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Adaption, benefit and quality of care associated with primary nursing in an acute inpatient setting: A
Rahel Naef1, Jutta Ernst1, Heidi Petry1
1Centre for Clinical Nursing Science, University Hospital Zurich, Zurich, Switzerland.
Aims:
The aim of this study was to investigate the adoption of primary nursing and to determine the quality of primary nurse-led care in an acute inpatient setting.
Design:
Descriptive cross-sectional study.
Methods:
Participants included inpatients (N = 369) and nurses (N = 381). To assess adoption of primary nursing, patient records were analysed and an online survey of nurses was conducted from May-June 2017. To measure quality of nursing care, a structured questionnaire was administered to inpatients.
Results:
Patients reported high quality of individualized, responsive and proficient care, but lower levels of coordinated care. Most nurses agreed that primary nursing is beneficial for person-centred caring. However, only two-thirds found that it was practiced on their unit and only half of care planning activities were attributable to primary nurses.
Conclusion:
While perceived as beneficial, adoption of primary nursing in clinical practice remains partial. Hence, primary nursing may not be enough to ensure continuity and coordination of acute care.
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