TY - JOUR
T1 - The impact of primary nursing care pattern
T2 - Results from a before–after study
AU - Dal Molin, Alberto
AU - Gatta, Claudia
AU - Boggio Gilot, Chiara
AU - Ferrua, Rachele
AU - Cena, Tiziana
AU - Manthey, Marie
AU - Croso, Antonella
N1 - Publisher Copyright:
© 2017 John Wiley & Sons Ltd
PY - 2018/3
Y1 - 2018/3
N2 - Aims and objectives: To explore the effect of “Primary Nursing” on nursing-sensitive patient outcomes, staff-related outcomes and organisation-related outcomes. Background: Primary nursing is one example of a care pattern that has recently been implemented in many countries. Design: Before–after study. Methods: This study was conducted in an Italian hospital. We observed patient-related outcomes (pressure ulcers, falls, urinary tract infection and venous catheter infection) in 2,857 inpatients before the implementation of primary nursing and in 3,169 inpatients after its implementation. Staff-related outcomes (nursing competence and diagnostic thinking) and organisation-related outcomes (empowerment and team climate) were collected from 369 nurses. From a subgroup of inpatients, we collected data regarding their satisfaction with the care provided. Results: After the implementation of primary nursing, some nursing competencies and diagnostic thinking were improved, so were organisation-related outcomes. Our data showed that the number of inpatients with urinary catheter infections (5.5% vs. 4.3%) and venous catheter infections (peripheral: 2.2% vs. 1%; central: 5.6% vs. 1%) was significantly decreased; also, the numbers of falls (2.4% vs. 1.9%) and pressure ulcers (4.8% vs. 4%) decreased, although these decreases were not statistically significant. Overall, the implementation of primary nursing increased patient satisfaction with nursing care (193.57 vs. 210.21). Conclusions: Primary nursing improved staff-related outcomes, nursing-sensitive patient outcomes and organisation outcomes. Relevance to clinical practice: Our results show that primary nursing has the potential to positively impact on inpatients, nurses and organisations. Moreover, the implementation of this care pattern is feasible.
AB - Aims and objectives: To explore the effect of “Primary Nursing” on nursing-sensitive patient outcomes, staff-related outcomes and organisation-related outcomes. Background: Primary nursing is one example of a care pattern that has recently been implemented in many countries. Design: Before–after study. Methods: This study was conducted in an Italian hospital. We observed patient-related outcomes (pressure ulcers, falls, urinary tract infection and venous catheter infection) in 2,857 inpatients before the implementation of primary nursing and in 3,169 inpatients after its implementation. Staff-related outcomes (nursing competence and diagnostic thinking) and organisation-related outcomes (empowerment and team climate) were collected from 369 nurses. From a subgroup of inpatients, we collected data regarding their satisfaction with the care provided. Results: After the implementation of primary nursing, some nursing competencies and diagnostic thinking were improved, so were organisation-related outcomes. Our data showed that the number of inpatients with urinary catheter infections (5.5% vs. 4.3%) and venous catheter infections (peripheral: 2.2% vs. 1%; central: 5.6% vs. 1%) was significantly decreased; also, the numbers of falls (2.4% vs. 1.9%) and pressure ulcers (4.8% vs. 4%) decreased, although these decreases were not statistically significant. Overall, the implementation of primary nursing increased patient satisfaction with nursing care (193.57 vs. 210.21). Conclusions: Primary nursing improved staff-related outcomes, nursing-sensitive patient outcomes and organisation outcomes. Relevance to clinical practice: Our results show that primary nursing has the potential to positively impact on inpatients, nurses and organisations. Moreover, the implementation of this care pattern is feasible.
KW - nursing care pattern
KW - nursing-sensitive patient outcomes
KW - primary nursing
KW - satisfaction with care
KW - staff-related outcomes
UR - http://www.scopus.com/inward/record.url?scp=85044282068&partnerID=8YFLogxK
U2 - 10.1111/jocn.14135
DO - 10.1111/jocn.14135
M3 - Article
SN - 0962-1067
VL - 27
SP - 1094
EP - 1102
JO - Journal of Clinical Nursing
JF - Journal of Clinical Nursing
IS - 5-6
ER -