The Impact of the Primary Nursing Model on Cultural Improvement: A Mixed-Method Study

Ferrua, Rachele; Nelson, John W.; Gatta, Claudia; Croso, Antonella; Gilot, Chiara Boggio; Molin, Alberto Dal

doi:10.1891/1078-4535.22.4.259

Cited by 11 publications

(8 citation statements)

References 20 publications

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“…As in the case described, also in other experiences, the implementation of the PN led to a good level of satisfaction among the assistance personnel [17,18].…”

Section: Considerationssupporting

confidence: 72%

Nurses Wellbeing and Primary Nursing: The Experience of the Emergency Surgical Ward in the General Hospital in Piacenza

Mario¹,

Paolo²,

Mozzarelli³

2019

SJCM

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The growing complex of organizations and the new demand for people's health care lead to a planned and personalized care solution. Primary nursing (PN), is a new model of care focused on the people to be treated and, at the same time, restores responsibility, autonomy and role to the nursing staff. The study was based on an analysis of the wellbeing climate following the implementation of the PN in emergency surgical ward in the General Hospital in Piacenza. In the emergency surgery ward of the General Hospital Guglielmo Da Saliceto in Piacenzathe results of organization remodulation and model of care are being analyzed. In this job the observations are been focussed on wellbeing of nursing staff. The Mc Closkey Mueller Satisfaction Scale (MMSS) is used for the study before and after the change, The Team Climate Inventory (TCI), used after thepractices changes and the staff satisfaction survey after the implementation of PN. At the beginning, with the MMSS methods, the results show impatience with some contractual and remunerative aspects; instead, after the introduction of the PN, the results show a satisfaction for teamwork, the interaction between the team personnel and with patients. Similarly, it alsoincreases the perception of the degree of autonomy of contribution in decision making and in the authoritativeness of the role covered. The new assistance model also shows good results from TCI and Focus Group to achieve the goals of assistance and organization. The increased satisfactions of the nursing staff show a better quality care.

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“…As in the case described, also in other experiences, the implementation of the PN led to a good level of satisfaction among the assistance personnel [17,18].…”

Section: Considerationssupporting

confidence: 72%

Nurses Wellbeing and Primary Nursing: The Experience of the Emergency Surgical Ward in the General Hospital in Piacenza

Mario¹,

Paolo²,

Mozzarelli³

2019

SJCM

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“…Studies that have evaluated the impact of PN have used both quantitative and qualitative methods [5,11]. Studies related to PN have utilized different outcomes for determining their efficacy, such as the effect on care quality [12], positive patient experience [12,13], costs [14], or other nursing outcomes [11,15].…”

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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“…For instance, research reports greater nurse understanding of patients, more concern and communication with families, increased information giving, greater considerations for discharge planning and higher contribution to overall positive hospitalization experience on units utilizing primary nursing versus control units or baseline (Frohlich, Becker, Handel, & Spirig, 2013;Sellick, Russell, & Beckmann, 2003). Primary nurses have found their work to be more meaningful and satisfying (Dal Molin et al, 2018;Ferrua et al, 2016;Nadeau, Pinner, Murphy, & Belderson, 2017). However, research-based evidence around primary nursing remains controversial and inconclusive (Choi et al, 2013;Hoffmann Kusk & Groenkjaer, 2016;Mattila et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Adaption, benefit and quality of care associated with primary nursing in an acute inpatient setting: A cross‐sectional descriptive study

Naef

Ernst

Petry

2019

Journal of Advanced Nursing

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Aims:The aim of this study was to investigate the adoption of primary nursing and to determine the quality of primary nurse-led care in an acute inpatient setting. Design:Descriptive cross-sectional study.Methods: Participants included inpatients (N = 369) and nurses (N = 381). To assess adoption of primary nursing, patient records were analysed and an online survey of nurses was conducted from May-June 2017. To measure quality of nursing care, a structured questionnaire was administered to inpatients.

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The Impact of the Primary Nursing Model on Cultural Improvement: A Mixed-Method Study

Cited by 11 publications

References 20 publications

Nurses Wellbeing and Primary Nursing: The Experience of the Emergency Surgical Ward in the General Hospital in Piacenza

Nurses Wellbeing and Primary Nursing: The Experience of the Emergency Surgical Ward in the General Hospital in Piacenza

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

Adaption, benefit and quality of care associated with primary nursing in an acute inpatient setting: A cross‐sectional descriptive study

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