Abstract:
:This article describes a model changing autonomy which was developed in a grounded theory study among stroke patients on admission into nursing homes for rehabilitation. Three dimensions of autonomy were identified: self-determination, independence, and self-care. On admission, patients' conditions (disabilities, multimorbidity, emotional state, and feeling like a layperson) and patients' strategies (waiting and seeing, and acting as a subordinate) constrain autonomy. Several environmental factors facilitate patient autonomy. The nursing home sustains patient autonomy by providing a hopeful atmosphere and room for autonomy. The health professionals facilitate autonomy by giving therapy, support and information, attentiveness and respect, paternalism and teamwork, Facilitating strategies of the family encompass emotional and instrumental support Care routines, lack of privacy, an unfamiliar environment, waiting periods, boredom, and lack of information were identified as constraining environmental factors. Developing guidelines and multidisciplinary courses regarding the approach to patient autonomy on admission is recommended.
journal_name
Clin Nurs Resjournal_title
Clinical nursing researchauthors
Proot IM,Crebolder HF,Abu-Saad HH,Macor TH,ter Meulen RHdoi
10.1177/10547730022158690keywords:
subject
Has Abstractpub_date
2000-11-01 00:00:00pages
460-78issue
4eissn
1054-7738issn
1552-3799journal_volume
9pub_type
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