127 The conceptualization of a Challenging Rehabilitation Environment The research group discussed the five clusters and labelled them as follows: (1) goals (how are the goals for the rehabilitation formulated and how do they guide the rehabilitation process), (2) rehabilitant and informal caregiver (factors concerning the coping process, resilience and the involvement of the rehabilitant and informal caregiver in the rehabilitation process), (3) staff aspects (focusing on interdisciplinary collaboration in the rehabilitation team and all team members being focused on rehabilitation during daily activities), (4) environmental aspects (the design of the rehabilitation ward should stimulate and challenge rehabilitants), and (5) exercise and peer support (how do rehabilitants exercise during their rehabilitation and factors concerning peer support). The five clusters and their statements are described in Table 2. Table 2. Cluster description and their statements. Number Statement Mean rating (SD*) Cluster 1 Goals 3.69 (1.12) 3 The goals of the rehabilitant guide the use of therapies and the duration of admission. 3.87 (1.07 47 The rehabilitation plan includes goals, evaluations, exercises, and the discharge process. 3.87 (1.00) 48 The rehabilitation goals cover both the inpatient period and rehabilitation at home. 3.53 (1.39) 1 Home visits are an integral part of rehabilitation. 3.52 (1.19) Cluster description This cluster concentrates on the goals for rehabilitation. How they are formulated and how they guide the rehabilitation process. Cluster 2 Rehabilitant and informal caregiver 3.48 (1.18) 2 The rehabilitant and informal caregivers are prepared for the fact that rehabilitation does not stop after discharge. 4.02 (1.07) 51 The rehabilitation plan is formulated and adjusted in consultation with the rehabilitant and informal caregiver. 3.98 (1.05) 42 Informal caregivers are educated about skills needed during and after rehabilitation. 3.93 (1.09) 31 The medical condition is explained to the rehabilitant and informal caregiver. 3.85 (0.93) 15 The rehabilitant and informal caregiver are part of the rehabilitation team. 3.76 (1.20) 5
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