Using communication to manage missed care: A case study applying the Fundamentals of Care framework
- 27 January 2020
- journal article
- research article
- Published by Hindawi Limited in Journal of Nursing Management
- Vol. 28 (8), 2091-2102
- https://doi.org/10.1111/jonm.12963
Abstract
Aim To explore, through the patient’s perspective, how patient–provider communication is linked to missed nursing care versus meeting patients’ fundamental care needs. Background Missed nursing care causes severe consequences for patients. Person‐centred fundamental care, in which communication is central, provides an approach to manage this challenge. However, the specific patient–provider communications linked to care outcomes are unknown. Methods Case study using secondary analysis of observations and interviews. A purposeful sample of 20 patients with acute abdominal pain, collected using ethnographic methodology at one emergency department and two surgical wards. The Fundamentals of Care framework guided the analysis. Results Communications that included the patient as an equal member of the care team were observed to make a difference between adequate and missed nursing care. Four categories were identified: interpersonal respect, humanized context of care, available and accessible communication channels, and mutual holistic understanding of the care needs and care plan. Conclusion Communication can be an essential tool to avoid missed nursing care and address the critical need for nursing managers to restore the fundamentals of care. Implications for Nursing Management Nursing managers can use this new knowledge of communication to facilitate person‐centred fundamental care and thereby avoid missed nursing care.Keywords
Funding Information
- Landstinget i Uppsala län
- Forskningsrådet om Hälsa, Arbetsliv och Välfärd (2013:1992)
- Terveyden Tutkimuksen Toimikunta
- Vetenskapsrådet (2013, 1992)
- Landstinget i Uppsala län
This publication has 27 references indexed in Scilit:
- “Same same or different?” A review of reviews of person-centered and patient-centered carePatient Education and Counseling, 2018
- The association between nurse staffing and omissions in nursing care: A systematic reviewJournal of Advanced Nursing, 2018
- Relatives’ involvement in the care of patients in acute medical wards in two different countries—An ethnographic studyJournal of Clinical Nursing, 2018
- Towards a standardised definition for fundamental care: A modified Delphi studyJournal of Clinical Nursing, 2017
- Developing effective and caring nurse-patient relationshipsNursing Standard, 2017
- Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of careBMJ Quality & Safety, 2016
- Epidemiology and outcomes of acute abdominal pain in a large urban Emergency Department: retrospective analysis of 5,340 casesAnnals of Translational Medicine, 2016
- Using holistic interpretive synthesis to create practice‐relevant guidance for person‐centred fundamental care delivered by nursesNursing Inquiry, 2016
- Patient empowerment, patient participation and patient-centeredness in hospital care: A concept analysis based on a literature reviewPatient Education and Counseling, 2016
- Capacity for care: meta‐ethnography of acute care nurses' experiences of the nurse‐patient relationshipJournal of Advanced Nursing, 2012