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.
目的: 本研究的目的是调查初级护理的适应情况,并确定在急性住院患者中初级护理的质量。 设计: 描述性横断面研究。 方法: 参与者包括住院病人(369人)和护士(381人)。为了评估初级护理的适应情况,我们对患者记录进行了分析,并于2017年5月至6月对护士进行了在线调查。为衡量护理质量,对住院患者进行了结构化问卷调查。 结果: 据患者所述,护士具有较高的护理水平,具有个性化、响应快且熟练的特点,但协调护理水平较低。大多数护士认为初级护理有利于以人为本的护理。然而,只有三分之二的人发现这是他们所在单位的做法,只有一半的护理规划活动是由初级护士进行的。 结论: 虽然公认初级护理是有益的,但临床实践中并非全都采用初级护理。因此,初级护理可能不足以确保急性护理的连续性和协调性。.
Keywords: hospital; implementation; nurses; patient satisfaction; patient-centred care; primary nursing; quality of care.
© 2019 John Wiley & Sons Ltd.