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Towards a standardised definition for fundamental care: A modified Delphi study
Rebecca Feo1, Tiffany Conroy1, Eva Jangland2,3
1Adelaide Nursing School, University of Adelaide, Adelaide, SA, Australia.
Journal of Clinical Nursing
|December 27, 2017
Summary
This study initiated dialogue on fundamental care, aiming to define its core elements. Further international collaboration is needed to refine the definition for better healthcare practice.
Area of Science:
- Nursing Science
- Healthcare Definitions
- Patient Care Standards
Background:
- Fundamental care lacks clear conceptualization, impacting its consistent application.
- The Fundamentals of Care Framework provides a structure, but requires a standardized definition and agreed-upon elements.
- Consensus on fundamental care's definition and components is essential for effective implementation.
Purpose of the Study:
- To establish a standardized definition for fundamental care.
- To identify the discrete elements that constitute fundamental care.
- To achieve consensus on the definition and elements of fundamental care.
Main Methods:
- A modified Delphi study was employed.
- The study involved three phases: stakeholder workshop, preliminary definition/element development, and a two-round Delphi consensus process.
- Round 1 involved 38 participants, and Round 2 involved 28 participants.
Main Results:
- Participants found the initial definition and elements comprehensive but potentially too broad for fundamental care.
- Debate arose regarding whether the definition should focus on patient needs, nurse actions, delivery methods, or outcomes.
- There were mixed views on whether the definition should be specific to nursing.
Conclusions:
- The study has stimulated important discussions regarding the conceptualization and definition of fundamental care.
- Further refinement of the definition and elements is recommended with a larger, international group of nurses and service users.
- An evolving definition will support policy, teaching, delivery, measurement, and evaluation of fundamental care.
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