Aims
To explore the utility and feasibility of implementing eight person‐centred nursing key performance indicators in supporting community nurses to lead the development of person‐centred practice.
Background
Policy advocates person‐centred health care, but few quality indicators exist that explicitly focus on evaluating person‐centred practice in community nursing. Current quality measurement frameworks in the community focus on incidences of poor or missed opportunities for care, with few mechanisms to measure how clients perceive the care they receive.
Methods
An evaluation approach derived from work of the Medical Research Council was used, and the study was underpinned by the Person‐centred Practice Framework. Participatory methods were used, consistent with person‐centred research.
Results
Data were thematically analysed, revealing five themes: giving voice to experience; talking the language of person‐centredness; leading for cultural change; proud to be a nurse; and facilitating engagement.
Conclusions
The findings suggest that implementing the eight person‐centred nursing key performance indicators (KPIs) and the measurement framework is feasible and offers a means of evidencing person‐centredness in community nursing.
Implications for Nursing Management
Person‐centred KPI data, used alongside existing quality indicators, will enable nurse managers to evidence a high standard of care delivery and assist in the development of person‐centred practice.
experiential learning liable to bring a great many people to discover the overlooked existential experience of dyspnoeic patients. We believe that this offers a unique opportunity to raise public awareness of what it means to be constantly aware of, and bothered by, one's own breathing. This phenomenon could be leveraged by foundations and charities that promote lung health or by teams engaged in the field of disability studies as a communication tool about the dyspnoeic experience that is lived by patients afflicted by chronic respiratory diseases, to, in the end, achieve better levels of comprehension and empathy. Meanwhile, let us have a thought for these patients when breathing through a facemask bothers us.
Research suggests that a large proportion of people living with multiple sclerosis (PwMS) are using cannabis to self-manage symptoms, or at least believe there are potential benefits in using this drug. Since community nurses are frontline caregivers, they are likely to encounter PwMS who use cannabis within the home setting. The literature base surrounding this topic is largely driven by quantitative research examining the effectiveness of cannabis as a medicine. This review found that qualitative research exploring the experiences of PwMS who use cannabis is lacking worldwide and is completely absent within UK nursing literature. PwMS using cannabis may not feel safe discussing this with health professionals, as they might fear being judged. This literature review discusses how people perceive the effectiveness of cannabis in helping symptoms associated with MS, while also considering the stigma and legal concerns people face. This review may help community nurses inform their practice and enhance person-centred relationships between them and PwMS.
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