| Starting a care improvement journey: focusing on the essentials of bedside nursing care in an Australian teaching hospital. | |
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MedLine Citation:
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PMID: 20920009 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS AND OBJECTIVES: To evaluate and improve patient assessment practices, care practices, recognition of patient deterioration and communication in the acute ward environment. BACKGROUND: A growing recognition of patient safety-related concerns in acute hospitals, a nursing shortage and a reduction in availability of skill and experience levels at the bedside led a group of clinicians to explore the issues that impacted on patient care at a ward level within their organisation. DESIGN: Multimethod practice development study. This paper reports phase one of concept development. METHOD: A practice review was conducted using clinical audit processes that examined practice and documentation in relation to patient assessment parameters and care planning, specifically identifying whether changes in clinical parameters were identified and acted on. RESULTS: Results highlighted a clear discrepancy between the care that was identified on the nursing care plan and the care the patient was receiving. Actions as a result of the disappointing audit results included changes to education programmes, strategies to improve critical discussion regarding clinical practices and the development of assessable domains of nursing care that were relevant and realistic to ward-based nurses. CONCLUSION: The results enabled the identification of eight domains of care and associated care outcomes that target strategies for care improvement. Emancipatory practice development methodology will be used to further progress this work and ensure successful implementation into clinical units. RELEVANCE TO CLINICAL PRACTICE: This paper examines the critical discussions, audit processes and actions that took place, leading to the development of care outcomes for nurses. |
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Authors:
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Tracy Clarke; Michaela Kelleher; Greg Fairbrother |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of clinical nursing Volume: 19 ISSN: 1365-2702 ISO Abbreviation: J Clin Nurs Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-10-05 Completed Date: 2011-01-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9207302 Medline TA: J Clin Nurs Country: England |
Other Details:
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Languages: eng Pagination: 1812-20 Citation Subset: N |
Copyright Information:
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© 2010 The Authors. Journal compilation © 2010 Blackwell Publishing Ltd. |
Affiliation:
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Prince of Wales Hospital, Randwick, NSW, Australia. Tracy.Clarke@sesiahs.health.nsw.gov.au |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Australia Concept Formation Hospitals, Teaching* Humans Nursing Care / standards* Nursing Staff, Hospital Patients' Rooms* Quality Assurance, Health Care* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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