‘fundamentals of care’ - do we need to re-focus? · fundamentals of care- framework the...
TRANSCRIPT
ICON 2019, S I R I LY G U M V O L D B J E R G , P H D , M N S C . , R N , S E N I O R L E C T U R E , P O S T D O C
C L I N I C AL N U R S I N G R E S E AR C H U N I T, AAL B O R G U N I V E R S I T Y H O S P I TAL AN D
S C H O O L O F N U R S I N G , U C N , D E N M AR K
‘Fundamentals of Care’ - do we need to re-focus?
What is fundamental nursing care?
Do we recognise these stories?
5
What is nursing care?
The ILC is committed to developing and implementing the best available
research evidence on fundamental care. Key to this work is developing
agreement on a definition for fundamental care and the activities that
constitute such care. The Fundamentals of Care Framework is a key catalyst
in achieving this goal.
DEFINITION OF FUNDAMENTAL CARE
‘Fundamental care involves actions on the part of the nurse that respect and
focus on a person’s essential needs to ensure their physical and psychosocial
wellbeing. These needs are met by developing a positive and trusting
relationship with the person being cared for as well as their family’
(Feo et al 2017)
9
• Establishing relationship
• Integration of care
• Context of care
Three dimensions
Kitson A, Conroy T, Kuluski K, Locock L, Lyons R. Reclaiming and redefining the Fundamentals of Care:
Nursing’s response to meeting patients’ basic human needs. Adelaide, South Australia: School of Nursing, the
University of Adelaide. 2013
F u n d a m e n t a l s o f C a r e
10
Nurse-patient relation
11
Kitson A, Conroy T, Kuluski K, Locock L, Lyons R. Reclaiming and redefining the Fundamentals of
Care: Nursing’s response to meeting patients’ basic human needs. Adelaide, South Australia: School
of Nursing, the University of Adelaide. 2013
Kitson A, Conroy T, Kuluski K, Locock L, Lyons R. Reclaiming and redefining the Fundamentals of Care:
Nursing’s response to meeting patients’ basic human needs. Adelaide, South Australia: School of Nursing, the
University of Adelaide. 2013
I n t e g r a t i o n o f C a r e
12
Kitson A, Conroy T, Kuluski K, Locock L, Lyons R. Reclaiming and redefining the Fundamentals of Care:
Nursing’s response to meeting patients’ basic human needs. Adelaide, South Australia: School of Nursing, the
University of Adelaide. 2013
C o n t e x t o f C a r e
13
Kitson A, Conroy T, Kuluski K, Locock L, Lyons R. Reclaiming and redefining the Fundamentals of Care: Nursing’s response to meeting patients’ basic human needs.
Adelaide, South Australia: School of Nursing, the University of Adelaide. 2013
F u n d a m e n t a l s o f C a r e - F r a m e w o r k
14
NEWEST VERSION
https://intlearningcollab.org/wp-content/uploads/2018/05/Framework-revised_2018.png
F u n d a m e n t a l s o f C a r e - F r a m e w o r k
The proposed framework:
• is intended to act as a way of encouraging discussion and dialogue around the core
elements of providing patient centred fundamentals of care.
• focuses primarily on how nursing can put the fundamentals of care at the centre of its activity.
• supports discussions, teaching, practice and research into fundamental nursing care.
• intends to support nurses in meaningful conversations with colleagues, patients, and health
system managers and leaders about delivering high quality fundamentals of care.
The purpose is not:
• intended to be a comprehensive nursing framework
(Kitson et al. 2013)
16
A SHARED UNDERSTANDING
17
A need for evidence A need for integration
Thank you for listening
Siri Lygum Voldbjerg,
PhD, MNSc., RN, senior lecture, postdoc
Clinical Nursing Research Unit, Aalborg University Hospital and
School of Nursing, UCN, Denmark