The impact of primary nursing care pattern: Results from a before-after study

Journal of Clinical Nursing
Alberto Dal MolinAntonella Croso

Abstract

To explore the effect of "Primary Nursing" on nursing-sensitive patient outcomes, staff-related outcomes and organisation-related outcomes. Primary nursing is one example of a care pattern that has recently been implemented in many countries. Before-after study. This study was conducted in an Italian hospital. We observed patient-related outcomes (pressure ulcers, falls, urinary tract infection and venous catheter infection) in 2,857 inpatients before the implementation of primary nursing and in 3,169 inpatients after its implementation. Staff-related outcomes (nursing competence and diagnostic thinking) and organisation-related outcomes (empowerment and team climate) were collected from 369 nurses. From a subgroup of inpatients, we collected data regarding their satisfaction with the care provided. After the implementation of primary nursing, some nursing competencies and diagnostic thinking were improved, so were organisation-related outcomes. Our data showed that the number of inpatients with urinary catheter infections (5.5% vs. 4.3%) and venous catheter infections (peripheral: 2.2% vs. 1%; central: 5.6% vs. 1%) was significantly decreased; also, the numbers of falls (2.4% vs. 1.9%) and pressure ulcers (4.8% vs. 4%) decreas...Continue Reading

References

Sep 1, 1990·Medical Education·G BordageP Marsden
Oct 1, 1996·Journal of Advanced Nursing·M E MelchiorP Gassman
Nov 1, 1996·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·N Hoffart, C Q Woods
Jan 28, 1999·The Journal of Nursing Administration·S KangasR McKee-Waddle
Mar 4, 1999·Journal of Advanced Nursing·M E MelchiorP Gassman
Sep 15, 2000·BMJ : British Medical Journal·M CampbellP Tyrer
Mar 16, 2002·Journal of Advanced Nursing·Anat Drach-Zahavy, Efrat Dagan
Aug 28, 2003·The Journal of Applied Psychology·Shaul Oreg
Jun 16, 2004·Journal of Advanced Nursing·Riitta MeretojaHelena Leino-Kilpi
Apr 8, 2006·Nursing Research·Diane M DoranAnn E Tourangeau
May 26, 2006·Implementation Science : IS·Michel WensingRichard Grol
Aug 6, 2008·Quality & Safety in Health Care·M OuwensH Wollersheim
May 29, 2009·Scandinavian Journal of Caring Sciences·Marisa DellaiRiitta Meretoja
May 27, 2010·International Journal of Nursing Terminologies and Classifications : the Official Journal of NANDA International·Margaret Lunney
Mar 3, 2012·Journal of Nursing Management·Karen McGlynnJoyce J Fitzpatrick
Nov 20, 2012·International Journal of Nursing Studies·Peter CraigMark Petticrew
Feb 15, 2013·Journal of Nursing Management·Zenobia C Y ChanChing Wa Chau
Jun 14, 2013·Journal of Nursing Management·Sarah LarteyJoanne Profetto-McGrath
Jul 30, 2014·Health Care Management Science·Marco PapiRoberto Setola
Apr 15, 2015·Journal of Advanced Nursing·Francesco MontaniAmélie Boilard
May 16, 2015·Journal of Nursing Management·Susan SlatyerSue Davis

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Citations

May 5, 2020·International nursing review·Q ChenY Bai
Jan 30, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Jenene W Craig, Catherine R Smith
Jan 27, 2021·Journal of Gerontological Nursing·Andrea Yevchak SillnerLiza Behrens
Jan 16, 2021·BMC Nursing·Ludmila MarcinowiczSlawomir Jerzy Terlikowski
Mar 7, 2021·International Journal of Environmental Research and Public Health·Pedro ParreiraAnabela Salgueiro-Oliveira
Aug 22, 2021·Nursing Forum·Dawn PrenticeYutee Desai

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