Engaging clinicians in evidence based policy development: The case of nursing documentation

Jefferies, Diana; Johnson, Maree; Griffiths, Rhonda; Arthurs, Kathy; Beard, David; Chen, Tanghua; Edgetton-Winn, Maureen; Hecimovic, Tony; Hughes, Margaret; Linten, Karen; Maddox, Julie; McCaul, Damien; Robson, Kim; Scott, Shelleyann; Zarkos, Tina

doi:10.5172/conu.2010.35.2.254

Cited by 10 publications

(5 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ideally, nursing records should document the patient's journey from admission to discharge (Jefferies et al ., ). This requires a comprehensive patient assessment and care planning together with accurate recording and evaluation of this process (An Bord Altranais, ).…”

Section: Introductionmentioning

confidence: 97%

Person‐centred care in nursing documentation

Broderick

Coffey

2012

Int J Older People Nursing

View full text Add to dashboard Cite

Aims and objectives To explore nursing documentation in long‐term care, to determine whether it reflected a person‐centred approach to care and to describe aspects of PCC as they appeared in nursing records. Background Documentation is an essential part of nursing. It provides evidence that care has been carried out and contains important information to enhance the quality and continuity of care. Person‐centred care (PCC) is an approach to care that is underpinned by mutual respect and the development of a therapeutic relationship between the patient and nurse. It is a core principle in standards for residential care settings for older people and is beneficial for both patients and staff (International Practice Development in Nursing and Healthcare, Chichester, Blackwell, 2008 and The Implementation of a Model of Person‐Centred Practice in Older Person Settings, Dublin, Health Service Executive, 2010a). However, the literature suggests a lack of person‐centredness within nursing documentation (International Journal of Older People Nursing 2, 2007, 263 and The Implementation of a Model of Person‐Centred Practice in Older Person Settings, Dublin, Health Service Executive, 2010a). Method A qualitative descriptive study using the PCN framework (Person‐centred Nursing; Theory and Practice, Oxford, Wiley‐Blackwell, 2010) as the context through which nursing assessments and care plans were explored. Results Findings indicated that many nursing records were incomplete, and information regarding psychosocial aspects of care was infrequent. There was evidence that nurses engaged with residents and worked with their beliefs and values. However, nursing documentation was not completed in consultation with the patient, and there was little to suggest that patients were involved in decisions relating to their care. Implications for practice The structure of nursing documentation can be a major obstacle to the recording of PCC and appropriate care planning. Documentation that is focused on the ‘person’ will contribute to a more meaningful relationship between nurses and residents.

show abstract

Section: Introductionmentioning

confidence: 97%

Person‐centred care in nursing documentation

Broderick

Coffey

2012

Int J Older People Nursing

View full text Add to dashboard Cite

show abstract

“…From the beginning to the end of a resident's stay nurse documentation should reflect person-centered care (Jefferies et al, 2010). It is a fundamental practice approach expected of nurses working with older people (An Bord Altranais, 2009) and views the nurse/resident as a collaborative partnership in clinical decision-making.…”

Section: Safe Management Of Levodopamentioning

confidence: 99%

Management of levodopa for residents with Parkinson’s disease

Mages

2016

Nursing Older People

View full text Add to dashboard Cite

SummaryThis article discusses the medication management of levodopa in older people who have Parkinson's and live in a nursing home setting. It provides a detailed description of the diagnostic criteria, motor and non-motor clinical features of Parkinson's disease. Against this clinical picture the benefits and challenges of levodopa medication management are considered. A person-centered approach is championed as it supports collaborative clinical assessment and decision making between nurses and residents. To fully appreciate why a person-centered approach is important to safe and effective medication practice the pharmacological basis of levodopa management is explained. An empowerment approach to medication management is advocated that facilitates self-medication by residents. To this end the importance of continuous professional development for nursing home staff is discussed.

show abstract

“…For example, in Australia, clinicians have informed health policies in the area of nursing and midwifery, resulting in not only the creation of clinician-informed policy, but also the maximization of clinician investment in the final policy. 42 Clinical expertise can help generate patient risk profiles, identifying individuals at risk for suicide, or poor health outcomes following suicide bereavement. Clinical involvement can also encourage clinicians' investment in the suicide policy well after its development, leading to improved uptake at multiple levels.…”

Section: Clinician Advocacy In Policymentioning

confidence: 99%

Suicide Policy in Canada: Lessons From History

Spiwak

Elias

Bolton

et al. 2012

Can J Public Health

View full text Add to dashboard Cite

Every year, nearly 4,000 Canadians die by suicide. 1 It has been estimated that direct and indirect costs of each suicide total almost $850,000, with a Canadian annual total of over $2.4 billion. 2 After a peak in 1978, suicide rates in Canada have remained relatively stable, decreasing slightly over time. 3 In 2010, the suicide rate in Canada was approximately 12 per 100,000, 4 as compared to 14.8 per 100,000 in 1978. 5 While overall rates appear stable, sex differences exist with younger females dying by suicide at greater rates than in the past, and younger male suicide rates having stabilized. 6 Suicide rates vary among groups, with rates higher in some populations. Suicide rates among First Nations are between 3 and 6 times those of the general population. 7 Suicide is also elevated among youth, and is one of the top 3 causes of death among 15 to 34 year olds. 8,9 Suicide is acknowledged as a significant public health issue, yet national policies remain largely undeveloped. According to Miljan (2008), health policy occurs in five stages: 1) defining the policy problem, 2) formulating policy, 3) decision making, 4) policy implementation, and 5) policy evaluation. 10 While non-partisan support from all major Canadian political parties exists for a Bill supporting a national suicide prevention strategy (NSPS), 11 Canada is just entering the decision stage, presuming this stage will lead to policy implementation. In the meantime, the Canadian Association for Suicide Prevention (CASP), established in 1985 to represent professionals and non-professionals, has been leading the development of a national strategy. In 2007, CASP released a blueprint for a NSPS. 12 More than 6 years later, government policy is still early in development.This brief introduction illustrates that evidence-based approaches can inform new suicide policy but new policy can be informed by past initiatives. By engaging a historical review, policy-makers can learn from past successes and failures, particularly in relation to the stigmatization related to suicide. This paper illustrates the merit of such an approach by 1) documenting the emergence of suicide policy in Canada, and 2) highlighting key milestones as we move closer to realizing a NSPS. To add further context to understanding this approach, the unique features of the Canadian health care system are discussed, as well as the potential role for clinicianinformed policy-making as an important future direction.

show abstract

Engaging clinicians in evidence based policy development: The case of nursing documentation

Cited by 10 publications

References 27 publications

Person‐centred care in nursing documentation

Person‐centred care in nursing documentation

Management of levodopa for residents with Parkinson’s disease

Suicide Policy in Canada: Lessons From History

Contact Info

Product

Resources

About