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Negotiating: experiences of community nurses when contracting with clients
1Department of Clinical Education, Charles Sturt University, Wagga Wagga, NSW, Australia.
Contemporary Nurse
|June 26, 2012
Summary
Community nurses need strong interpersonal and clinical skills to create effective client care contracts. Successful person-centered care involves balancing client needs with nurse capabilities through skillful negotiation.
Area of Science:
- Nursing
- Healthcare Management
- Client Care
Background:
- Community nurses require diverse skills for effective client care contracts.
- Developing individualized care contracts is crucial for successful patient partnerships.
Purpose of the Study:
- To explore community nurses' perspectives on negotiating and contracting client care.
- To identify key themes in the development of client care contracts.
Main Methods:
- Descriptive qualitative design.
- Data collected from two focus groups comprising fourteen community nurses.
- Thematic analysis of focus group discussions.
Main Results:
- Three core themes emerged: 'assessment of needs', 'education towards enablement', and 'negotiation'.
- 'Assessment of needs' involves evaluating client health requirements and nurse capacity.
- 'Education towards enablement' focuses on client education for realistic goal setting.
- 'Negotiation' signifies an informed agreement forming the basis of the nurse-client partnership.
Conclusions:
- Effective client care contracts necessitate a balance between client needs and nurse capacity.
- Skillful negotiation is essential for developing successful, person-centered care contracts in community nursing.
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