{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T07:26:14Z","timestamp":1768721174151,"version":"3.49.0"},"reference-count":49,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T00:00:00Z","timestamp":1701648000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Living with spinal cord injury (SCI) is a challenge that begins in the acute phase, when the disease, the limitations, and the treatments fill the days at the hospital. This study aims to understand the healthcare experience of the person with SCI in the acute phase, based on the Activities of Living Nursing Model (ALNM). It is a qualitative and phenomenological study based on the Standards for Reporting Qualitative Research. Data were collected via semi-structured interviews. Content analysis was performed using the ATLAS.ti software and Bardin\u2019s methodology. The article was written following the COREQ guidelines. The categories were defined using the Roper\u2013Logan\u2013Tierney Model for Nursing. The sample included 16 people with incomplete SCI, different etiology, and neurological levels. Eleven of the twelve ALNM emerged from the interviews. The activities of mobilizing, eliminating, maintaining a safe environment, and communicating were emphasized the most. Controlling body temperature was not relevant. Mobility deficits and pain increased dependence. Feelings of motivation, encouragement, and frustration were highlighted. Professional expertise, rehabilitation resources, and support equipment promoted independence. The results in this sample revealed that people with SCI in the acute phase have complex challenges related to dependence awareness and treatments, but they always keep recovery expectations in mind.<\/jats:p>","DOI":"10.3390\/nursrep13040138","type":"journal-article","created":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T05:28:21Z","timestamp":1701667701000},"page":"1671-1683","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Healthcare Experience of People with Acute Spinal Cord Injury: A Phenomenological Study"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1316-1394","authenticated-orcid":false,"given":"Salom\u00e9 Sobral","family":"Sousa","sequence":"first","affiliation":[{"name":"Abel Salazar Institute of Biomedical Sciences, 4050-313 Porto, Portugal"},{"name":"Department of Neurosciences, University Hospital Center of Santo Ant\u00f3nio, 4099-001 Porto, Portugal"}]},{"given":"Maria Jo\u00e3o","family":"Andrade","sequence":"additional","affiliation":[{"name":"Abel Salazar Institute of Biomedical Sciences, 4050-313 Porto, Portugal"},{"name":"Department of Neurosciences, University Hospital Center of Santo Ant\u00f3nio, 4099-001 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7251-5829","authenticated-orcid":false,"given":"Carla S\u00edlvia","family":"Fernandes","sequence":"additional","affiliation":[{"name":"CINTESIS@RISE, Nursing School of Porto, 4200-072 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6035-093X","authenticated-orcid":false,"given":"Sara Rodrigues","family":"Barbeiro","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, University Hospital Center of Santo Ant\u00f3nio, 4099-001 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9704-8083","authenticated-orcid":false,"given":"Vanessa Taveira","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, University Hospital Center of Santo Ant\u00f3nio, 4099-001 Porto, Portugal"}]},{"given":"Rute Silva","family":"Pereira","sequence":"additional","affiliation":[{"name":"Abel Salazar Institute of Biomedical Sciences, 4050-313 Porto, Portugal"}]},{"given":"Maria Manuela","family":"Martins","sequence":"additional","affiliation":[{"name":"Abel Salazar Institute of Biomedical Sciences, 4050-313 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,12,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"175s","DOI":"10.1177\/2192568217703084","article-title":"Type and Timing of Rehabilitation Following Acute and Subacute Spinal Cord Injury: A Systematic Review","volume":"7","author":"Burns","year":"2017","journal-title":"Glob. 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