Exploring implementation of the Careful Nursing Philosophy and Professional Practice Model^©in hospital-based practice

Abstract

Careful Nursing offers a distinctive nursing framework for professional practice. This study can provide a strategy for implementing Careful Nursing-guided changes in hospital-based practice on an exploratory level.

Fundamental care guided by the Careful Nursing Philosophy and Professional Practice Model©

“…Since the initial publication of Careful Nursing (Meehan, ), revisions have been made to enhance its specificity and clarity (Murphy et al., ) and are included in Figure and Table .…”

“…The FOC Framework recognises keeping patients calm as an important psychosocial concept of the relationship established dimension (Feo et al., ). In Careful Nursing, contagious calmness is the keynote concept of the TM dimension, empowering nurses to create a therapeutic milieu and engage in therapeutic encounters with patients by allowing them to step back from stress (Murphy et al., ). Stepping back from stress enables nurses to recognise and respect their own inherent dignity, the dignity of one another and the dignity of the patients they care for (Donohoe & Dooley, ).…”

“…The Careful Nursing Philosophy and Professional Practice Model© (Careful Nursing) (Meehan, ; Murphy, Mc Mullin, Brennan, & Meehan, ) offers one possible conceptual and practice solution to current fundamental care erosion and deficits. Careful Nursing is designed for use in any hospital or healthcare system internationally and appears to be the professional practice model that emphasises incorporation of standardised nursing languages, and found to be effective in accurately identifying and documenting patients’ care needs, interventions and outcomes (Tastan et al., ).…”

“…Careful Nursing is designed for use in any hospital or healthcare system internationally and appears to be the professional practice model that emphasises incorporation of standardised nursing languages, and found to be effective in accurately identifying and documenting patients’ care needs, interventions and outcomes (Tastan et al., ). Developed in Ireland, based on the skilled practice of early to mid‐19th century Irish nurses (Meehan, ), Careful Nursing has been used and evaluated both nationally (Murphy et al., ) and internationally (Ellerbe & Regen, ). In a recent study of implementation of the philosophy and dual clinical practice dimensions of Careful Nursing, nurses demonstrated increased control over their practice and increased adherence to hospital nursing documentation standards, compared to before implementation (Murphy et al., ).…”

“…Developed in Ireland, based on the skilled practice of early to mid‐19th century Irish nurses (Meehan, ), Careful Nursing has been used and evaluated both nationally (Murphy et al., ) and internationally (Ellerbe & Regen, ). In a recent study of implementation of the philosophy and dual clinical practice dimensions of Careful Nursing, nurses demonstrated increased control over their practice and increased adherence to hospital nursing documentation standards, compared to before implementation (Murphy et al., ). Qualitative data indicated that implementation of Careful Nursing made nursing more visible to nurses, increased their attention to patient assessment and allowed them additional time to spend listening to and talking with patients, all factors known to help prevent erosion and omission of fundamental care.…”