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*Nursing Homes
*Stroke
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Autonomy in Stroke Rehabilitation: the perceptions of care providers in nursing homes

Ireen M Proot

Institute for Bioethics, Maastricht, The Netherlands, i.proot{at}ige.unimaas.nl

Huda Huijer Abu-Saad

Maastricht University, The Netherlands

Gijs GJ Van Oorsouw

St Camillus, Roermond, The Netherlands

Jos JAM Stevens

Schuttershof, Brunssum, The Netherlands

Twenty-seven health care providers from three nursing homes were interviewed about the autonomy of stroke patients in rehabilitation wards. Data were analysed using the grounded theory method for concept development recommended by Strauss and Corbin. The core category ‘changing autonomy’ was developed, which identifies the process of stroke patients regaining their autonomy (dimensions: self-determination, independence and self-care), and the factors affecting this process (conditions (i.e. circumstances) and strategies of patients; strategies of care providers and families; and the nursing home). Teamwork on increasing patient autonomy is recommended, which can be stimulated by multidisciplinary guidelines and education, and by co-ordination of the process of changing autonomy.

Key Words: changing autonomy • independence • self-care • self-determination

Nursing Ethics, Vol. 9, No. 1, 36-50 (2002)
DOI: 10.1191/0969733002ne479oa
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I. M Proot, R. H J ter Meulen, H. H. Abu-Saad, and H. F J M Crebolder
Supporting Stroke Patients' Autonomy During Rehabilitation
Nursing Ethics, March 1, 2007; 14(2): 229 - 241.
[Abstract] [PDF]