Abstract/Details

A qualitative study of inpatient rehabilitation client perceptions of the semi-fixed environment


2007 2007

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Abstract (summary)

Background and Purpose. Literature supports the importance of the environment on promoting or compromising health. However, little is known about how the semi-fixed environment affects client perceptions and recovery from a debilitating condition. The purpose of this study was to investigate beliefs about control within the semi-fixed environment and client perceptions of the rehabilitation process.

Design and Method. This study utilized a basic qualitative research design with 10 rehabilitation clients whose average inpatient length of stay was 14 days. Data were collected in two phases. Phase I included two inpatient visits involving semi-structured interviews on the rehabilitation process and videotaping of the client's semi-fixed environment. Phase II included a home visit, face-to-face interview using guiding questions about the client's perception of their rehabilitation stay and how the environment impacted these perceptions, and a review of the videotapes taken during the client's inpatient stay.

Results. Six themes emerged from the semi-structured interview data which were: Had Choices, It's in the Room, View of Nature, Meaningful to Me, Being Connected, and God's Plan. The majority of clients identified that having control within their semi-fixed environment was not as important as being supported by and connected to significant others such as family and friends. Feeling connected also included having ready access to nature and the outdoors. For several of the clients it did not matter where personal semi-fixed items were placed within their room; just knowing that a meaningful object (being connected) was nearby and that they could have access to it at anytime was sufficient. A majority of clients shared that staff attitude and a faith in God's plan facilitated the recovery process. The discussion section addresses the concepts of temporality (time) and social support/connectedness as they relate to this research population.

Conclusions and Implications for Health Education. The rehabilitation client has special needs and these needs are often dependent on the severity of functional limitations. To develop meaningful and effective intervention strategies, health care professionals must understand the varied perspectives of those individuals who struggle with disabling conditions and how the semi-fixed environment might enhance or worsen their recovery. For the health educator, this study yields a better understanding of the multiple factors that impact perceptions of health promoting environments, specifically related to inpatient rehabilitation clients.

Indexing (details)


Subject
Public health;
Health education;
Inpatient care;
Perceptions;
Rehabilitation
Classification
0573: Public health
0680: Health education
Identifier / keyword
Health and environmental sciences; Education; Client perceptions; Healing environment; Inpatient rehabilitation; Rehabilitation
Title
A qualitative study of inpatient rehabilitation client perceptions of the semi-fixed environment
Author
Hewitt, Liane
Number of pages
115
Publication year
2007
Degree date
2007
School code
0106
Source
DAI-B 69/04, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9780549527725
Advisor
Hopp-Marshak, Helen
Committee member
Hopp, Joyce W.; Jones, Patricia S.
University/institution
Loma Linda University
Department
Health Promotion and Education
University location
United States -- California
Degree
Dr.P.H.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
3304207
ProQuest document ID
304846594
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/304846594
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