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Sun, Jul 27, 2025
Volume 23, Issue 2 (June 2025)
Iranian Rehabilitation Journal 2025, 23(2): 165-174 |
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Abed Laftah S, Kadhim Abdul-Hameed A, Zair Balat K, Malih Radhi M. Barriers and Facilitators in Rehabilitative Nursing Care for Disabilities and Mediating Roles of Nurse-related Factors. Iranian Rehabilitation Journal 2025; 23 (2) :165-174
URL: http://irj.uswr.ac.ir/article-1-2501-en.html
URL: http://irj.uswr.ac.ir/article-1-2501-en.html
1- Department of Community Health Nursing, College of Nursing, University of Thi-Qar, Thi-Qar, Iraq.
2- Department of Adult Nursing, College of Nursing, University of Thi-Qar, Thi-Qar, Iraq.
3- Community Health Nursing, College of Health and Medical Techniques, Kufa/Al-Furat Al-Awsat Technical University, Babylon, Iraq.
2- Department of Adult Nursing, College of Nursing, University of Thi-Qar, Thi-Qar, Iraq.
3- Community Health Nursing, College of Health and Medical Techniques, Kufa/Al-Furat Al-Awsat Technical University, Babylon, Iraq.
Abstract: (1283 Views)
Objectives: Rehabilitative nursing care for clients with disabilities is critical for improving their quality of life. However, it is frequently hindered by barriers and facilitated by supportive elements. This study aims to investigate the barriers and facilitators in rehabilitative nursing care of nurse-related factors.
Methods: A cross-sectional, descriptive-correlational design was used at the Babylon Center for the Rehabilitation of the Disabled from November 3, 2024, to March 15, 2025. Using Cochran’s formula, a stratified random sample of 385 contributors (192 nurses and 193 clients) was selected. Validated instruments consisting of the barriers to providing patient-centered rehabilitation care scale (BPRCS), facilitators and barriers scale, and perceived organizational support (POS) scale were used to measure barriers, facilitators, and nurse-related factors. Data were analyzed using SPSS software, version 27, with Pearson’s correlation and structural equation modeling (SEM) to test the mediating results.
Results: Barriers to affected person-centered care negatively correlated with facilitators (-0.60) and nurse-related factors, including POS (-0.45) and workplace empowerment (-0.42). Facilitators showed superb correlations with nurse self-efficacy (0.47) and managerial support (0.55). SEM outcomes indicated that barriers appreciably hindered care effects (-0.45, P<0.01), while facilitators advanced effects (0.60, P<0.01). Nurse-related factors, including self-efficacy (0.35, P=0.02) and organizational support (0.42, P<0.01), mediated these relationships, with a large mediator effect (0.38, P<0.01).
Discussion: This study highlights the vital role of nurse-related factors in mediating the impact of barriers and facilitators on the consequences of rehabilitative care. Healthcare organizations must address barriers, including support barriers and lack of training, while promoting facilitators, such as organizational support, workplace empowerment, and enhancing nurses’ self-efficacy.
Methods: A cross-sectional, descriptive-correlational design was used at the Babylon Center for the Rehabilitation of the Disabled from November 3, 2024, to March 15, 2025. Using Cochran’s formula, a stratified random sample of 385 contributors (192 nurses and 193 clients) was selected. Validated instruments consisting of the barriers to providing patient-centered rehabilitation care scale (BPRCS), facilitators and barriers scale, and perceived organizational support (POS) scale were used to measure barriers, facilitators, and nurse-related factors. Data were analyzed using SPSS software, version 27, with Pearson’s correlation and structural equation modeling (SEM) to test the mediating results.
Results: Barriers to affected person-centered care negatively correlated with facilitators (-0.60) and nurse-related factors, including POS (-0.45) and workplace empowerment (-0.42). Facilitators showed superb correlations with nurse self-efficacy (0.47) and managerial support (0.55). SEM outcomes indicated that barriers appreciably hindered care effects (-0.45, P<0.01), while facilitators advanced effects (0.60, P<0.01). Nurse-related factors, including self-efficacy (0.35, P=0.02) and organizational support (0.42, P<0.01), mediated these relationships, with a large mediator effect (0.38, P<0.01).
Discussion: This study highlights the vital role of nurse-related factors in mediating the impact of barriers and facilitators on the consequences of rehabilitative care. Healthcare organizations must address barriers, including support barriers and lack of training, while promoting facilitators, such as organizational support, workplace empowerment, and enhancing nurses’ self-efficacy.
Keywords: Rehabilitative nursing care, Disabilities, Barriers, Facilitators, Organizational support, Self-efficacy, Workplace empowerment
Article type: Original Research Articles |
Subject:
Nursing
Received: 2025/03/27 | Accepted: 2025/04/21 | Published: 2025/06/1
Received: 2025/03/27 | Accepted: 2025/04/21 | Published: 2025/06/1
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