experience. This finding will as well help the rehabilitating nurses to be empowered in informing and educating families on services and options available. Scientific pieces of evidence can as well be used to summarize the functions of families in a meaningful as well as informed way.
Policy: The finding will help those nurses with experience; training and knowledge when it comes to rehabilitation must come on board to ensure national policy decisions, as a way of guaranteeing cost-efficient care is administered. In this regard, nurses will be among the policymakers so that service delivery in the United States and medical centres can be done without any compromising the entire quality of nurses’ roles. In that regard, it is essential to note that this study is helpful in society.
Apart from the above, rehabilitating nurses should, at all times be included in the technical expert panels, who are assessing the functionality of the nurses. This report will act as a revelation, to where adjustments need to be done, so that rehabilitating the stroke patients can be an easier task. This will help on the implementation of future care coordination, support transitional care as a way of supporting and evaluating the quality of care when it comes to coordinating with individuals with disabilities.
The research will as well support research, by provoking scholars to do more study that would evaluate the impact of rehabilitating nurses on entire of healthcare delivery systems. Further research should be done with real empirical examples to ascertain the roles of nurses.
Strength and limitations
This report has successfully addressed the topic sentence, which seeks to understand the roles of the nurses in serving stroke patient, especially those who are aged 65 years and above. This study has evaluated the responsibilities of nurses thematically by referring to what other researchers have already done. The strength is that proper comparison and analysis have been done, and as a result, varying contextual knowledge has been discussed in this regard. The articles used were not only, and all the articles were of scholarly nature, done by researchers who were nursing expertise. In that regard, the information is up not the only date but also bears professional synthesis. The topic has been the approach in varied angles, and thus, various aspects including the role of the patients, how the medical institution should structure, the role of nurse, social workers and others have been explained, to justify the concerns of nurses’ roles. To that extent, it is worth to mention that the study is not only essential but also relevant to the topic under investigation.
Weakness
There were various weaknesses, which this study had. For instance, the study was mainly theoretic, because it majored on six articles, which had researched information. That is to say; there is no evidence on how and where the researchers received information. In that regard, there is no clear evidence or place of reference, through which readers can refer to understand whether the said assumptions are correct. To that extend, in as much as the study answers what are the roles of nurses in rehabilitation, the answers are not referable.
Another weakness is that considering that the articles collected were only six, it is not clear whether the information stated in the article is universal, and thus, it is not clear whether the suggestion outlined in this study are embraceable. With that, it is worth mentioning that the study was made mainly on assumptions instead of evidence that are done practically.
Conclusion
It is of importance to mention that those people who are vulnerable to stroke at the elderly. People who are 65 years and above, for instance, can quickly get a stroke, and when it happens, they need utmost care, because they are susceptible to being damaged permanently. It is essential to mention also that such patients usually become demanding when it comes to caring, including being helped to the locomotive and even cognitive aspects. It is at this point in their lives that such patients would want to rely on the help of professionals such as nurses and their assistants. To that extent, it is the mandate of the nurses to understand their roles, which includes serving the patients and their relatives alike. It is unfortunate to mention that nurses for the past years have not have defined roles and thus, stakeholders in this sectors did not define what nurses need to do and that which they do not need to do.
Even so, it is important to note that nurses have a duty to adjust the patients as well as the kin’s expectations, in determining which rehabilitation of stroke patients entails. Besides, nurses have roles in ensuring there is maximum support as well as informing patients when it comes to an understanding of their conditions. Nurses work in the effort of providing the relatives, and the patients can understand themselves and even set goals as well as activities that cohere with the roles of the nurses. For this to happen; however, there is a need for the nurses to be trained even better, so that they can have knowledge when it comes to administering their services. It is arguably worth to note that nurse ability to showcase their professionalism is critical. This, however, can easily be met if policies will be made in favor of nurse’s functions.
That is why, in the recommendation sector, the nurses are supposed to be included in the technical expert panel, when it comes to making policies. This is because; they will easily suggest ways through which this health care department can be addressed.