Anything but Basic: Nursing's Challenge in Meeting Patients’ Fundamental Care Needs

Abstract

To work collaboratively to generate, test, and implement meaningful ways of capturing nursing practice around basic or fundamental care in order to ensure more integrated, holistic patient care nursing practices.

The Impact of Heavy Perceived Nurse Workloads on Patient and Nurse Outcomes

“…When nursing is reduced to "task and time" mechanistic approaches to care delivery, nurses suffer from emotional and moral distress [50,51]. Compromised nursing standards are a source of emotional distress and moral distress, with deeper ethical roots. "…”

Facilitating student nurses' learning by real time feedback of positioning to avoid pressure ulcers--Evaluation of clinical simulation

“…Kitson et al [23] discuss the challenges nurses' face in meeting the patients' fundamental needs and in integrating physical, psychosocial and relational aspects of care into their professional modus operandi. In order to remain safe from iatrogenic harm such as hospital-acquired pressure ulcers, nursing education could emphasise a "thinking and linking" approach to patient care.…”

“…In order to remain safe from iatrogenic harm such as hospital-acquired pressure ulcers, nursing education could emphasise a "thinking and linking" approach to patient care. [23] Repositioning to prevent pressure ulcers is a nursing competency that can be fostered during undergraduate studies through linking theoretical knowledge about pressure ulcer aetiology, classification, prevention and risk assessment, with clinical observation and practical training in pressure-reducing interventions. This would leave room for students to focus on the relational aspects of PU prevention during clinical placements by drawing upon the patient's own priorities and strengths in order to achieve an individualised and, for both nurse and patient, acceptable plan for reducing the risk for PU.…”

A beginner’s guide to ethnographic observation in nursing research

“…They can also use strategies such as triangulation and a non-judgmental orientation to reduce the influence of their biases (Fetterman 2010). Pellat (2003) highlighted the need to be conscious of any potential biases, which for me included being a RN, my previous employment at the observation site, and my prior co-authorship of papers concerning the Fundamentals of Care (Kitson et al 2010, Kitson et al 2013a, Kitson et al 2013b, Kitson et al 2014. My strategies to address these possible biases included making reflective notes after each observation period, regular debriefing and discussion with my PhD supervisors, and reorganising the data.…”