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Sun, Jul 6, 2025
Volume 23, Issue 2 (June-In Press 2025)
Iranian Rehabilitation Journal 2025, 23(2): 0-0 |
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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 Clients with Disabilities: A Mediating Roles of Nurse-Related Factors. Iranian Rehabilitation Journal 2025; 23 (2)
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: (407 Views)
Objectives: Rehabilitative nursing care for clients with disabilities is critical for improving their quality of life, but it's frequently hindered by barriers and facilitated by supportive elements. This study investigated the barriers and facilitators in rehabilitative nursing care of nurse-related factors.
Methods: A cross-sectional, descriptive-correlational design was conducted at Babylon Center for the Rehabilitation of the Disabled from November 3rd, 2024 to March 15th, 2025. A stratified random sample of 385 contributors (192 nurses and 193 clients) was selected to use Cochran’s components. Validated instruments consisting of the Barriers to Providing Patient-Centered Rehabilitation Care Scale, Facilitators and Barriers Scale, and Perceived Organizational Support Scale, have been used to measure barriers, facilitators, and nurse-related factors. Data have been analyzed with the usage of SPSS version 27, with Pearson’s correlation, and structural equation modeling to test mediating results.
Results: Barriers to affected person-centered care negatively correlated with facilitators (-0.60) and nurse-related factors, which include perceived organizational support (-0.45) and place of work 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, which include self-efficacy (0.35, p = 0.02) and organizational support (0.42, p <0.01), mediated these relationships, with a massive mediator effect (0.38, p < 0.01).
Discussion: The study highlights the vital role of nurse-related factors in mediating the impact of barriers and facilitators on rehabilitative care consequences. 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 conducted at Babylon Center for the Rehabilitation of the Disabled from November 3rd, 2024 to March 15th, 2025. A stratified random sample of 385 contributors (192 nurses and 193 clients) was selected to use Cochran’s components. Validated instruments consisting of the Barriers to Providing Patient-Centered Rehabilitation Care Scale, Facilitators and Barriers Scale, and Perceived Organizational Support Scale, have been used to measure barriers, facilitators, and nurse-related factors. Data have been analyzed with the usage of SPSS version 27, with Pearson’s correlation, and structural equation modeling to test mediating results.
Results: Barriers to affected person-centered care negatively correlated with facilitators (-0.60) and nurse-related factors, which include perceived organizational support (-0.45) and place of work 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, which include self-efficacy (0.35, p = 0.02) and organizational support (0.42, p <0.01), mediated these relationships, with a massive mediator effect (0.38, p < 0.01).
Discussion: The study highlights the vital role of nurse-related factors in mediating the impact of barriers and facilitators on rehabilitative care consequences. 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: 2025/06/28
Received: 2025/03/27 | Accepted: 2025/04/21 | Published: 2025/06/28
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