Improving Nursing Time "In Relationship" by Implementing a Caring Professional Practice Model

2.50
Hdl Handle:
http://hdl.handle.net/10755/148622
Type:
Presentation
Title:
Improving Nursing Time "In Relationship" by Implementing a Caring Professional Practice Model
Abstract:
Improving Nursing Time "In Relationship" by Implementing a Caring Professional Practice Model
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Duffy, Joanne R., PhD, RN, FAAN
P.I. Institution Name:Indiana University
Title:Professor
[Evidence-based Practice Session Presentation] In recent years, the practice of acute care nursing has become task-oriented with emphasis on delegation and technology, limiting RN time interacting with patients and families. Yet, preliminary evidence suggests a positive relationship between nurses? caring interactions and patient outcomes (Burt, 2007; Yeakel, et al, 2003).     The overall aim of this study was to increase RN time ?in relationship? by implementing the Quality Caring Model? (Duffy, 2009). After IRB approval, the model was implemented on four nursing units with four similar units serving as controls. Using a pre-test post-test comparison design, thirty RNs were randomly selected pre and post implementation and data were collected using a researcher-developed instrument.  Of the1,427 nursing activities observed, the number of cases ?in relationship? was 1.62 times greater than those not in relationship after model implementation. In addition, a significant difference in time spent ?in relationship? was noted between intervention and control units (t = 676.27; p < .000).  Most relationships were characterized as healing; problem-solving and interpersonal teaching-learning were the most frequently described caring behaviors. Use of the Quality Caring Model positively impacted nursing time ?in relationship? and the type of relationships observed.  Implications include the use of professional practice models focused on relationships, administrative recognition for caring professional practice, enhancing educational curricula to include relationship-centered practice, and larger multisite studies.  ReferencesBurt, K. (2007). The relationship between nurse caring and selected outcomes of care in     hospitalized older adults. Unpublished doctoral dissertation, The Catholic University     of America.Duffy, J. (2009). Quality Caring in Nursing: Applying a Middle-Range Theory to Clinical     Practice, Education, and Leadership.  New York, NY: Springer Publishing.  Yeakel, S., Maljanian, R., Bohannon, R. W., & Coulombe, K. (2003). Nurse caring behaviors     and patient satisfaction: Improvement after a multifaceted staff intervention.     Journal of Nursing Administration, 33 (9): 434 ? 436.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImproving Nursing Time "In Relationship" by Implementing a Caring Professional Practice Modelen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148622-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Improving Nursing Time &quot;In Relationship&quot; by Implementing a Caring Professional Practice Model</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Duffy, Joanne R., PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Indiana University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jrduffy@iupui.edu</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Practice Session Presentation] In recent years, the practice of acute care nursing has become task-oriented with emphasis on delegation and technology, limiting RN time interacting with patients and families. Yet, preliminary evidence suggests a positive relationship between nurses? caring interactions and patient outcomes (Burt, 2007; Yeakel, et al, 2003).&nbsp;&nbsp;&nbsp;&nbsp; The overall aim of this study was to increase RN time ?in relationship? by implementing the Quality Caring Model? (Duffy, 2009). After IRB approval, the model was implemented on four nursing units with four similar units serving as controls. Using a pre-test post-test comparison design, thirty RNs were randomly selected pre and post implementation and data were collected using a researcher-developed instrument.&nbsp; Of the1,427 nursing activities observed, the number of cases ?in relationship? was 1.62 times greater than those not in relationship after model implementation. In addition, a significant difference in time spent ?in relationship? was noted between intervention and control units (t = 676.27; p &lt; .000).&nbsp; Most relationships were characterized as healing; problem-solving and interpersonal teaching-learning were the most frequently described caring behaviors. Use of the Quality Caring Model positively impacted nursing time ?in relationship? and the type of relationships observed.&nbsp; Implications include the use of professional practice models focused on relationships, administrative recognition for caring professional practice, enhancing educational curricula to include relationship-centered practice, and larger multisite studies.&nbsp; ReferencesBurt, K. (2007). The relationship between nurse caring and selected outcomes of care in&nbsp;&nbsp;&nbsp;&nbsp; hospitalized older adults. Unpublished doctoral dissertation, The Catholic University&nbsp;&nbsp;&nbsp;&nbsp; of America.Duffy, J. (2009). Quality Caring in Nursing: Applying a Middle-Range Theory to Clinical&nbsp;&nbsp;&nbsp;&nbsp; Practice, Education, and Leadership.&nbsp; New York, NY: Springer Publishing. &nbsp;Yeakel, S., Maljanian, R., Bohannon, R. W., &amp; Coulombe, K. (2003). Nurse caring behaviors&nbsp;&nbsp;&nbsp;&nbsp; and patient satisfaction: Improvement after a multifaceted staff intervention.&nbsp;&nbsp;&nbsp;&nbsp; Journal of Nursing Administration, 33 (9): 434 ? 436.</td></tr></table>en_GB
dc.date.available2011-10-26T09:47:58Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:47:58Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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