To generate a standardised definition for fundamental care and identify the discrete elements that constitute such care.There is poor conceptual clarity surrounding care. The Fundamentals of Care Framework aims to overcome this problem by outlining three core dimensions underpinning Implementing requires reflects Framework's understanding, as well agreement on comprise (i.e., patient needs, nutrition, nurse actions, empathy). This study sought achieve consensus.Modified Delphi study.Three...

Aims and objectives To explore the delivery of care from perspective patients with acute abdominal pain focusing on contextual factors at system level using Fundamentals Care framework. Background The framework describes several systemic that can impact care. deliver high‐quality, person‐centred care, it is important to understand how these affect patients' experiences needs. Design A focused ethnographic approach. Method total 20 observations were performed two surgical wards a Swedish...

Abstract Background Missed nursing care occurs globally, and the consequences are severe for patients when fundamental needs not fulfilled, nor delivered in a person-centred way. This study aimed to investigate occurrence cause of missed care, relationship between registered nurses’ assistants’ perceptions surgical context. Methods A quantitative was performed using MISSCARE survey, measuring associated reasons, three wards with nurses assistants as participants ( n = 118), during...

A changing nursing workforce and an increase in demands for care together with more complex care, raise arguments that leading guiding practice is challenging than ever. Therefore, nurses need to have a shared agenda common language show the importance of consequences not addressing this appropriate way. In response Fundamentals Care framework was developed also contribute delivery person-centred integrated However, gain acceptance applicability we ensure framework's relevance clinical from...

Abstract Aim To explore how patients with acute abdominal pain describe their experiences of fundamental care across the episode. Background Acute is one most common conditions to present in setting. Little known about patients’ needs are managed from presentation post discharge. Design A multi‐stage qualitative case study using Fundamentals Care framework as overarching theoretical and explanatory mechanism. Methods Repeated reflective interviews were conducted five adult over a 6‐month...

Aim To explore, through the patient's perspective, how patient–provider communication is linked to missed nursing care vs. meeting patients' fundamental needs. Background Missed causes severe consequences for patients. Person-centred care, in which central, provides an approach manage this challenge. However, specific communications outcomes are unknown. Methods Case study using secondary analysis of observations and interviews. A purposeful sample 20 patients with acute abdominal pain...

To investigate patient complaints in cancer care settings reported to advisory committees (PACs) and describe the frequency content of communication failures across all reports. Content analysis, with a summative approach, was applied (2016-2020) by 692 patients PACs one Swedish healthcare region. More than half failures. Patients not receiving proper information, being listened to, treated disrespectfully or impersonally. Communication occurred different stages patients' care, from...

Scand J Caring Sci; 2011; 25; 533–541 Surgical nurses’ different understandings of their interactions with patients: a phenomenographic study The aim this was to identify and describe ways surgical nurses understand roles patients families in care setting. nurse has an important role supporting encouraging the patient during hospital stay. It can be challenge for quickly establish trustful relationship patient. assumption is that are affected by understanding expectations nurse–patient...

To explore the accuracy with which nursing students can identify fundamentals of care.A challenge facing is ensuring care are provided compassion and in a timely manner. How perceive importance may be influenced by content delivery their curriculum. As play vital role patient safety quality care, it important to examine how these needs.Cross-sectional descriptive design.A total 398 (pre- postregistration) from universities Sweden, England, Japan, Canada Australia participated. The...

Abstract Aim The aim of the study was to explore work conditions that influence opportunities for professional development specialist nurses in surgical care. Design A qualitative descriptive design used. Methods With a purposeful sampling procedure, 14 care were included. Four focus‐group interviews conducted during November December 2021 and deductively analysed using Job Demand‐Resource theory as guiding framework. Reporting adheres COREQ guidelines. Findings Work identified job demands...

Aim To evaluate an implementation project on patient participation. Background Patient participation is one of the cornerstones person-centred care. A previous intervention study resulted in improved a surgical department large university hospital Sweden. subsequent was guided by PARiSH framework and included several strategies over 2 years. Method Patients (n = 198) five units completed questionnaire nurse managers 5) were interviewed. Results Although long-term did not improve units,...

Background Surgical care plays an important role in the acute hospital's delivery of safe, high‐quality patient care. Although demands for effectiveness are high surgical wards quality and safety must also be secured. It is therefore necessary to identify challenges barriers linked with a focus on this specific setting. Aim To explore situations processes that support or hinder good safe ward. Method This qualitative study was based strategic sample 10 department ward leaders three hospitals...

To evaluate the implementation of a multifaceted mentoring programme in large university hospital and describe its value from perspectives newly graduated nurses, experienced nurses organisation.Healthcare organisations need long-term competence-planning strategies to retain prevent their premature departure profession use competencies. This paper reports focused on supporting nurse' transition practice senior nurses' professional development as supervisors.A multiple-case study.We performed...

Aim The first nurse practitioners in surgical care were introduced into Swedish wards 2014. Internationally, organisations that have adopted teams are reported to maintained or improved the quality of care. However, close qualitative descriptions teamwork practice may add existing knowledge interprofessional collaboration when introducing new clinical areas. aim was report on an empirical study describing how enacted by ward teams. Methods and results had a qualitative, ethnographic research...

Abstract Aims To explore and describe the impact of organizational culture on patient–practitioner patterns actions that contributes to or detract from successful pain management for patient with acute abdominal (AAP) across care pathway. Background Although is a recognized human right, unmanaged continues cause suffering prolong hospital care. Unanswered questions about how successfully manage relate both individual practitioners’ performance. Design Focused ethnography, applying...

High nursing turnover and a shortage of nurses in acute hospital settings Sweden challenge health care systems to deliver ensure safe care. Advanced roles implemented other countries have offered new career opportunities had positive effects on patient safety, effectiveness care, satisfaction. The advanced position Nurse Practitioner has existed for many years the United States, while similar extended changes scope practice are being developed countries. In line with this international...