103 Professionals’ perspectives of a Challenging Rehabilitation Environment All employees must have an emphatic, motivating attitude and stimulate rehabilitants to practice throughout the day. As a rehabilitation physician stated: I think, particularly nursing staff having a rehabilitation focus, and so, encouraging for the patients to do everything possible they can, from the start. So, that may make a significant difference. As rehabilitants in the GR do not always fit in medical guidelines, staff must be able to work based on the ideas of evidence-based practice. As one physical therapist said: That is the problem with the application of such a guideline. For example, the guideline says it’s for stroke, but if someone also has Parkinson’s, or broke his hip last year, you cannot do certain tests. Because it’s obviously impossible. Theme 2.3: Organizational Aspects Even though internationally organizational aspects differ and can therefore influence the rehabilitation process, the concept of CRE is suitable to get the most out of rehabilitation. Implementing a CRE requires a shared vision on rehabilitation and a balanced interdisciplinary team with sufficient time for the implementation. As a nurse practitioner said: I do think when you have that kind of project group, it does involve regular evaluation. Like, guys, how are the things we started going now? And do we need to adjust, fine-tune anything. CRE does not depend on the rehabilitation setting, as long as the name of the ward does not generate false expectations. It is also important that rehabilitants are not addressed as patients. As a nurse lecturer said: Calling someone patient or client, you emphasize what a person can’t do. If you say person, you avoid this label. It is still someone who tries to live his life in the best way possible. 4
RkJQdWJsaXNoZXIy MTk4NDMw