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| A Therapeutic Relationship
and a Plan of Care |
Primary Nursing is a care delivery
method based on decentralized decision making. Primary Nurses
are professionally accountable for their own practices, and
are responsible for their patients' continuity of care.
In Primary Nursing, a therapeutic relationship
is established between an RN and an individual patient and his
or her family. The relationship is initiated by the nurse and
is in effect for the length of the patient's stay in a service
or unit. One crucial component of this therapeutic relationship
is the clarity of the RN's acceptance of responsibility for
decision-making regarding the nursing care the patient receives
during his or her stay. Another crucial component is that the
relationship is known to the patient, family, and other members
of the care team.
The Primary Nurse does not provide all of the care, but rather
identifies the patient's unique health needs and priorities,
establishes an individualized plan of care, and communicates
that plan to other members of the team.
Primary Nursing focuses on the nurse-patient relationship, strengthens
accountability for care, and facilitates patient and family
involvement in the planning of care. |
| Primary Nursing Resources |
The
Practice of Primary Nursing, 2nd Edition
- This classic text by Marie Manthey was updated in 2002.
- Selected Bibliography
- Creative Health Care Management faculty compiled this
list of the best Primary Nursing article and books.
- "I
Never Saw Myself as a Change Agent" - In this
article on on Sigma Theta Tau's website, Marie Manthey discusses
the development of Primary Nursing. Originally published
in Reflections, Second Quarter, 1999.
- "What
is the Effect of Primary Nursing on Job Satisfaction for
Nurses in the Psychiatric Setting?"
This study of a 36 bed psychiatric unit in a Sydney Metropolitan
Teaching Hospital indicates Primary Nursing increase nurse
satisfaction and improves communication.
- Primary
Nursing: Sharing Visions and Strategies
Creative Health Care Management, the Association of California
Nurse Leaders (ACNL) and UC Davis Medical Center, a Magnet
Hospital since 1997, present this Primary Nursing Conference
in Sacramento, CA in May 2006.
- Instrumentation
for Assessing Pivotal Features of Professional Nursing Care
This article by John Nelson
describes the development of The Professional Patient Care
Index (PPCI), an instrument for assessing pivotal features
of professional nursing care as perceived by the staff nurse.
Development of the PPCI emerged from a larger study of the
relationship between primary nursing and selected variables
of nurse satisfaction.
- Caring
Made Visible
In this 1998 interview, Kristen
M. Swanson discusses her theory on the "Five Caring
Processes of Nursing." Also included, Mary Koloroutis shares
how Abbott Northwestern Hospital applied the Five Caring
Processes. An abbreviated version of this interview was
published in Creative
Nursing.
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