2.50
Hdl Handle:
http://hdl.handle.net/10755/304363
Category:
Abstract
Type:
Presentation
Title:
A Pilot Implementation and Evaluation of Careful Nursing
Author(s):
Murphy, Sinead M.; Drennan, Jonathan; McMullin, Raphael; Meehan, Therese Connell; Brennan, Sinead
Lead Author STTI Affiliation:
Non-member
Author Details:
Sinead M. Murphy, RGN, MSc, BSc, HDip, sineadxmurphy@eircom.net; Jonathan Drennan, MEd, BSc, RGN, RPN, RNMH, RNT; Raphael McMullin, RGN, MSc; Therese Connell Meehan, RGN, PhD; Sinead Brennan, RGN, MSc;
Abstract:

Session presented on: Wednesday, July 24, 2013

Introduction: Continuous quality improvement of nursing practice and outcomes for patients is a central aim of hospital departments of nursing worldwide.  To this end, professional practice models provide important structures for further developing evidence-based practice.  The Careful Nursing philosophy and professional practice model focuses on clinical excellence and enhancing the nursing milieu in which patients are cared for.

Purpose: To evaluate the effectiveness and feasibility of implementing the Careful Nursing philosophy and two of its concepts, the ‘therapeutic milieu’ and ‘practice competence and excellence’, on a care of the elderly unit in a major, urban hospital in Ireland.  Specifically, to determine its effectiveness in enhancing nurses’ diagnostic skills, ability to choose and monitor nursing outcomes, provide evidence-based interventions, and strengthen nurses’ control over and satisfaction with their practice.  

Methods:  Adaptation of the ‘practice competence and excellence’ use of standardised nursing languages to the needs of the particular hospital setting. Development of a two-day educational programme for nurses to learn the philosophy, five dimensions of the ‘therapeutic milieu’, and eight dimensions of ‘practice competence and excellence’.  Implementation over an eight-month period with on-going clinical support.  Pre-post implementation chart audit of nursing documentation and Control Over Nursing Practice Scale.  Post implementation focus group discussion and Careful Nursing Care-plan Impact on Practice Questionnaire.

Results: Improved efficiency and specificity of post implementation practice documentation and nurses’ greater control over practice.  Care-plan Impact Questionnaire indicated positive responses to Careful Nursing; ‘it makes nursing more visible’ and allowed ‘more time to spend with their patients’.  Focus group data content analysis revealed nurses’ enthusiasm for implementing the philosophy and ‘therapeutic milieu’ dimensions, desire to retain Careful Nursing.  They judged its implementation to be feasible.

Conclusion: Careful Nursing can improve the quality of nursing practice, nurses’ control over practice and is feasible to implement in a hospital setting.

Keywords:
Careful Nursing; TYPE NEW KEYWORD HERE; TYPE NEW KEYWORD HERE
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleA Pilot Implementation and Evaluation of Careful Nursingen_GB
dc.contributor.authorMurphy, Sinead M.en_GB
dc.contributor.authorDrennan, Jonathanen_GB
dc.contributor.authorMcMullin, Raphaelen_GB
dc.contributor.authorMeehan, Therese Connellen_GB
dc.contributor.authorBrennan, Sineaden_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsSinead M. Murphy, RGN, MSc, BSc, HDip, sineadxmurphy@eircom.net; Jonathan Drennan, MEd, BSc, RGN, RPN, RNMH, RNT; Raphael McMullin, RGN, MSc; Therese Connell Meehan, RGN, PhD; Sinead Brennan, RGN, MSc;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304363-
dc.description.abstract<p>Session presented on: Wednesday, July 24, 2013</p>Introduction:<b> </b>Continuous quality improvement of nursing practice and outcomes for patients is a central aim of hospital departments of nursing worldwide.  To this end, professional practice models provide important structures for further developing evidence-based practice.  The Careful Nursing philosophy and professional practice model focuses on clinical excellence and enhancing the nursing milieu in which patients are cared for. <p>Purpose: To evaluate the effectiveness and feasibility of implementing the Careful Nursing philosophy and two of its concepts, the ‘therapeutic milieu’ and ‘practice competence and excellence’, on a care of the elderly unit in a major, urban hospital in Ireland.  Specifically, to determine its effectiveness in enhancing nurses’ diagnostic skills, ability to choose and monitor nursing outcomes, provide evidence-based interventions, and strengthen nurses’ control over and satisfaction with their practice.   <p>Methods:  Adaptation of the ‘practice competence and excellence’ use of standardised nursing languages to the needs of the particular hospital setting. Development of a two-day educational programme for nurses to learn the philosophy, five dimensions of the ‘therapeutic milieu’, and eight dimensions of ‘practice competence and excellence’.  Implementation over an eight-month period with on-going clinical support.  Pre-post implementation chart audit of nursing documentation and Control Over Nursing Practice Scale.  Post implementation focus group discussion and Careful Nursing Care-plan Impact on Practice Questionnaire. <p>Results: Improved efficiency and specificity of post implementation practice documentation and nurses’ greater control over practice.  Care-plan Impact Questionnaire indicated positive responses to Careful Nursing; ‘it makes nursing more visible’ and allowed ‘more time to spend with their patients’.  Focus group data content analysis revealed nurses’ enthusiasm for implementing the philosophy and ‘therapeutic milieu’ dimensions, desire to retain Careful Nursing.  They judged its implementation to be feasible. <p>Conclusion: Careful Nursing can improve the quality of nursing practice, nurses’ control over practice and is feasible to implement in a hospital setting.en_GB
dc.subjectCareful Nursingen_GB
dc.subjectTYPE NEW KEYWORD HEREen_GB
dc.subjectTYPE NEW KEYWORD HEREen_GB
dc.date.available2013-10-22T20:34:24Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:34:24Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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