Rehabilitation Nursing Inclusion and Accessibility Processes: Assessment Tool for Rehabilitation Nurses
DOI:
https://doi.org/10.33194/rper.2024.412Keywords:
Social inclusion, Architectural Accessibility, Rehabilitation Nursing, Nursing Care, Disabled Persons, Validation StudiesAbstract
Introduction: Accessibility is crucial for including people with acquired physical disabilities (PwAPD), requiring specific tools to assess relevant nursing care in this context. This study aims to describe the consensus activities of rehabilitation nurses in promoting accessibility and contribute to validating an assessment instrument for nursing interventions.
Methodology: A methodological study based on the competency of rehabilitation nurses and the Roper-Logan-Tierney Model of Nursing, which involved 81 experts.
Results: The developed instrument consists of 33 items distributed across three dimensions: Assessing (10 items), Planning/Implementing (18 items), and Evaluating (5 items), showing internal consistency, measured by Cronbach's alpha coefficient of 0.968. The study reveals that nurses assess accessibility conditions, but there are gaps in this assessment in cultural, leisure, work, and educational spaces. It has highlighted the need for information about services and support and referral to adapted sports. For this reason, some items did not achieve a content validity index (CVI) higher than 80%.
Discussion: Despite some items not achieving a CVI higher than 80%, based on theoretical and professional frameworks, we decided to retain the 33 items in the final instrument as it reveals a need to improve the practice of rehabilitation nurses in the areas of inclusion and accessibility.
Conclusion: The final instrument proved to be a valuable tool for assessing the care provided by rehabilitation nurses for accessibility and social inclusion of PwAPD.
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