Adaption, benefit and quality of care associated with primary nursing in an acute inpatient setting: A cross‐sectional descriptive study. (5th April 2019)

• Record Type: Journal Article
• Authors: Naef, Rahel; Ernst, Jutta; Petry, Heidi
• Is Part Of: Journal of advanced nursing. Volume 75:Number 10(2019)
• Page Start: 2133
• Page End: 2143
• Publication Date: 2019-04-05
• Subjects: hospital -- implementation -- nurses -- patient satisfaction -- patient‐centred care -- primary nursing -- quality of care; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.13995
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aims: The aim of this study was to investigate the adoption of primary nursing and to determine the quality of primary nurse‐led care in an acute inpatient setting. Design: Descriptive cross‐sectional study. Methods: Participants included inpatients ( N = 369) and nurses ( N = 381). To assess adoption of primary nursing, patient records were analysed and an online survey of nurses was conducted from May–June 2017. To measure quality of nursing care, a structured questionnaire was administered to inpatients. Results: Patients reported high quality of individualized, responsive and proficient care, but lower levels of coordinated care. Most nurses agreed that primary nursing is beneficial for person‐centred caring. However, only two‐thirds found that it was practiced on their unit and only half of care planning activities were attributable to primary nurses. Conclusion: While perceived as beneficial, adoption of primary nursing in clinical practice remains partial. Hence, primary nursing may not be enough to ensure continuity and coordination of acute care. Abstract : 目的: 本研究的目的是调查初级护理的适应情况, 并确定在急性住院患者中初级护理的质量。 设计: 描述性横断面研究。 方法: 参与者包括住院病人(369人)和护士(381人)。为了评估初级护理的适应情况, 我们对患者记录进行了分析, 并于2017年5月至6月对护士进行了在线调查。为衡量护理质量, 对住院患者进行了结构化问卷调查。 结果: 据患者所述, 护士具有较高的护理水平, 具有个性化、响应快且熟练的特点, 但协调护理水平较低。大多数护士认为初级护理有利于以人为本的护理。然而, 只有三分之二的人发现这是他们所在单位的做法, 只有一半的护理规划活动是由初级护士进行的。 结论: 虽然公认初级护理是有益的, 但临床实践中并非全都采用初级护理。因此, 初级护理可能不足以确保急性护理的连续性和协调性。