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Complementary therapies in rehabilitation: nurses' narratives. Part 1.

Journal of clinical nursing
March 1, 2012
Pamela van der Riet et al. (3 authors)
Comparative StudyJournal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to explore nursing staff narratives on the perceived progress of complementary therapies, including Thai massage, on stroke patients in a Thai rehabilitation center.

Results Summary

The study found that nurses' holistic care approach, including Thai massage, contributed to stroke patients' readiness to heal, with themes of professional landscape and changes in patient embodiment emerging.

Population

Stroke patients and nursing staff in a Thai rehabilitation center.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Thai massage
increase
rehabilitation
stroke patients
-
perceived progress
#1
herbal therapies
increase
rehabilitation
stroke patients
-
perceived progress
#2
meditation
increase
personal health regime for future preventative health problems
visitors to Thai Buddhist centres
-
attracts strong participation
#3
complementary therapies
increase
patients' recovery
stroke patients
-
enabling holistic care
#4
nurses' discourse
increase
state of readiness to heal
stroke patients
-
preparing
#5
holistic approach through motivating, advising, educating, calming and imparting a sense of family
increase
recovery
stroke patients
-
potentiating recovery
#6
Abstract

AIMS AND OBJECTIVES: To document the narratives of nursing staff in a Thai rehabilitation centre where complementary therapies are used and to discuss perceived progress of these complementary therapies on stroke patients. Specific complementary therapies used at this rehabilitation centre include Thai massage and herbal therapies. BACKGROUND: In Thailand, there is cultural acknowledgement of a range of traditional therapies (including complementary therapies) widely used in Thai health care. For example, meditation enjoys wide acceptance in Thai culture and attracts strong participation from visitors to Thai Buddhist centres because of growing interest in developing a personal health regime for future preventative health problems. DESIGN: Qualitative study using narrative inquiry and discourse analysis framed by poststructural theory. METHOD: Six nursing staff and six stroke patients were interviewed about their involvement in complementary therapy practice and treatments and their experiences of these therapies in rehabilitation. This paper reports the six nurses' narratives of their involvement with patients and complementary therapies. RESULTS: The overall findings revealed two strong themes: nurses' professional landscape and changes in stroke patients' embodiment. These two themes were interwoven in a main discourse of nurses attending to and enabling holistic care. CONCLUSION: The contexts of temporality, spatiality and other people influencing the progress of patients' recovery are significant in this study. In particular, the findings illustrate the importance of the nurses' discourse in preparing stroke patients for a state of readiness to heal. RELEVANCE TO CLINICAL PRACTICE: The nurses' role becomes much more significant in health care as demonstrated through these stories. Their part in establishing a holistic approach through motivating, advising, educating, calming and imparting a sense of family enables a strong connection with mind, body and spirit potentiating recovery for stroke patients.

Medical Subject Headings (MeSH)
AgedAged, 80 and overCommunicationComplementary TherapiesFemaleHolistic NursingHumansMaleMassageMiddle AgedNarrationNurse's RoleNurse-Patient RelationsPhytotherapyPlant ExtractsPrognosisQualitative ResearchRehabilitation CentersStrokeStroke RehabilitationTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality55/10
Citation Metrics
Total Citations10
Citations/Year0.8
Relative Citation Ratio0.59
NIH Percentile31.9%
Research Impact Scores
APT Score0.25
Weight Score1.09
Normalized Score0.57
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