RESUMO
Persons with traumatic brain injuries (TBIs) who return to work often struggle with managing environmental distractions due to residual cognitive impairments. Previous literature has established that environmental distractions impact persons with TBI, yet, the extent to which distractions impact workplace performance is unknown. This qualitative descriptive study using phenomenology methods, explored the experiences of seven individuals with TBIs and how they perceived workplace distractions to impact their productivity. Data was collected using semi-structured interviews with seven participants who were diagnosed with mild, moderate, and severe TBIs. Interviews were transcribed and analyzed using thematic analysis. Main findings centered around what environmental distractions impacted work performance, the farther-reaching consequences of distractibility, strong emotional feelings and worry about perceived work performance associated with distractibility, mitigating distractibility through "gaming the attentional system", and utilizing music as a distraction masker to enhance task performance. In light of this study's findings, researchers, and clinicians are encouraged to consider the wider impact of distractions on persons with TBI. The real-life accounts documented in this study will assist researchers and clinicians to account for the impact of environmental distractions in rehabilitation and support employment for persons with TBI.
Assuntos
Lesões Encefálicas Traumáticas , Local de Trabalho , Lesões Encefálicas Traumáticas/psicologia , Emprego/psicologia , Humanos , Pesquisa Qualitativa , Retorno ao Trabalho/psicologia , Local de Trabalho/psicologiaRESUMO
BACKGROUND: Limited descriptions of preoperative education programs for total knee replacement (TKR) surgery are provided in the literature, and the most effective program design is currently unknown. PURPOSE: The purpose of this qualitative study is to describe orthopaedic nurses' perceptions of preoperative education prior to TKR surgery. METHODS: Ten participants completed phone interviews and transcripts were analyzed qualitatively for themes among participants. RESULTS: Participants believed that preoperative education was a significant component impacting patient outcomes following surgery. Interprofessional preoperative education was valued, but pragmatic factors were identified as barriers to the inclusion of other disciplines within these programs. Education programs were constantly evolving on the basis of evidence-based practice and changes to orthopaedic protocols. Pragmatic factors influenced all aspects of program design, such as the timing and length of education sessions. CONCLUSIONS: Results from this study provide descriptions of factors that influence program design and can be used to restructure education programs for improved patient outcomes.
Assuntos
Artroplastia do Joelho/psicologia , Enfermagem Ortopédica , Educação de Pacientes como Assunto , Percepção , Cuidados Pré-Operatórios/psicologia , Prática Clínica Baseada em Evidências , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pesquisa QualitativaRESUMO
BACKGROUND: Preoperative education aids in reducing the incidence of poor outcomes after total knee replacement (TKR) and increasing patient readiness for discharge home but is not well described in the literature. PURPOSE: The purpose of the study is to describe the current design of preoperative education for TKR across the United States. METHODS: A large, national sample of orthopaedic nurses completed an online survey to describe preoperative education at their facilities. RESULTS: Most participants provided preoperative education as part of interprofessional teams in either a group format or combined group and individual education. Verbal instruction was the most common educational delivery method, followed by written instruction. Education typically lasted between 1 and 1.5 hours, was delivered in a single session, and included a variety of topics. CONCLUSION: Results of this study describe preoperative educational practices and can support future research to improve patient outcomes following TKR surgery.
Assuntos
Artroplastia do Joelho/enfermagem , Enfermeiras e Enfermeiros/estatística & dados numéricos , Educação de Pacientes como Assunto/métodos , Artroplastia do Joelho/psicologia , Humanos , Enfermagem Ortopédica/métodos , Enfermagem Ortopédica/organização & administração , Enfermagem Ortopédica/tendências , Educação de Pacientes como Assunto/tendências , Cuidados Pré-Operatórios/métodos , Cuidados Pré-Operatórios/tendências , Inquéritos e Questionários , Resultado do Tratamento , Estados UnidosRESUMO
Total knee replacement (TKR) surgery has been found to achieve positive outcomes for many patients such as reduced pain and increased function. However, some patients experience suboptimal outcomes including falls, readmission to hospital, and reduced functional performance. Preparation for discharge after TKR surgery is often defined related to pain control, walking, knee function, and ability to climb stairs. These measures may not fully encompass aspects of recovery that impact patients' readiness for discharge after surgery. The purpose of this article is to review discharge readiness following TKR surgery and discuss factors that are known to impact preparedness for discharge.
