Nurse-led inpatient care: opening the 'black box'
Nurse-led inpatient care: opening the 'black box'
With recent evaluations contradicting early reports of improved outcomes from nurse-led inpatient care, the ‘black box’ of nurse-led care must be opened in order to examine the model of treatment. We present findings on the processes of care in one nurse-led unit (NLU), compared with an acute ward. Patterns and quality of nursing care were quantified using bar-code technology to measure type, frequency and duration of nursing activities and Quality Patient Care Scale to measure the quality of care. NLU quality matched, but did not exceed, quality on the acute ward. Patterns of care differed between wards, but activities associated with therapeutic nursing were no more frequent on the NLU. These findings support the hypothesis that disappointing outcomes in recent evaluations may be linked to failure to implement a therapeutic model of nursing.
post-acute, intermediate care, nurse-led care, process of care, quality of care
307-319
Walsh, B.
5818243e-048d-4b4b-88c5-231b0e419427
Steiner, A.
5edd1b04-ec65-44e8-8f09-11553a02f0bb
Warr, J.
0837b769-75c9-4655-8e1a-e7ada043ad4d
Sheron, L.
16beb410-1555-4ea1-8f63-0ad91a84ebcb
Pickering, R.
4a828314-7ddf-4f96-abed-3407017d4c90
March 2003
Walsh, B.
5818243e-048d-4b4b-88c5-231b0e419427
Steiner, A.
5edd1b04-ec65-44e8-8f09-11553a02f0bb
Warr, J.
0837b769-75c9-4655-8e1a-e7ada043ad4d
Sheron, L.
16beb410-1555-4ea1-8f63-0ad91a84ebcb
Pickering, R.
4a828314-7ddf-4f96-abed-3407017d4c90
Walsh, B., Steiner, A., Warr, J., Sheron, L. and Pickering, R.
(2003)
Nurse-led inpatient care: opening the 'black box'.
International Journal of Nursing Studies, 40 (3), .
(doi:10.1016/S0020-7489(02)00091-3).
Abstract
With recent evaluations contradicting early reports of improved outcomes from nurse-led inpatient care, the ‘black box’ of nurse-led care must be opened in order to examine the model of treatment. We present findings on the processes of care in one nurse-led unit (NLU), compared with an acute ward. Patterns and quality of nursing care were quantified using bar-code technology to measure type, frequency and duration of nursing activities and Quality Patient Care Scale to measure the quality of care. NLU quality matched, but did not exceed, quality on the acute ward. Patterns of care differed between wards, but activities associated with therapeutic nursing were no more frequent on the NLU. These findings support the hypothesis that disappointing outcomes in recent evaluations may be linked to failure to implement a therapeutic model of nursing.
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Published date: March 2003
Keywords:
post-acute, intermediate care, nurse-led care, process of care, quality of care
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Local EPrints ID: 9394
URI: http://eprints.soton.ac.uk/id/eprint/9394
ISSN: 0020-7489
PURE UUID: b70745e9-ab7c-44aa-b6d7-4a7cf7c1172e
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Date deposited: 01 Oct 2004
Last modified: 16 Mar 2024 03:00
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Author:
A. Steiner
Author:
J. Warr
Author:
L. Sheron
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