Ny artikel - Fundamentals of Care in Time-Limited Encounters: Exploring Strategies that can be used to Support Establishing a Nurse-Patient Relationship in Time- Limited Encounters

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Aim: To explores how establishing a relationship occurs in nursing in technologically advanced facilities during time-limited care encounters. It suggests strategies nurses may use to support the delivery of relationship-based integrated fundamental care, and explores validity of the Fundamentals of Care (FoC) frameworks core in time-limited care encounters.

Background: Despite focus on high-quality nursing care, fundamental aspects of care are still occasionally delivered inadequately. A lack of research describes what high-quality nursing care in time-limited encounters includes and how it can be delivered. 

Methods: A secondary analysis of data from a PhD study focusing on nursing in time-limited encounters using the FoC framework as the interpretative guide.The focus was on establishing relationships, the core of the FoC framework that includes a dynamic interaction between focusing, knowing, anticipating and evaluating to maintain trust.

Results: Results for each of the five core concepts are presented through concept descriptions and scenarios from a time-limited encounter, followed by potentially useful strategies. 

Conclusions: Strategies used to establish and maintain a relationship and thereby to deliver relationship-based integrated fundamental care are universal. All nurses in every context - whether time-limited or not - need finely tuned communication skills to provide individualised nursing care. However, the difference rests in understanding which communication components to give priority in the
individual situation.

Relevance to clinical practice: This study’s in-depth contextual descriptions of the FoC frameworks core concepts may help nurses understand how the framework can be integrated into their  understanding of their daily practice.

 

Artiklen er publiceret i Journal of Nursing Studies and Patient Care 2019 1(1) og forfattet af: Karin Bundgaard, Charlotte Delmar og Erik Elgaard Sørensen.  

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