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One step at a time. Introducing the nursing process to the operating department
Summary
A nursing initiative introduced systematic patient care, starting with pre-operative assessment. This phased approach facilitated the integration of nursing care planning and evaluation within the operating department.
Area of Science:
- Nursing Science
- Healthcare Management
- Surgical Care
Background:
- A part-time night sister aimed to implement 'A Systematic Approach to Nursing Care' in an operating department.
- Recognized challenges in initiating major change from a non-key position.
Purpose of the Study:
- To introduce systematic nursing care principles within an operating department setting.
- To overcome barriers to change by adopting a phased implementation strategy.
Main Methods:
- Initiated pre-operative visiting as the first step, focusing on the assessment stage.
- Planned subsequent implementation of care planning and evaluation.
Main Results:
- Successfully introduced pre-operative visiting, laying the groundwork for systematic nursing care.
- Demonstrated a feasible method for implementing new nursing practices in a challenging environment.
Conclusions:
- A step-by-step approach, starting with pre-operative assessment, can effectively introduce systematic nursing care.
- Phased implementation is a viable strategy for overcoming resistance to change in healthcare settings.