Nurse managers' support of fundamental care in the hospital setting. An interpretive description of nurse managers' experiences across Australia, Denmark, and New Zealand.

MUDD, Alexandra, FEO, Rebecca, VOLDBJERG, Siri L, LAUGESEN, Britt, KITSON, Alison and CONROY, Tiffany (2023). Nurse managers' support of fundamental care in the hospital setting. An interpretive description of nurse managers' experiences across Australia, Denmark, and New Zealand. Journal of advanced nursing, 79 (3), 1056-1068.

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Official URL: https://onlinelibrary.wiley.com/doi/10.1111/jan.15...
Link to published version:: https://doi.org/10.1111/jan.15139

Abstract

Aims

To explore the role of ward-based nurse managers in supporting nurses to undertake high-quality fundamental care.

Design

A qualitative study guided by the principles of interpretive description. Reported in accordance with Consolidated Criteria for Reporting Qualitative Research (COREQ).

Methods

Nurse managers in three urban, publicly funded hospitals in Australia, Denmark and New Zealand, were invited to participate in group interviews to discuss how they support fundamental care in their clinical areas. Six group interviews were conducted between February 2017 and March 2020 involving 31 participants.

Results

Six interrelated themes were identified: Difficulty expressing how to support the nurse-patient relationship; Establishing expectations for care delivery without clear strategies for how this can be achieved; Role modelling desired behaviours; Significance of being present to support care quality; The importance of engaging and supporting staff in their work; and Recognizing the challenges of prioritizing care needs.

Conclusion

This study indicates that nurse managers are not universally clear in explaining how they support their staff to provide fundamental care. If fundamental care is not clearly understood and communicated in the nursing team, then there are risks that fundamental care will not be prioritized, with potential negative consequences for patient care. Nurse managers may benefit from additional resources and guidance to help them to support fundamental care delivery in their clinical areas.

Impact

Previous research exploring fundamental care and missed care highlights the importance of the role of the nurse manager in influencing nursing care. This study demonstrates that though nurse managers have a passion for supporting their staff to deliver fundamental care, clear strategies to achieve this are not always evident. This study suggests that scholarship around leadership to promote and facilitate fundamental care is crucial to improving nursing practice and patient outcomes.

Item Type: Article
Uncontrolled Keywords: fundamental care; interpretive description; nurse manager; nursing care; nursing management; 1110 Nursing; Nursing; 4204 Midwifery; 4205 Nursing
Identification Number: https://doi.org/10.1111/jan.15139
Page Range: 1056-1068
SWORD Depositor: Symplectic Elements
Depositing User: Symplectic Elements
Date Deposited: 10 Mar 2023 16:10
Last Modified: 11 Oct 2023 16:45
URI: https://shura.shu.ac.uk/id/eprint/31652

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