Towards a standardised definition for fundamental care: A modified Delphi study

Feo, Rebecca; Conroy, Tiffany; Jangland, Eva; Athlin, Åsa Muntlin; Browall, Maria; Parr, Jenny; Blomberg, Karin; Kitson, Alison

doi:10.1111/jocn.14247

Cited by 153 publications

(236 citation statements)

References 35 publications

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“…It was clear from the RNs descriptions that they strived to apply a person‐centred approach, which involves listening to and valuing the patient's experiences and making their wishes central to decisions about care (Ekman et al, ; Haydon, Browne, & van der Riet, ). They expressed a wish for more time for bedside nursing to establish interpersonal relations with patients and their families and to acknowledge patients’ physical and psychosocial care needs, which are similar to the dimensions of care described in the Fundamentals of Care framework (Feo et al, ; Kitson, Conroy, Kuluski, Locock, & Lyons, ). However, the intention to work according to the values of person‐centred care and to provide fundamentals of care failed due to high workloads.…”

Section: Discussionmentioning

confidence: 99%

Registered nurses’ perspectives of work satisfaction, patient safety and intention to stay – A double‐edged sword

et al. 2019

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Aim To describe job satisfaction in registered nurses (RNs), their intention to stay at their current workplace and in the profession and to explore patient safety in relation to these. Background Nurse turnover presents a serious challenge to health care that may be predicted by factors related to the work environment. Method Descriptive design with 25 qualitative interviews. Results Five categories were identified: RNs feel satisfied when providing person‐centred care; RNs enjoy the variability of the nursing job, but want control; RNs feel frustrated when care is put on hold or left undone; RNs depend on team collaboration and the work environment to assure patient safety; intention to stay depends on the work environment and a chance for renewal. Conclusion Registered nurses’ job satisfaction could be described as a double‐edged sword. Although the profession is described as a positive challenge, work overload threatens both job satisfaction and patient safety. Implications for Nursing Management Our findings suggest that nursing leadership can increase RNs’ intention to stay by meeting their needs for appreciation, a better work environment, competence development and professional career development.

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Section: Discussionmentioning

confidence: 99%

Registered nurses’ perspectives of work satisfaction, patient safety and intention to stay – A double‐edged sword

et al. 2019

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“…This discursive paper is based on the FOC framework literature (Feo, Conroy, et al, ; Kitson, ; Kitson, Conroy, et al, ) and on the proposed FOC‐PP (Feo, Conroy, Alderman, et al, ). Several articles on the FOC framework have used clinical scenarios to illustrate the framework (Conroy, ; Feo, Conroy, Alderman, et al, ; Feo, Rasmussen, et al, ; Kitson, ).…”

Section: Designmentioning

confidence: 99%

“…Bodily care refers to personal body and oral cleansing and dressing, grooming, elimination and incontinence care and mobility. In this way, and considering the discrete elements of fundamental care (Feo, Conroy, et al, ), bodily care is considered as part of the fundamental care. As bodily care can be related to a bad experience and worrying consequences for a PA, a set of strategies must be adopted to reduce or even eliminate the triggers of this unpleasant experience (Algase et al, ; Rader et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…As bodily care is related to fundamental care, which is a central nursing concept (Feo, Conroy, et al, ), the Fundamentals of Care (FOC) framework has been identified as enlightening in the context of nursing care to PAs showing RTCBs. Indeed, fundamental care is related, among other things, to well‐being, security and positive experiences of care (Kitson, ).…”

Section: Introductionmentioning

confidence: 99%

“…Since the first proposals on fundamental care (Kitson, Conroy, et al, ; Kitson, Conroy, Wengstrom, Profetto‐McGrath, & Robertson‐Malt, ; Kitson, Robertson‐Malt, & Conroy, ), the FOC framework has subsequently been refined (Feo, Conroy, et al, ). A final working definition for fundamental care has recently been proposed (Table ).…”

Section: Introductionmentioning

confidence: 99%

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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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Body composition measures may help target fundamental nutritional nursing efforts in rehabilitating patients with acquired brain injury

Aadal

Odgaard²,

Nielsen

et al. 2021

Nursing Open

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Patients with moderate-to-severe acquired brain injury (ABI) face increased risk of malnutrition by factors related to increased energy expenditure, decreased nutrient ingestion and gastrointestinal changes. Thorough nutritional efforts can improve survival and rehabilitation outcomes and these efforts involve several healthcare professional groups. By tradition, nurses take responsibility for meeting the patients' fundamental needs, including caring for patients nutritional necessities Henderson, 2006;Jefferies et al., 2011). Thus, high-quality nursing care includes targeted meeting the individual patient's nutritional requirements. This study is a further exploration of data from a study of changes to nutritional status during 4 weeks of in-hospital rehabilitation after moderate to severe ABI (submitted). This second analysis illuminates the nursing contributions to nutritional care, and discusses nursing benefits from using body composition measurements by Bio Impedance Analysis (BIA) for nutritional assessment,

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Towards a standardised definition for fundamental care: A modified Delphi study

Abstract: The definition and elements, through ongoing refinement, will contribute to a robust evidence base that will underpin policy development and the systematic and effective teaching, delivery, measurement and evaluation of fundamental care.

Cited by 153 publications

References 35 publications

Registered nurses’ perspectives of work satisfaction, patient safety and intention to stay – A double‐edged sword

Registered nurses’ perspectives of work satisfaction, patient safety and intention to stay – A double‐edged sword

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

Body composition measures may help target fundamental nutritional nursing efforts in rehabilitating patients with acquired brain injury

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