CRRN 1: Rehab Nursing Models and Theories

2 broad models of rehab care - Team-based (better outcomes) Provider-based (less expensive) 2 nursing models that have to do with patient adaptability - Orem and Roy 3 domains of learning - Cognitive: Intellectual or knowledge-based activity Psychomotor: Developing motor skills in the context of patient's disability Affective: Attitudes, values, sentiments Each domain has its own taxonomy (classification of parts). For example, cognitive includes knowing, comprehending, applying knowledge, etc. Different learning activities apply to different domains. For instance, role play is good for developing patient's psychomotor and affective goals. 3 nursing models that emphasize interaction of patient with others - King, Neuman, Rogers 3 schools of learning theory - Behavioral: People learn by association (conditioned response, behavior modification) Cognitive: People learn by gathering information and making associations internally. Requires learner's input and is shaded by his responses. Humanistic: Theory emphasizes person's potential for growth and he is an active participant in the process. Focus is human freedom and dignity. 3 social science conceptual models of patient education - Health belief model Self-efficacy theory Locus of control theory 3 types of provider-based models - Primary nursing: Primary nurse is responsible under umbrella of team, good for chronic conditions Case management: Patient sees many providers, but is followed by one rehab nurse throughout course of illness. Advanced practice nurse: NPs and clinical nurse specialists act as consultants to other nurses for provision of specialized care. 3 types of team-based rehabs - Multidisciplinary: Specialists from different fields communicate with each other to care for patient. Interdisciplinary: Whole team works together to set goals and appropriate team members carry them out. Transdisciplinary: One provider is primary, others are consultants