Purpose: To analyze how the principles of Buen Vivir , interpreted through Axel Honneth’s Theory of Recognition, are expressed in rehabilitation nursing practice through the use of physical exercise. Design: Qualitative, exploratory-descriptive study. Methods: The study was conducted in Portugal between January and April 2025 with 13 Rehabilitation Nurse Specialists, purposefully selected. Semistructured interviews were transcribed verbatim and analyzed using Bardin’s content analysis technique, following a deductive approach, with double coding, investigator triangulation, and support from ATLAS.ti software. Results: The analysis identified quotes related to physical exercise and organized them into two categories: principles of Buen Vivir (subcategories: harmony with nature; solidarity and reciprocity; cultural pluralism and diversity; collective well-being) and pillars of the Theory of Recognition (subcategories: love; rights; and solidarity). Clinical Relevance to Rehabilitation Nursing Practice: Beyond the clinical dimension, physical exercise is perceived by Rehabilitation Nurse Specialists as a practice that promotes reconnection with nature, community solidarity, and active citizenship. This perspective expands the international evidence by emphasizing environmental, social, and cultural dimensions. Conclusions: Rehabilitation Nurse Specialists demonstrate a transformative model of care centered on dignity, autonomy, and solidarity. The findings highlight the potential of physical exercise as a means to foster Buen Vivir and Recognition.
Purpose: This study aimed to examine the effects of nursing interventions on poststroke fatigue and analyze their characteristics. Design: This systematic review was conducted in accordance with the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Methods: The inclusion criteria were based on the Population, Intervention, Comparisons, Outcomes, Study Design (PICO-SD) framework, which focuses on adults with stroke, nurse-led interventions aimed at alleviating poststroke fatigue, and comparisons with usual care. The review included experimental and quasi-experimental studies. The protocol was registered in PROSPERO. Results: We included 10 studies that met the inclusion criteria. The Cochrane Risk of Bias 2.0 and ROBINS-I tools were used for study quality assessment. Methodological concerns were noted across several studies, particularly regarding blinding and study design. Most interventions were administered individually and included psychosocial interventions, physical activities, and self-management strategies. Clinical Relevance to the Practice of Rehabilitation Nursing: Poststroke fatigue assessment and nursing interventions are relevant considerations in rehabilitation nursing practice. Conclusion: Nursing interventions designed to alleviate poststroke fatigue in stroke patients were reported to have beneficial effects. These findings highlight the importance of proactive attention and involvement of nurses and multidisciplinary professionals in addressing poststroke fatigue among stroke survivors.
PURPOSE:To identify frailty subgroups and associated factors in older adults with post-stroke cognitive impairment (PSCI). DESIGN:Cross-sectional study. METHODS:Older adults (≥60 years) with PSCI confirmed by the Mini-Mental State Examination (MMSE) were recruited via an online survey. Frailty, social participation, and depressive symptoms were assessed using the Tilburg Frailty Indicator (TFI), Impact on Participation and Autonomy (IPA) Questionnaire, and the 5-item Geriatric Depression Scale (GDS-5). Latent profile analysis was used to identify frailty subgroups; multivariate logistic regression was conducted to examine associated factors. FINDINGS:Three subgroups were identified: high (46.15%), moderate (41.54%), and low frailty (12.31%). Significant intergroup differences existed in sociodemographics, health behaviors, comorbidities, and psychosocial factors. Logistic regression indicated that depression (odds ratio [OR]=5.722, 95% confidence interval [CI]: 3.414-9.588) and chronic disease burden (OR=4.370, 95% CI: 1.166-16.372) were positively associated with frailty severity. Conversely, regular physical exercise (OR=0.157, 95% CI: 0.058-0.430) and social participation (OR=0.863, 95% CI: 0.795-0.936) were negatively associated with high frailty. CLINICAL RELEVANCE:Identifying distinct frailty profiles allows nurses to develop targeted rehabilitation programs. CONCLUSION:Distinct frailty subgroups exist in older adults with PSCI. Tailored nursing interventions targeting modifiable associated factors are essential for this population.
PURPOSE:To assess hypertension-related knowledge, self-management behaviors, and post-stroke needs among African American (AA) stroke survivors in rural Alabama. DESIGN:Cross-sectional, mixed-methods study. METHODS:Using convenience sampling, we recruited 25 AA stroke survivors aged 50 years or older from three rural counties in Alabama. Quantitative data were collected using the Hypertension Knowledge-Level Scale (HK-LS), hypertension Self-Care Activity Level Effects (H-SCALE), and the Southampton Stroke Self-Management Questionnaire. Fourteen participants completed semi-structured interviews. Descriptive statistics and thematic analysis were used to analyze the data. RESULTS:Most participants had low hypertension knowledge (56%) and poor adherence with medication (76%), the DASH diet (84%), physical activity (56%), and smoking cessation (72%). Qualitative analysis of participant interviews identified key barriers to hypertension management and post-stroke recovery, including limited hypertension knowledge, poor adherence, gaps in continuity of care, and limited social support. CLINICAL RELEVANCE:Rehabilitation nurses play a critical role in improving hypertension management and post-stroke recovery through culturally tailored education, reinforcement of self-management behaviors, and improved care coordination. Strengthening patient education and access to community-based resources may reduce recurrent stroke risk and improve outcomes. CONCLUSIONS:AA stroke survivors in rural settings face significant challenges in hypertension management and recovery. Targeted, culturally responsive, and community-engaged interventions are needed to improve self-management and long-term outcomes.
