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The impact of primary nursing care pattern: Results from a before–after study

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Listed:
  • Alberto Dal Molin
  • Claudia Gatta
  • Chiara Boggio Gilot
  • Rachele Ferrua
  • Tiziana Cena
  • Marie Manthey
  • Antonella Croso

Abstract

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.

Suggested Citation

  • Alberto Dal Molin & Claudia Gatta & Chiara Boggio Gilot & Rachele Ferrua & Tiziana Cena & Marie Manthey & Antonella Croso, 2018. "The impact of primary nursing care pattern: Results from a before–after study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1094-1102, March.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:5-6:p:1094-1102
    DOI: 10.1111/jocn.14135
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    Cited by:

    1. Pedro Parreira & Paulo Santos-Costa & Manoel Neri & António Marques & Paulo Queirós & Anabela Salgueiro-Oliveira, 2021. "Work Methods for Nursing Care Delivery," IJERPH, MDPI, vol. 18(4), pages 1-17, February.
    2. Loris Bonetti & Angela Tolotti & Dario Valcarenghi & Carla Pedrazzani & Serena Barello & Greta Ghizzardi & Guendalina Graffigna & Davide Sari & Monica Bianchi, 2019. "Burnout Precursors in Oncology Nurses: A Preliminary Cross-Sectional Study with a Systemic Organizational Analysis," Sustainability, MDPI, vol. 11(5), pages 1-13, February.
    3. Isabel Gonçalves & Diana Arvelos Mendes & Sílvia Caldeira & Élvio Jesus & Elisabete Nunes, 2023. "The Primary Nursing Care Model and Inpatients’ Nursing-Sensitive Outcomes: A Systematic Review and Narrative Synthesis of Quantitative Studies," IJERPH, MDPI, vol. 20(3), pages 1-19, January.

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