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Development and Preliminary Testing of a Framework to Evaluate Patients' Experiences of the Fundamentals of Care: A Secondary Analysis of Three Stroke Survivor Narratives

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  • Alison L. Kitson
  • Åsa Muntlin Athlin

Abstract

Aim . To develop and test a framework describing the interrelationship of three key dimensions (physical, psychosocial, and relational) in the provision of the fundamentals of care to patients. Background . There are few conceptual frameworks to help healthcare staff, particularly nurses, know how to provide direct care around fundamental needs such as eating, drinking, and going to the toilet. Design . Deductive development of a conceptual framework and qualitative analysis of secondary interview data. Method . Framework development followed by a secondary in-depth analysis of primary narrative interview data from three stroke survivors. Results . Using the physical, psychosocial and relational dimensions to develop a conceptual framework, it was possible to identify a number of “archetypes” or scenarios that could explain stroke survivors’ positive experiences of their care. Factors contributing to suboptimal care were also identified. Conclusions . This way of thinking about how the fundamentals of care are experienced by patients may help to elucidate the complex processes involved around providing high quality fundamentals of care. This analysis illustrates the multiple dimensions at play. However, more systematic investigation is required with further refining and testing with wider healthcare user groups. The framework has potential to be used as a predictive, evaluative, and explanatory tool.

Suggested Citation

  • Alison L. Kitson & Åsa Muntlin Athlin, 2013. "Development and Preliminary Testing of a Framework to Evaluate Patients' Experiences of the Fundamentals of Care: A Secondary Analysis of Three Stroke Survivor Narratives," Nursing Research and Practice, Hindawi, vol. 2013, pages 1-12, June.
  • Handle: RePEc:hin:jnlnrp:572437
    DOI: 10.1155/2013/572437
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    Cited by:

    1. Rebecca Feo & Tiffany Conroy & Eva Jangland & Åsa Muntlin Athlin & Maria Brovall & Jenny Parr & Karin Blomberg & Alison Kitson, 2018. "Towards a standardised definition for fundamental care: A modified Delphi study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(11-12), pages 2285-2299, June.
    2. Rebecca Feo & Alison Kitson & Tiffany Conroy, 2018. "How fundamental aspects of nursing care are defined in the literature: A scoping review," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(11-12), pages 2189-2229, June.
    3. Jackie Robinson & Tess Moeke‐Maxell & Jenny Parr & Julia Slark & Stella Black & Lisa Williams & Merryn Gott, 2020. "Optimising compassionate nursing care at the end of life in hospital settings," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(11-12), pages 1788-1796, June.
    4. Annamaria Bagnasco & Nicoletta Dasso & Silvia Rossi & Carolina Galanti & Gloria Varone & Gianluca Catania & Milko Zanini & Giuseppe Aleo & Roger Watson & Mark Hayter & Loredana Sasso, 2020. "Unmet nursing care needs on medical and surgical wards: A scoping review of patients’ perspectives," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(3-4), pages 347-369, February.
    5. Sandra M.G. Zwakhalen & Jan P.H. Hamers & Silke F. Metzelthin & Roelof Ettema & Maud Heinen & Janneke M. de Man‐Van Ginkel & Hester Vermeulen & Getty Huisman‐de Waal & Marieke J. Schuurmans, 2018. "Basic nursing care: The most provided, the least evidence based – A discussion paper," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(11-12), pages 2496-2505, June.
    6. Åsa Muntlin Athlin & Maria Brovall & Yvonne Wengström & Tiffany Conroy & Alison L. Kitson, 2018. "Descriptions of fundamental care needs in cancer care—An exploratory study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(11-12), pages 2322-2332, June.
    7. Alison Kitson, 2018. "Moving on…," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(11-12), pages 2175-2176, June.

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