Adelaide Nursing School, University of Adelaide, Adelaide, SA, Australia.
Centre for Evidence-Based Practice, South Australia, a Collaborating Centre of the Joanna Briggs Institute, Adelaide, SA, Australia.
J Clin Nurs. 2018 Jun;27(11-12):2373-2386. doi: 10.1111/jocn.14183. Epub 2018 Jan 24.
To explore the factors described by nurses and consumer representatives influencing the delivery of the fundamentals of care.
An ongoing challenge facing nursing is ensuring the "basics" or fundamentals of care are delivered optimally. The way nurses and patients perceive the delivery of the fundamentals of care had not been explored. Once identified, the factors that promote the delivery of the fundamentals of care may be facilitated.
Inductive content analysis of scenario based focus groups.
A qualitative approach was taken using three stages, including direct observation, focus groups and interviews. This paper reports the second stage. Focus groups discussed four patient care scenarios derived from the observational data. Focus groups were conducted separately for registered nurses, nurses in leadership roles and consumer representatives. Content analysis was used.
The analysis of the focus group data resulted in three themes: Organisational factors; Individual nurse or patient factors; and Interpersonal factors. Organisational factors include nursing leadership, the context of care delivery and the availability of time. Individual nurse and patient factors include the specific care needs of the patient and the individual nurse and patient characteristics. Interpersonal factors include the nurse-patient relationship; involving the patient in their care, ensuring understanding and respecting choices; communication; and setting care priorities.
Seeking the perspective of the people involved in delivering and receiving the fundamentals of care showed a shared understanding of the factors influencing the delivery of the fundamentals of care. The influence of nursing leadership and the quality of the nurse-patient relationship were perceived as important factors.
Nurses and consumers share a common perspective of the factors influencing the delivery of the fundamentals of care and both value a therapeutic nurse-patient relationship. Clinical nursing leaders must understand the impact of their role in shaping the delivery of the fundamentals of care.
探讨护士和消费者代表描述的影响基本护理提供的因素。
护理面临的一个持续挑战是确保最佳提供“基本”或基本护理。护士和患者对提供基本护理的看法尚未得到探索。一旦确定，可能会促进提供基本护理的因素。
基于情景的焦点小组的归纳内容分析。
采用定性方法，包括三个阶段，包括直接观察、焦点小组和访谈。本文报告了第二阶段。焦点小组讨论了从观察数据中得出的四个患者护理情景。分别为注册护士、护理领导角色和消费者代表举办了焦点小组。使用内容分析。
对焦点小组数据的分析产生了三个主题：组织因素；护士或患者的个体因素；和人际因素。组织因素包括护理领导、护理提供的背景和时间的可用性。护士和患者的个体因素包括患者的具体护理需求和护士和患者的个体特征。人际因素包括护士-患者关系；让患者参与自己的护理，确保理解并尊重选择；沟通；和设定护理优先级。
从提供和接受基本护理的人那里寻求观点，表明他们对影响基本护理提供的因素有共同的理解。护理领导的影响和护士-患者关系的质量被认为是重要因素。
护士和消费者对影响基本护理提供的因素有共同的看法，并且都重视治疗性的护士-患者关系。临床护理领导者必须了解他们在塑造基本护理提供方面的角色的影响。
