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Primary Nursing in Elderly Care

Primary Nursing in Elderly Care


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About the Book

This report describes a two-year study of the introduction of primary nursing in one of three matched elderly care wards. The process of change is outlined in chapter one. The objectives of the ward in making the change to primary nursing and five research questions are set out. Of particular importance is the way in which the change was integrated into the strategy for the unit and the personal objectives of senior staff. Support was given by the health authority which also provided some of the finance for the research. The change was made with the existing staff and without increasing running costs. A small sum for equipment was made available from trust funds. Chapter two looks at the way in which the nurses spent their time on the three wards. Over half of all the nurses' time on all three wards on day duty was spent on "direct care"; that is, helping patients with the activities of daily living such as washing, dressing, eating, elimination and getting around. Quality of care is assessed in chapter three. Asessments were carried out three times in each ward; in the pre-pilot, pilot and post-pilot periods. The standard of care was already comparatively high in the hospital before any changes were made. The study demonstrates the value of repeated asessments of quality of care. Interviews with nurses on the primary nursing ward are reported in chapter four. Chapter five looks at what the patients themselves thought of their care. In chapter six outcomes for patients are described and chapter seven attempts to put the study in the context of the literature available at the time it was planned and to evaluate the findings.


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Product Details
  • ISBN-13: 9781857170498
  • Publisher: King's Fund
  • Publisher Imprint: King's Fund
  • Height: 295 mm
  • Width: 210 mm
  • ISBN-10: 1857170490
  • Publisher Date: /09/1993
  • Binding: Paperback
  • Weight: 389 gr


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