Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/101326
Type: Theses
Title: Interdisciplinary health team’s experience in mobilising postoperative orthopaedic patients with altered mental status in a private hospital setting: a phenomenological study
Author: Decoyna, Jovie Ann Alawas
Issue Date: 2016
School/Discipline: School of Nursing
Abstract: Achievement of patients’ pre-morbid functional level or improvement of their functional ability is a major postoperative goal for orthopaedic surgical patients. A change in a patient’s mental state has a multifactorial aetiology which can impact patient outcomes and influence the delivery of care. Patient mobilisation is a role shared by both nurses and physiotherapists. Mobilising orthopaedic patients with altered mental status require both professional groups to work in close collaboration. The study aims to enhance the understanding of the experience of nurses and physiotherapists in mobilising postoperative orthopaedic patients who have altered mental status using the hermeneutic phenomenological research methodology. It also seeks to explore the differences/ similarities of their experience, describe any challenges encountered, interpret and give meaning to their experience, contribute to literature, and impact health practices. Three nurses and three physiotherapists were recruited through purposive sampling. Data was analysed using Burnard’s 14 stages of thematic content analysis. Four main categories emerged from the study: altruism, interprofessional specialist practice, patient dynamics and challenges. The findings of this study demonstrated that nurses and physiotherapists experience numerous challenges from both patient and resources related factors that influence the mobilisation of this patient group with the potential to impact the relationship between the two professional groups. Nurses and physiotherapists maintain a symbiotic relationship; their interprofessional collaboration enables achievement of mobilisation goals and their experience of the phenomenon is comparable. Patient and staff safety takes precedence over mobilisation. Participants believe that safety risks can be mitigated by having adequate resources, competence, and teamwork. The study recommends an evaluation of the resources and strategies required to ensure that this patient group are mobilised optimally to improve patient outcomes and experience.
Advisor: McLiesh, Paul
Salamon, Yvette Michelle
Dissertation Note: Thesis (M. Nurs. Sc.) -- University of Adelaide, School of Nursing, 2016
Keywords: coursework
interprofessional
early mobilisation
delirium
dementia
nurses' experience
physiotherapists' experience
hermeneutics
Provenance: This electronic version is made publicly available by the University of Adelaide in accordance with its open access policy for student theses. Copyright in this thesis remains with the author. This thesis may incorporate third party material which has been used by the author pursuant to Fair Dealing exceptions. If you are the owner of any included third party copyright material you wish to be removed from this electronic version, please complete the take down form located at: http://www.adelaide.edu.au/legals
Appears in Collections:School of Nursing

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