Abstract
Background: This study aimed to investigate if a difference existed in inpatient recovery with the placement of resident rehabilitation staff in the general neurosurgery ward and an increase in cooperation between rehabilitation staff and nurses and to determine the effectiveness of resident rehabilitation staff placement for nurses and patients. Methods: A retrospective observational study design was adopted using data from existing medical records. Data of 301 patients in the neurosurgery unit were statistically and retrospectively analyzed using the t-test, χ2 test, and multiple regression analysis. Results: Analyses revealed that resident staffing for acute stroke rehabilitation might contribute to shorter hospitalization, increased cooperation records on nursing and rehabilitation, increased home discharge, and improved activities of daily living (ADL), bowel and bladder control. Conclusion: Resident staffing for acute stroke rehabilitation might strengthen the cooperation between nurses and rehabilitation staff and improve the patients’ ADL, hospitalization, and quality of life.
Highlights
Over 13.7 million new strokes occur each year around the world [1]
Analyses revealed that resident staffing for acute stroke rehabilitation might contribute to shorter hospitalization, increased cooperation records on nursing and rehabilitation, increased home discharge, and improved activities of daily living (ADL), bowel and bladder control
Resident staffing for acute stroke rehabilitation might strengthen the cooperation between nurses and rehabilitation staff and improve the patients’ ADL, hospitalization, and quality of life
Summary
Over 13.7 million new strokes occur each year around the world [1]. Globally, one in four people over the age of 25 are likely to have a stroke in their lifetime [2]. In Japan, the number of patients with new stroke is estimated at 290,000 per year [3]. Due to the increasing aged population and soaring medical expenses, it has been difficult to establish a medical system closely related to community-based facilities, which involves shortening the length of hospitalizations, strengthening early rehabilitation, and increasing home discharge from acute care hospitals. In Europe and the United States, skilled nursing care and specialist rehabilitation are core aspects of a comprehensive stroke unit, and treatment in such facilities has been shown to reduce mortality and disability [4]. In Japan, the establishment of multidisciplinary stroke specialist wards is trailing that of Europe and the United States.
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