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Review of Factors Influencing Successful Patient Education in a Rehab Unit for Spinal Cord Injuries.

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Introduction

?A CRITICAL REVIEW OF THE FACTORS THAT INFLUENCE THE SUCCESS OF EFFECTIVE PATIENT EDUCATION IN A REHABILITATION UNIT FOR INDIVIDUALS WITH SPINAL CORD INJURIES? Table of Contents CHAPTER-1: INTRODUCTION 1.1. Study Scope 1.1.1. Study Background 1.1.2. Study Purpose 1.1.3. Aims and Objectives 1.1.4. Key definitions 1.2. Summary CHAPTER-2: METHODOLOGY 2.1. Strategies for literature search 2.1.1. Electronic modes of search 2.1.2. Citation Tracking 2.2. Methods 2.3. Inclusion and Exclusion Criteria 2.4. Search Terms or Keywords 2.5. Critical Appraisal Tool 2.6. Theoretical Frameworks 2.7. Assessment of Validity 2.8. Summary CHAPTER-3: A CRITICAL REVIEW OF THE LITERATURE REVIEW 3.1. Summary CHAPTER-4: RESULTS _ 4.1. Process of Screening and Data Extraction 4.2. List of Included Studies and relevant illustrations 29 4.2.1. Study-1: 29 4.2.2. Study-2 29 4.2.3. Study-3 4.2.4. Study-4 4.2.5. Study-5 4.2.6. Study-6 4.2.7. Study-7 34 4.2.8. Study-8 35 4.2.9. Study-9 36 4.2.10. Study-10 37 4.2.11. Study-11 38 4.2.12. Study-12 39 4.2.13. Study-13 40 4.3. Summary CHAPTER-5: DISCUSSION 42 CHAPTER-6: CONCLUSION...................................................................................................................46 Recommendation and action plan..............................................................................................................47 Action plan (figure 2).................................................................................................................................50 Researcher reflection.................................................................................................................................52 REFRENCES.............................................................................................................................................53 Figure (1)....................................................................................................................................................54 Abstract CHAPTER-1: INTRODUCTION 1. Study Scope Spinal Cord injuries are the most devastating traumatic injuries causing numerous complications in individuals (May et al., 2006). These injuries initiate with a blow fracture and progressively dislocate the vertebrae (bone disks which make up the spine). Injuries of this type does not sever the spinal cord, but instead cause damage when vertebrae pieces tear into cord tissue and press down on the signal carrying nerve parts. Spinal cord injuries are the medical emergency conditions costing immense financial leverage on the community. Immediate treatment through effective patient education measures can help in minimising the long term complications. In many of the cases, treatment to spinal cord injuries initiate with the restraining of spine and regulating inflammation to minimise further damage (May et al., 2007). The usual treatment to spinal cord injuries differs completely depending on the exact location and the level of injury. ...read more.

Middle

Offering detailed, clear and concise information would definitely help these patients in future (Tooth et al., 2004). Patients with sufficient health literacy levels appear to be more interested than the associated counter parts in successful patient education. Health professionals must encourage the utilisation of appropriate information and ensure the access to reliable information sources (May et al., 2006). Assisting patients by referring them to various credible sources and being prepared to solve potential questions arising from the information search could help to a considerable extent. Understanding the underlying reasons about the disinterest in patient education could help the health care professionals in deciding the best way to tailor the information. Relying more on the simple verbal information, keeping in mind that patients with poor health literacy abilities is another strategy (May et al., 2007). Promoting the ways to attain information and using sufficient time to explain the information could serve as a useful reference for the medication use and successful patient education during spinal cord injuries. Considering the individual as a bio-psycho social being and enhancing adaptation ability to social, mental and psychological change (as a health indicative) could help in promoting well-being. The fundamental aims of patient education for the people with spinal cord injuries-promotion of healthy living and environment, reduction and prevention of secondary conditions (such as pressure ulcers, obesity and bladder complications), managing own physical and health conditions, maintaining functional independence and enhancing quality of life need to be placed in mind (Tooth et al., 2004). Achieving the goals involve hard and crucial parts. These include choosing the best way of implementing patient education process (Dorsey, 2005). By knowing about the quality improvement measures and adverse effect tests for spinal cord injury rehabilitation, patients can minimise the complications that may occur in future. However, it is much more important even for the health care practitioners to make a check on a timely manner as this may lead to potential complexities (May et al., 2007). ...read more.

Conclusion

This will provide better understanding of patient education to staff and also provide long term expert staff for effective delivery of patient education for the centre Discuss this in ward meeting the line manager and other wards manager to arrange the process of mutual rotation among staff member January 2012 Feedback from staff To liaise with my line manager and human resources for the recruitment of high level of clinical support worker instead of general support workers. To invite social services and PCT meetings with the multidisciplinary team (MDT) To understand the process of recruitment & selection of staff To enhance communication process between community authorities and the multi disciplinary team To discuss this with line manager and human resources department Meeting with the MDT and liaison nursing team for future planning January 2012 February 2011 Evaluation after the suggested time Feedback from MDT and discussing with the team members. To discuss with MDT to increase the appointments every 3 months for vulnerable patients after discharge To promote open dialogue, improve communication and resolve conflict among and reduce the risk of complications This can be achieved by discussing these issues twice a week during? hand over? and once a month in detail. May 2012 Feedback from team and after evaluation Action Plan (Figure 2) ________________ Researcher Reflection This dissertation project has given me the great opportunity of exploring the literature to give me the realistic insight of patient education for individuals with spinal cord injuries. Although it was a real challenge for me to take on the dissertation project as I had to give time to my family, job and other aspects of life. But the same time I was passionate during the whole process of this dissertation. Working with individuals with spinal injuries is my passion and this passion has grown during the course of the dissertation. This dissertation project has been an eye opener for me and has helped to develop my practice significantly. I am confident to improve the patient education programme by implementing the evidence based practice learnt from this dissertation project. ...read more.

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