PDF(Pubmed)
Abstract：
OBJECTIVE: This research protocol presents an action research project with the aim to demonstrate the value of person-centred fundamental care to nurses and nurse managers in surgical care units to encourage a far-reaching change in this direction. The objectives are to describe this process and to evaluate the effects on missed nursing care and person-centred fundamental care.
METHODS: In a novel collaboration between nursing science and medical humanities the action research design will be used to interact with nursing staff and leaders in three surgical care units and design interventions with the purpose to affect the direction of nursing. Initially, the care units will be presented with interactive workshops including evidence-based education on person-centered fundamental care, person-centredness, nurse role responsibility and leadership. This will be followed by cocreation of interventions to stimulate person-centered fundamental care. The Fundamentals of Care framework will be used as the overarching theoretical framework. Data on missed nursing care, person-centred climate and person-centered fundamental care will be collected repeatedly from patient- and nursing stakeholders through interviews and validated questionnaires. Additionally, data from written reflections following clinical observations and focus group interviews will be included. The duration of the study will be approximately five years from ethical approval.
CONCLUSIONS: It has been previously reported that the current working environments of registered nurses are forcing them to ration their caring responsibilities, leading to a lack of fulfillment of patients\' fundamental care needs, with possible severe consequences for patients. The action research design helps researchers gain an understanding of the contextual factors important for forthcoming interventions, enabling reflective processes and cocreation of interventions with stakeholders. This may lead to feasible interventions and strengthen nursing leadership in the involved units.
METHODS: In a novel collaboration between nursing science and medical humanities the action research design will be used to interact with nursing staff and leaders in three surgical care units and design interventions with the purpose to affect the direction of nursing. Initially, the care units will be presented with interactive workshops including evidence-based education on person-centered fundamental care, person-centredness, nurse role responsibility and leadership. This will be followed by cocreation of interventions to stimulate person-centered fundamental care. The Fundamentals of Care framework will be used as the overarching theoretical framework. Data on missed nursing care, person-centred climate and person-centered fundamental care will be collected repeatedly from patient- and nursing stakeholders through interviews and validated questionnaires. Additionally, data from written reflections following clinical observations and focus group interviews will be included. The duration of the study will be approximately five years from ethical approval.
CONCLUSIONS: It has been previously reported that the current working environments of registered nurses are forcing them to ration their caring responsibilities, leading to a lack of fulfillment of patients\' fundamental care needs, with possible severe consequences for patients. The action research design helps researchers gain an understanding of the contextual factors important for forthcoming interventions, enabling reflective processes and cocreation of interventions with stakeholders. This may lead to feasible interventions and strengthen nursing leadership in the involved units.
摘要：
目的：本研究方案提出了一项行动研究项目，旨在向外科护理单位的护士和护士管理者展示以人为本的基础护理的价值，以鼓励在这一方向上发生深远的变化。目的是描述此过程，并评估对错过的护理和以人为本的基础护理的影响。
方法：在护理科学和医学人文之间的新合作中，行动研究设计将用于与三个外科护理单位的护理人员和领导者进行互动，并设计干预措施，以影响护理的方向。最初，护理单位将举办互动研讨会，包括以人为本的基础护理循证教育，以人为本，护士角色责任和领导力。随后将共同创造干预措施，以刺激以人为本的基本护理。护理基础框架将用作总体理论框架。关于错过护理的数据，以人为中心的气候和以人为中心的基本护理将通过访谈和经过验证的问卷重复收集患者和护理利益相关者。此外,将包括来自临床观察和焦点小组访谈后的书面思考的数据.从伦理批准开始，研究的持续时间约为五年。
结论：以前有报道称，注册护士目前的工作环境迫使他们分担护理责任，导致无法满足患者的基本护理需求，可能对患者造成严重后果。行动研究设计有助于研究人员了解对即将到来的干预措施很重要的环境因素，实现反思过程，并与利益相关者共同创造干预措施。这可能会导致可行的干预措施，并加强相关单位的护理领导。
方法：在护理科学和医学人文之间的新合作中，行动研究设计将用于与三个外科护理单位的护理人员和领导者进行互动，并设计干预措施，以影响护理的方向。最初，护理单位将举办互动研讨会，包括以人为本的基础护理循证教育，以人为本，护士角色责任和领导力。随后将共同创造干预措施，以刺激以人为本的基本护理。护理基础框架将用作总体理论框架。关于错过护理的数据，以人为中心的气候和以人为中心的基本护理将通过访谈和经过验证的问卷重复收集患者和护理利益相关者。此外,将包括来自临床观察和焦点小组访谈后的书面思考的数据.从伦理批准开始，研究的持续时间约为五年。
结论：以前有报道称，注册护士目前的工作环境迫使他们分担护理责任，导致无法满足患者的基本护理需求，可能对患者造成严重后果。行动研究设计有助于研究人员了解对即将到来的干预措施很重要的环境因素，实现反思过程，并与利益相关者共同创造干预措施。这可能会导致可行的干预措施，并加强相关单位的护理领导。
