Rahel Naef1, Jutta Ernst1, Heidi Petry1. 1. Centre for Clinical Nursing Science, University Hospital Zurich, Zurich, Switzerland.
Abstract
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. RESULTS: Patients reported high quality of individualized, responsive and proficient care, but lower levels of coordinated care. Most nurses agreed that primary nursing is beneficial for person-centred caring. However, only two-thirds found that it was practiced on their unit and only half of care planning activities were attributable to primary nurses. CONCLUSION: While perceived as beneficial, adoption of primary nursing in clinical practice remains partial. Hence, primary nursing may not be enough to ensure continuity and coordination of acute care.
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. RESULTS:Patients reported high quality of individualized, responsive and proficient care, but lower levels of coordinated care. Most nurses agreed that primary nursing is beneficial for person-centred caring. However, only two-thirds found that it was practiced on their unit and only half of care planning activities were attributable to primary nurses. CONCLUSION: While perceived as beneficial, adoption of primary nursing in clinical practice remains partial. Hence, primary nursing may not be enough to ensure continuity and coordination of acute care.
Authors: Pedro Parreira; Paulo Santos-Costa; Manoel Neri; António Marques; Paulo Queirós; Anabela Salgueiro-Oliveira Journal: Int J Environ Res Public Health Date: 2021-02-21 Impact factor: 3.390