Establishing a primary nursing model of care

Payne, Rosemary A.; Steakley, Bruce

doi:10.1097/01.numa.0000473510.53926.99

Cited by 7 publications

(5 citation statements)

References 3 publications

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“…It drives nurses to address patients' complex needs, rather than to perform specific job tasks under given structures. 15 In practice, the primary nurse builds a sound relationship with a patient, as well as develops and implements the plan of care for individual patients. The model is supposed to promote ongoing communication between the patient, family, nurses, and physicians, and to facilitate discharge planning.…”

Section: Primary Nursing Modelmentioning

confidence: 99%

The ethics of care and justice in primary nursing of older patients

2019

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While the ethic of care has generally been regarded as an appropriate attitude for nurses, it has not received equal attention as a mode of ethical problem solving. The primary nursing model is expected to be aligned with the ethic of care because it emphases the nurse–patient relationship and enables more independent role for nurses in decision-making. The aim of this study was to examine nurses’ ethical decision-making in the context of primary nursing. Participants were seven nurses, and one physiotherapist from a geriatric rehabilitation unit of a public hospital in Finland. Data were collected through focus group interviews and qualitatively analyzed through Lyons’ coding scheme for moral orientations. The results showed that primary nurses employ empathic understanding and particularistic thinking when building relationships with patients and their families, and when assessing their needs for coping at home after discharge. Most ethical conflicts were related to discharge and were solved through balancing the ethics of care and justice considerations. It is concluded that care and justice are integrated in nurses’ everyday ethical decision-making. The ethic of care nurtures good patient–nurse relationships, while the ethic of justice is needed to address the fair delivery of care in the context of an aging population and diminishing public resources. Both ethics should be acknowledged in clinical practices and included in ethics education.

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Section: Primary Nursing Modelmentioning

confidence: 99%

The ethics of care and justice in primary nursing of older patients

2019

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“…In PN, the primary nurse is responsible for several patients 24 h per day, 7 days a week, including during off-duty hours. The primary nurse is a registered nurse responsible for planning, providing, and evaluating the care of patients throughout their stay in hospitals [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method

Cocchieri

Magon²,

Cavalletti³

et al. 2021

BMC Nurs

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Background The primary nursing care model is considered a personalized model of care delivery based on care continuity and on the relationship between the nurse and patient. Primary nursing checklists are not often mentioned in the literature; however, they represent a valid instrument to develop, implement, and evaluate primary nursing. The aim of this study was to create a structured checklist to explore hospital compliance in primary nursing. Methods The Delphi method was used to develop and validate a checklist. The preliminary version was created and sent to three experts for their opinions. Their comments were ultimately used in the first version, which included four components with 19 items regarding primary nursing characteristics. A two-round Delphi process was used to generate consensus items. The Delphi panel consisted of six experts working in primary nursing contexts and/or teaching or studying primary nursing. Data were collected using a structured questionnaire from July 2020 to January 2021. These experts were asked to rate each element for relevance using a 4-point Likert-type scale. Furthermore, the consensus among the panel of experts was set at ≥78%, with selected items being voted “quite relevant” and “highly relevant”. Content validity index (I-CVI) and modified kappa statistic were also calculated. Following expert evaluation, the first version of the checklist was modified, and the new version, constituting 17 items, was sent to the same experts. Results The first version of the checklist demonstrated a main relevance score of 3.34 (SD = 0.83; range = 1.3–4; mean I-CVI = 0.84; range: 0.83–1), but three items did not receive an adequate I-CVI score, that is, lower than 0.78. After the second round, the I-CVIs improved. The main score of relevance was 3.61 (SD: 0.35; range = 2.83–4; mean = I-CVI: 0.93). The S-CVI/UA was 0.58, and the S-CVI/Ave was 0.93. Conclusion Measuring primary nursing compliance should be implemented to provide continuous feedback to nurses. Moreover, utilizing valid checklists could permit comparing different results from others’ research. Future research should be conducted to compare the results from the checklist with nursing outcomes.

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“…Regarding the specific items of the helping role category, a significant difference was found between the TN and PN models in 'planning patient care according to individual needs' and 'modifying the care plan according to individual needs'. The PN model's organisation, with particular reference to the importance of the nurse-patient relationship, decision-making, and care planning responsibility, might be a possible explanation [9].…”

Section: Discussionmentioning

confidence: 99%

Describing Nurses’ Competence in Primary Nursing Care Model: A Cross-sectional Study Conducted in an Italian Teaching Hospital

Cocchieri¹

2023

TONURSJ

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Introduction: Primary Nursing (PN) is a patient-focused nursing model that improves the quality of care. It has been defined over the years as a model to develop nurses’ personal knowledge, but the relationship between different nursing care models and nurses’ competence or experience still requires study. Objectives: The study aimed to describe nurses’ perceptions of their competence in the primary nursing care model and to identify sociodemographic and organisational predictors of nurses’ competence. Methods: A cross-sectional design was used to recruit nurses from wards using the PN care model and wards in which a team nursing care model was applied. A convenience sample of 142 nurses completed a self-administered questionnaire composed of a sociodemographic survey and the Nurse Competence Scale (NCS). Nurses’ age, gender, education degree, years as a registered nurse, months as a registered nurse under the specific nursing model, and type of employment contract were tested as potential independent predictors of nurses’ competence. Results: The PN nurses reported a better perception of their competence in all seven NCS categories. Independent predictors of a high level of competence in managing situations were an open-ended employment contract, greater work experience, working in a PN care model, and male gender. Predictors of a high level of competence in ensuring quality were greater work experience and working in a PN care model. Finally, an open-ended employment contract and working in a PN care model were both associated with a higher level of helping role, teaching–coaching, diagnostic functions, therapeutic interventions, and work role. The variables explained from 10% to 26% of the variance in all categories. Conclusion: PN model was found to be significantly positively correlated with nursing competence development. Advanced skills are involved in practising a personalized nursing care plan.

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Establishing a primary nursing model of care

Cited by 7 publications

References 3 publications

The ethics of care and justice in primary nursing of older patients

The ethics of care and justice in primary nursing of older patients

Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method

Describing Nurses’ Competence in Primary Nursing Care Model: A Cross-sectional Study Conducted in an Italian Teaching Hospital

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