‘fundamentals of care’ - do we need to re-focus? · fundamentals of care- framework the...

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?

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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)

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• 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

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Nurse-patient relation

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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

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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

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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

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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)

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A SHARED UNDERSTANDING

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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