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Planning Nursing Care II01:29

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A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
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 Unit records in healthcare settings document the patient's treatment history, including interventions, medications, diagnostic and laboratory results, progress notes, personal care needs, vital signs, and other medical information. They are crucial for managing patient care, aiding healthcare professionals in providing quality treatment and informed decision-making.
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Primary Nursing in Intensive Care Units.

Lars Krüger1,2, Thomas Mannebach3, Francesco Squiccimarro4

  • 1Project and Knowledge Management/Care Development Intensive Care, Care Directorate, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.

Nursing in Critical Care
|January 20, 2026
PubMed
Summary
This summary is machine-generated.

Primary nursing (PN) implementation in intensive care units (ICUs) shows feasibility, though full achievement varied. Continuous support and evaluation are crucial for successful primary nursing (PN) in ICUs.

Keywords:
change managementnursingnursing processpatient care planningpatient‐centred care

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Area of Science:

  • Nursing Science
  • Healthcare Management
  • Patient-Centered Care

Background:

  • Primary nursing (PN) is a patient-centered model promoting continuity of care and patient/family involvement.
  • Research on PN implementation in intensive care units (ICUs) is limited.

Purpose of the Study:

  • To evaluate the development and implementation process of PN in two German ICUs.
  • To identify changes in ICU profiles and nursing performance indicators.

Main Methods:

  • A quantitative design was employed across a surgical and a medical ICU.
  • The German Instrument zur Erfassung von Pflegesystemen (IzEP(c)) was used for data collection at three time points.
  • Data from 264 questionnaires (patients, relatives, staff) were analyzed using descriptive statistics.

Main Results:

  • ICU 1 transitioned from individual nursing (44.5%) to PN (83.0%) over 12 months.
  • ICU 2 showed characteristics toward PN (51.0% to 69.0%), with significant improvements in communication.
  • Both ICUs demonstrated good development in nursing performance indicators, with areas for improvement noted, such as patient participation in ICU 2.

Conclusions:

  • PN implementation was achieved in all patients in both ICUs, with varying degrees of success in ICU 2.
  • PN in ICUs is feasible but requires ongoing support from nursing management and mandatory evaluation for successful integration.