Abstract
The aim of this study was to focus on the nursing rehabilitation of patients with cognitive problems following acquired brain damage. The objective of the study was to explore how actions of highly experienced nurses promoted and strengthened the complex content of the nursing rehabilitation. This article discusses a field study which used participant observations as well as ongoing solicited and unsolicited conversations with nurses. The work of five experienced nurses was followed for three months during the day in a specialized ward for patients with medium severe acquired brain damage at a Danish hospital. The nursing intervention in the rehabilitative process is a complex interaction between ‘what to do’ and ‘how to do’. The specific focus on the ‘patient's current cognitive capacity’ primarily emerged through field observations as nurses were reluctant to express their precise scientific knowledge. It is worth considering if an increase in nurses' use of scientific knowledge in the rehabilitation process of people with cognitive problems could strengthen nurses' position in a multi-disciplinary rehabilitation approach.
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