EXPERIENCES OF POST-ACUTE CVA PATIENTS REGARDING THE OUTCOME OF A REHABILITATIVE NURSING CARE BUNDLE ON MOBILITY AND ACTIVITIES OF DAILY LIVING: A QUALITATIVE STUDY

Abstract

Background: Post-acute cerebrovascular accident (CVA) patients often experience severe mobility
limitations and dependence in Activities of Daily Living (ADL). While quantitative outcomes of rehabilitative
nursing interventions are well documented, limited research explores patients’ lived experiences of such
interventions.
Aim: To explore the experiences of post-acute CVA patients regarding the outcomes of a Rehabilitative
Nursing Care Bundle (RNCB) on mobility and ADL in the experimental group.
Methods: A qualitative descriptive design was used. Fifteen participants from the experimental group who
received the RNCB for 10 days were selected purposively. Data were collected through audio-recorded
interviews at discharge. Thematic analysis was conducted using Braun and Clarke’s framework.
Results: Four major themes emerged: (1) Restoring movement and bodily control, (2) Re-establishing
independence in daily living, (3) Emotional upliftment and renewed self-confidence, and (4) Perceived
value of structured nursing support and continuity of care. Participants consistently reported improved
mobility, reduced fear of falling, enhanced ADL performance, and increased motivation.
Conclusion: The RNCB significantly improved mobility and ADL performance and positively influenced
emotional well-being. Patients perceived the intervention as empowering, supportive, and essential for
regaining independence. Integrating RNCB into routine stroke rehabilitation may enhance functional and
psychosocial outcomes.