Basic nursing care: The most provided, the least evidence based – A discussion paper

Zwakhalen, Sandra; Hamers, Jan P.H.; Metzelthin, Silke; Ettema, Roelof; Heinen, Maud; Ginkel, Janneke M. de Man‐van; Vermeulen, Hester; Waal, Getty Huisman–de; Schuurmans, Marieke J.

doi:10.1111/jocn.14296

Cited by 57 publications

(65 citation statements)

References 50 publications

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“…Once these steps are completed, Camille uses theories to understand the situation and determine the interventions that are relevant to all of the physical, psychosocial and relational needs. Fundamental care, which includes bodily care, often lacks evidence, which leads nurses to act by “(...) experience, intuition and tradition” (Zwakhalen et al, , p. 2498). With the FOC‐PP, the consideration of theories and evidence is clearly integrated into the clinical reasoning process, which allows high‐quality care to be provided.…”

Section: Methodsmentioning

confidence: 99%

Finding the fundamental needs behind resistance to care: Using the Fundamentals of Care Practice Process

Rey

Voyer

Bouchard

et al. 2019

Journal of Clinical Nursing

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A person living with Alzheimer's disease (PA) can experience difficulty during bodily care and therefore may show resistance to care behaviours (RTCBs). Nurses must take a clinical approach to planning care that meets the person's needs. Therefore, it is necessary to identify training strategies for bedside nurses and nursing students. Aims and objectives: To describe and discuss how the FOC practice process (FOC-PP) can help nurses understand PAs who show RTCBs during bodily care. Background: Resistance to care behaviour phenomenon and the importance of bodily care as fundamental care are described. The FOC-PP enables nurses to apply the FOC framework in their practice. Design: This discursive paper is based on the literature of the FOC framework and PP. Method: A clinical scenario that develops through the five stages of the FOC-PP. Results: The scenario centres on Mrs. Emily Morgan, 81, who lives in a nursing home and is not receiving the bodily care that she needs. Camille, a nursing student, and her supervisor Florence collaborate with Mrs. Morgan's family to improve the quality of her care. Three particular aspects of nursing practice based on the FOC-PP are described: the critical thinking process, relational process and pedagogical process. Conclusion: The FOC-PP promotes holistic care centred on the person and his or her needs and encourages the nurse to use his or her skills and knowledge. All these dimensions are fundamental for high-quality nursing care. Relevance to clinical practice: Mrs. Morgan's scenario enables us to perceive that the FOC-PP is very useful for nursing students and bedside nurses. However, given the amount of specific and diverse knowledge required by the FOC-PP, it is necessary to identify avenues for teaching them. Using clinical scenarios could facilitate the integration of the FOC-PP, with taking into account the specific characteristics of individual clients. K E Y W O R D S Fundamentals of Care Practice Process, needs, nursing, resistance to care | 1775 REY Et al.

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Section: Methodsmentioning

confidence: 99%

Finding the fundamental needs behind resistance to care: Using the Fundamentals of Care Practice Process

Rey

Voyer

Bouchard

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Grady and Gullatte (; also Grady, ) state that increasing numbers of people are currently living with chronic conditions and managing long‐term illnesses is shifting from health professionals to individuals and their families; consequently, these nursing phenomena ought to be investigated in greater depth. Zwakhalen et al () proposed a research programme to be developed that aims to create awareness and expand knowledge of evidence‐based basic nursing care by addressing four basic nursing areas: bathing and dressing, communication, mobility and nutrition. They further claim that reassessing these essential nursing activities not only positively influences patient outcomes but has an impact on staff outcomes and organizational outcomes as well (Zwakhalen et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…Zwakhalen et al () proposed a research programme to be developed that aims to create awareness and expand knowledge of evidence‐based basic nursing care by addressing four basic nursing areas: bathing and dressing, communication, mobility and nutrition. They further claim that reassessing these essential nursing activities not only positively influences patient outcomes but has an impact on staff outcomes and organizational outcomes as well (Zwakhalen et al, ).…”

Section: Resultsmentioning

confidence: 99%

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Nursing research priorities based on CINAHL database: A scoping review

Hopia

Heikkila

2019

Nursing Open

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Aim To analyse nursing research based on the CINAHL database to identify research priorities for nursing. Design A scoping literature review was conducted. The CINAHL Plus (EBSCO) Full Text was searched between 2012–2018. Methods Out of 1522 original publications, 91 fulfilled the inclusion criteria. The Joanna Briggs Institute critical appraisal tools were applied. Data were analysed by a thematic analysis method. Results A strong emphasis should be put on development and evaluation of nursing theories and, in addition, randomized controlled trial studies, meta‐synthesis, experimental and intervention studies are needed in nursing research. Development of competencies and skills in the nursing profession ought to be studied more extensively and research should be focused on variety fields of nursing practice.

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“…Zwakhalen et al. () argue that there is a dearth of evidence for what nurses should do in relation to the fundamental aspects of patient care needs, which are the most understudied areas of nursing practice. MacLeod Clark () posits that the evidence base underpinning these nursing interventions is weak, and in order to rectify this it is imperative that nurses look to the best available evidence to inform practice and that their focus of enquiry is rooted in basic essential care elements (Cleary‐Holdforth & Leufer, ).…”

Section: Evidence‐based Fundamental Nursing Care – a Prioritymentioning

confidence: 99%

Missed Nursing Care: A Symptom of Missing Evidence

Cleary‐Holdforth

2019

Worldviews Ev Based Nurs

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Basic nursing care: The most provided, the least evidence based – A discussion paper

Abstract: Revaluation of these important nursing activities will not only positively influence patient outcomes, but also have an impact on staff outcomes and organisational outcomes.

Cited by 57 publications

References 50 publications

Finding the fundamental needs behind resistance to care: Using the Fundamentals of Care Practice Process

Finding the fundamental needs behind resistance to care: Using the Fundamentals of Care Practice Process

Nursing research priorities based on CINAHL database: A scoping review

Missed Nursing Care: A Symptom of Missing Evidence

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