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Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis

AIMS AND OBJECTIVES: To systematically identify, appraise and synthesise patients', residents' and nurses' experiences of fundamental nursing care for nutrition, elimination, mobility and hygiene. BACKGROUND: The evidence base for effective nursing behaviours to assist people with the...

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Autores principales: Pentecost, Claire, Frost, Julia, Sugg, Holly V. R., Hilli, Angelique, Goodwin, Victoria A., Richards, David A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319357/
https://www.ncbi.nlm.nih.gov/pubmed/31661591
http://dx.doi.org/10.1111/jocn.15082
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author Pentecost, Claire
Frost, Julia
Sugg, Holly V. R.
Hilli, Angelique
Goodwin, Victoria A.
Richards, David A.
author_facet Pentecost, Claire
Frost, Julia
Sugg, Holly V. R.
Hilli, Angelique
Goodwin, Victoria A.
Richards, David A.
author_sort Pentecost, Claire
collection PubMed
description AIMS AND OBJECTIVES: To systematically identify, appraise and synthesise patients', residents' and nurses' experiences of fundamental nursing care for nutrition, elimination, mobility and hygiene. BACKGROUND: The evidence base for effective nursing behaviours to assist people with their fundamental care needs is sparse, hampering the development of effective interventions. Synthesising data on patients' and nurses' experiences of fundamentals of nursing care could contribute to the development of such an intervention. METHODS: Systematic review and synthesis of qualitative data from qualitative studies on patients' and nurses' experiences of fundamental nursing care behaviours addressing peoples' nutrition, elimination, mobility and hygiene needs. We appraised study quality and relevance and used a narrative approach to data synthesis, fulfilling PRISMA criteria (Appendix S2). RESULTS: We identified 22,374 papers, and 47 met our inclusion criteria. Most papers were of low quality. Sixteen papers met our quality and relevance criteria and were included for synthesis. Papers were about nutrition (2) elimination (2), mobility (5), hygiene (5) and multiple care areas (2). We found nurses and patients report that fundamental nursing care practices involve strong leadership, collaborative partnerships with patients and cohesive organisational practices aligned to nursing care objectives and actions. CONCLUSIONS: To improve fundamental care and interventions suitable for testing may require attention to leadership, patient–nurse relationships and organisational coherence plus the fundamentals of care nursing interventions themselves. RELEVANCE TO CLINICAL PRACTICE: More rigorous mixed methods research about fundamental nursing care is needed to inform nursing practice and improve patient's experience. Nursing interventions should include effective nurse leadership and nurse–patient collaboration and a focus on fundamental care by the host organisation.
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spelling pubmed-73193572020-06-29 Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis Pentecost, Claire Frost, Julia Sugg, Holly V. R. Hilli, Angelique Goodwin, Victoria A. Richards, David A. J Clin Nurs Special Issue Reviews AIMS AND OBJECTIVES: To systematically identify, appraise and synthesise patients', residents' and nurses' experiences of fundamental nursing care for nutrition, elimination, mobility and hygiene. BACKGROUND: The evidence base for effective nursing behaviours to assist people with their fundamental care needs is sparse, hampering the development of effective interventions. Synthesising data on patients' and nurses' experiences of fundamentals of nursing care could contribute to the development of such an intervention. METHODS: Systematic review and synthesis of qualitative data from qualitative studies on patients' and nurses' experiences of fundamental nursing care behaviours addressing peoples' nutrition, elimination, mobility and hygiene needs. We appraised study quality and relevance and used a narrative approach to data synthesis, fulfilling PRISMA criteria (Appendix S2). RESULTS: We identified 22,374 papers, and 47 met our inclusion criteria. Most papers were of low quality. Sixteen papers met our quality and relevance criteria and were included for synthesis. Papers were about nutrition (2) elimination (2), mobility (5), hygiene (5) and multiple care areas (2). We found nurses and patients report that fundamental nursing care practices involve strong leadership, collaborative partnerships with patients and cohesive organisational practices aligned to nursing care objectives and actions. CONCLUSIONS: To improve fundamental care and interventions suitable for testing may require attention to leadership, patient–nurse relationships and organisational coherence plus the fundamentals of care nursing interventions themselves. RELEVANCE TO CLINICAL PRACTICE: More rigorous mixed methods research about fundamental nursing care is needed to inform nursing practice and improve patient's experience. Nursing interventions should include effective nurse leadership and nurse–patient collaboration and a focus on fundamental care by the host organisation. John Wiley and Sons Inc. 2019-11-19 2020-06 /pmc/articles/PMC7319357/ /pubmed/31661591 http://dx.doi.org/10.1111/jocn.15082 Text en © 2019 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Special Issue Reviews
Pentecost, Claire
Frost, Julia
Sugg, Holly V. R.
Hilli, Angelique
Goodwin, Victoria A.
Richards, David A.
Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis
title Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis
title_full Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis
title_fullStr Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis
title_full_unstemmed Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis
title_short Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis
title_sort patients' and nurses' experiences of fundamental nursing care: a systematic review and qualitative synthesis
topic Special Issue Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319357/
https://www.ncbi.nlm.nih.gov/pubmed/31661591
http://dx.doi.org/10.1111/jocn.15082
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