59 Rehabilitants and informal caregivers’ perspectives of a Challenging Rehabilitation Environment Table 3. Themes involving organizational processes (continued) Main theme Brief description Sub-theme Description Staff aspects The rehabilitation facility should have small teams with good mutual communication. All team members should have a empathic way of supporting and motivating rehabilitants. Staff Staff must guide rehabilitants in their rehabilitation process in an empathic way, both in terms of emotional support and in exercising. They need knowledge, provide information, have an active attitude, communicate well and stimulate or, if necessary, slow rehabilitants down. A good relationship with staff can have a stimulating effect on the rehabilitant. Team Participants prefer small teams with good mutual communication. Team members need to be aware of rehabilitation (needs) and strive for sufficient collaboration with other team members. Mentioned team members are: physical therapist, occupational therapist, psychologist, nurse, physician, speech therapist, dietician, social work and recreational therapist. Physical therapy is named as the most important discipline; some participants feel resistance to the psychologist. Participants do see a therapeutic role for nurses in practicing activities of daily living, providing support and stimulating additional exercises. Organizational aspects Rehabilitation should be organized in an efficient way to optimize the results. Participants feel that financial cutbacks lead to a high workload for staff and a shorter length of stay, which has adverse consequences for their rehabilitation. They do feel it is important to organize the rehabilitation process in an efficient way, to optimize the results of the rehabilitation. 3
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