RNQualitativeRevista brasileira de enfermagem2024

Perceptions from people with physical disabilities about accessibility and social conditions: interventions for rehabilitation nursing.

Rute Salomé da Silva Pereira, Salomé Sobral Sousa, Maria Manuela Martins and 2 others

PMID 39607198

WHAT IT FOUND

People with acquired physical disabilities reported that environmental barriers in homes, transport and workplaces restrict their independence more than their impairment.

They stated that nurses rarely discuss accessibility, despite needing help navigating these structural obstacles.

Key findings

01Participants identified that environmental barriers, not just individual impairment, prevent full social participation and independent living.

02Rehabilitation nurses currently assess functional ability but rarely address architectural barriers or teach skills for navigating them.

03Assistive technology and wheelchair skills training were cited as key facilitators for maintaining independence in daily activities.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The sample size of 27 participants limits generalizability to all individuals with disabilities. Participants predominantly lived in non-rural areas, so findings may not apply to rural contexts. The study relied on self-reported experiences and did not measure clinical outcomes or the effectiveness of proposed interventions. Data collection occurred during the COVID-19 pandemic, which may have influenced participants' experiences of social isolation and access to services.

Declared interests

No conflicts of interest or funding sources were reported in the provided text.

The easy way to misread this

Do not interpret the proposed nurse-led interventions as evidence-based practices with proven efficacy. These interventions were derived from a qualitative analysis of patient perspectives and a theoretical framework, not from a trial testing their impact on health outcomes.

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