Using communication to manage missed care: A case study applying the Fundamentals of Care framework

被引:31
作者
Avallin, Therese [1 ]
Athlin, Asa Muntlin [2 ,3 ,4 ,5 ]
Bjorck, Martin [1 ]
Jangland, Eva [1 ]
机构
[1] Uppsala Univ, Dept Surg Sci, Uppsala, Sweden
[2] Uppsala Univ Hosp, Dept Emergency Care & Internal Med, Uppsala, Sweden
[3] Uppsala Univ, Dept Med Sci Clin Epidemiol, Uppsala, Sweden
[4] Uppsala Univ, Dept Publ Hlth & Caring Sci Hlth Serv Res, Uppsala, Sweden
[5] Univ Adelaide, Adelaide Nursing Sch, Adelaide, SA, Australia
基金
瑞典研究理事会;
关键词
acute care; case reports; communication; fundamentals of care framework; person-centred care; PATIENT OUTCOMES; NURSING-CARE; NURSES; PARTICIPATION;
D O I
10.1111/jonm.12963
中图分类号
C93 [管理学];
学科分类号
12 ; 1201 ; 1202 ; 120202 ;
摘要
Aim To explore, through the patient's perspective, how patient-provider communication is linked to missed nursing care vs. meeting patients' fundamental care needs. Background Missed nursing care causes severe consequences for patients. Person-centred fundamental care, in which communication is central, provides an approach to manage this challenge. However, the specific patient-provider communications linked to care outcomes are unknown. Methods Case study using secondary analysis of observations and interviews. A purposeful sample of 20 patients with acute abdominal pain collected using ethnographic methodology at one emergency department and two surgical wards. The Fundamentals of Care framework guided the analysis. Results Communications that included the patient as an equal member of the care team were observed to make a difference between adequate and missed nursing care. Four categories were identified: interpersonal respect, humanized context of care, available and accessible communication channels, and mutual holistic understanding of the care needs and care plan. Conclusion Communication can be an essential tool to avoid missed nursing care and address the critical need for nursing managers to restore the fundamentals of care. Implications for Nursing Management Nursing managers can use this new knowledge of communication to facilitate person-centred fundamental care and thereby avoid missed nursing care.
引用
收藏
页码:2091 / 2102
页数:12
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