137 The conceptualization of a Challenging Rehabilitation Environment The response rate for this study was 60.6% of the (para)medical staff, 36.7% of the nursing staff, and 83.3% of the rehabilitants and informal caregivers. The average response rate for studies utilizing data collected from individuals is 52.7% with a standard deviation of 20.4.25 Only the response rate from the nursing staff is below average, but still within the limits of the standard deviation. The other stakeholder groups are above average. Therefore, the response rate for this study is considered good. Conclusion and Implications This study provides an evidence-based, expert-based, and experience-based conceptualization of CRE in five clusters: goals, rehabilitant and informal caregiver, staff aspects, environmental aspects, and exercise and peer support. These five clusters reflect the statistical consensus from three relevant and important groups of stakeholders in GR. The clusters and statements that are created in this study provide a basis for rehabilitation wards regarding how to organize their geriatric rehabilitation and to discover their strengths and challenges. A self-evaluation tool developed out of this conceptualization might be useful for geriatric rehabilitation wards. It can help identify and visualize their strengths and areas for improvement. 5
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