Bringing Back the Basics of Nursing

Pipe, Teri Britt; Connolly, Teresa; Spahr, Nancy; Lendzion, Nadine; Buchda, Vicki L; Jury, Rita; Cisar, Nancy

doi:10.1097/naq.0b013e31825afb3c

Cited by 9 publications

(2 citation statements)

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“…This finding is similar to previous work that suggests that clinicians’ ability to be vigilant by collectively monitoring for potential patient deterioration and threats is an integral part of upholding safe collective practices in daily practice [39,40]. Interestingly, many of the care needs to be met are considered ‘basic elements of care’ including promoting hygiene, continence, hydration, and nutrition and managing pain; which are often overlooked in favor of other clinical competencies [41]. Further, the finding around the goal to transfer orthopedic surgical patients three days post-operatively may be too early for some patients and warrants further exploration to determine the extent and impact of this happening.…”

Section: Resultssupporting

confidence: 85%

Clinicians’ views on improving inter-organizational care transitions

Jeffs

Lyons

Merkley

et al. 2013

BMC Health Serv Res

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BackgroundPatients with complex health conditions frequently require care from multiple providers and are particularly vulnerable to poorly executed transitions from one healthcare setting to another. Poorly executed care transitions can result in negative patient outcomes (e.g. medication errors, delays in treatment) and increased healthcare spending due to re-hospitalization or emergency room visits by patients. Little is known about care transitions from acute care to complex continuing care and rehabilitation settings. Thus, a qualitative study was undertaken to explore clinicians’ perceptions of strategies aimed at improving patient care transitions from acute care hospitals to complex continuing care and rehabilitation healthcare organizations.MethodsA qualitative study using semi-structured interviews was conducted with clinicians employed at two selected healthcare facilities: an acute care hospital and a complex continuing care/rehabilitation organization, respectively. Analysis of the transcripts involved the creation of a coding schema using the content analyses outlined by Ryan and Bernard. In total, 31 interviews were conducted with clinicians at the participating study sites.ResultsThree themes emerged from the data to delineate what study participants described as strategies to ensure quality inter-organizational transitions of patients transferred from acute care to the complex continuing care and rehabilitation hospital. These themes are: 1) communicating more effectively; 2) being vigilant around the patients’ readiness for transfer and care needs; and 3) documenting more accurately and completely in the patient transfer record.ConclusionOur study provides insights from the perspectives of multiple clinicians that have important implications for health care leaders and clinicians in their efforts to enhance inter-organizational care transitions. Of particular importance is the need to have a collective and collaborative approach amongst clinicians during the inter-organizational care transition process. Study findings also suggest that the written patient transfer record needs to be augmented with a verbal report whereby the receiving clinician has an opportunity to discuss with a clinician from the acute care hospital the patient’s status on discharge and plan of care. Integral to future research efforts is designing and testing out interventions to optimize inter-organizational care transitions and feedback loops for complex medical patients.

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Section: Resultssupporting

confidence: 85%

Clinicians’ views on improving inter-organizational care transitions

Jeffs

Lyons

Merkley

et al. 2013

BMC Health Serv Res

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“…Nurses and nursing students often undervalue the impact of bathing on care recipients and perceive it as a routine nursing activity that does not require much skill (Feo & Kitson, 2016 ; Pipe et al, 2012 ). However, care recipients’ comfort is compromised if the bed bath is not provided properly (Parr et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Comfort during the bed bath—A randomised crossover trial on the effect of washing without water versus water and soap in nursing students

Groven

Zwakhalen

Odekerken‐Schröder

et al. 2021

Journal of Clinical Nursing

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Aims and objectives To compare the washing without water method with the water and soap method regarding comfort perceptions of the bed bath. Background Bathing affects nurses’ and care recipients’ comfort. Bedridden care recipients can be bathed in bed with water and soap or with washing without water products. Little is known about the differences between these two bed bath methods regarding comfort perceptions among care recipients and nurses. Design Crossover randomised laboratory‐controlled trial, conducted from March 2018–November 2019, according to the CONSORT guidelines. Methods Nursing students were randomly allocated roles as a patient (who received both types of bed baths) or a nurse (who provided both types of bed baths). Also, the order in which the bed baths were received/provided was randomised. A total of 97 students were included in the analysis. Student patients filled out the Patient Evaluation of Emotional Comfort Experienced (PEECE) scale to measure emotional comfort and a single‐item question on physical comfort after each bed bath. Student nurses filled out the Physical Demands scale after each bed bath to measure their physical comfort perceptions. Results No differences were found between the two bed bathing methods regarding student patients’ emotional or physical comfort levels. Among student nurses, the washing without water method was less physically demanding than the water and soap method. Conclusions Taking into account time‐efficiency and physical comfort for nurses, washing without water seems to be a valuable alternative to water and soap from a care recipient comfort perspective, which should be assessed in a clinical setting in future research. Relevance to clinical practice The washing without water method is less physically demanding for nurses and takes less time. It does not have a detrimental effect on care recipients’ emotional and physical comfort. The trial is registered at http://www.trialregister.nl (ID = NL6787).

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A registry study of oral health problems and preventive interventions among older persons receiving municipal healthcare – PROSENIOR

et al. 2022

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Oral health is known to impact on the quality of life in older persons (Lindmark et al., 2020;McGrath & Bedi, 1991;van de Rijt et al., 2021), and oral health is experienced as central for the sense of self-esteem and thus is perceived as a priority by older persons (McKenzie-Green et al., 2009). Importantly, poor oral health is associated with malnutrition (Lindroos et al., 2019;van Lancker et al., 2012) and is a risk factor for aspiration pneumonia among older persons (van der Maarel-Wierink et al., 2011), which in turn increases the risk for death (Welte et al., 2012). However, a recent review (Manger et al., 2017) shows strong evidence that the incidence of pneumonia can be reduced by regular oral hygiene interventions, that is through the use of chlorhexidine in mouthwash or gel among older persons.Another review (van der Maarel-Wierink et al., 2013) concludes that tooth brushing after each meal, cleaning dentures once a day and professional oral health care once a week reduce the incidence of aspiration pneumonia among frail older persons.

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Bringing Back the Basics of Nursing

Cited by 9 publications

References 0 publications

Clinicians’ views on improving inter-organizational care transitions

Clinicians’ views on improving inter-organizational care transitions

Comfort during the bed bath—A randomised crossover trial on the effect of washing without water versus water and soap in nursing students

A registry study of oral health problems and preventive interventions among older persons receiving municipal healthcare – PROSENIOR

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