College of Nursing and Health Sciences, Flinders University, Sturt North Wing, Bedford Park, SA, 5042, Australia; Adelaide Nursing School, University of Adelaide, Level 4, Adelaide Health & Medical Sciences Building, Cnr North Terrace & George Street, Adelaide, SA, 5005, Australia.
Adelaide Nursing School, University of Adelaide, Level 4, Adelaide Health & Medical Sciences Building, Cnr North Terrace & George Street, Adelaide, SA, 5005, Australia.
Nurse Educ Pract. 2019 Mar;36:82-84. doi: 10.1016/j.nepr.2019.03.006. Epub 2019 Mar 9.
Fundamental care has come under increased scrutiny due to high-profile reports globally of poor nursing care. The reasons for these documented care failures are widely debated, with some scholars identifying issues with how fundamental care is valued within healthcare systems and by nurses. During focus groups designed to evaluate a fundamental care education intervention, we identified a perception commonly held by first-year pre-registration (pre-licensure) students that appeared indicative of a de-valuing of fundamental care: students routinely described fundamental care as 'common sense' and doubted that such care should form a key part of their education. In this paper, we explore this perception and its potential consequences for nursing education, clinical practice, and research. We argue that a perception of fundamental care as 'common sense' is a myth; it undermines the inherent complexity of providing such care to a consistently high standard and has negative implications for nursing education and continuing professional development, patient experiences and outcomes, and the advancement of nursing science. It is a perception that must be challenged.
由于全球范围内有大量关于护理质量差的报道,基础护理受到了越来越多的关注。造成这些护理失误的原因存在广泛争议,一些学者认为,基础护理在医疗体系和护士中的价值存在问题。在旨在评估基础护理教育干预措施的焦点小组中,我们发现一年级注册前(许可前)学生普遍存在一种看法,似乎表明基础护理的价值被低估:学生通常将基础护理描述为“常识”,并怀疑这种护理应该成为他们教育的一个重要组成部分。在本文中,我们探讨了这种看法及其对护理教育、临床实践和研究的潜在影响。我们认为,将基础护理视为“常识”的看法是一种误解;它破坏了以始终保持高标准提供这种护理的固有复杂性,并对护理教育和持续专业发展、患者体验和结果以及护理科学的进步产生负面影响。这种看法必须受到挑战。