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Using Qualitative Research Readings to Enhance the Delivery of Patient-Centered Care

Monday, 18 November 2013

Lila M. Warning, MSN, RN1
Margaret G. Williams, DNSc, RN1
LInda L. Burke, MSN2
Deborah Race, MSN2
(1)Blessing-Rieman College of Nursing, Quincy, IL
(2)College of Nursing, Blessing-Rieman College of Nursing, Quincy, IL

Learning Objective 1: 1. Describe findings from a study which required students to read qualitative research articles prior to clinical to improve patient-centered care.

Learning Objective 2: 2.Identify and discuss themes that emerged from students’ reflections that pertain to care of persons with respiratory diseases.

Getting ready for clinical practice is a challenge today for nursing students in a medical-surgical rotation. Novice nurses must develop safe practices. National Patient Safety Goals guide these practices. Clinical faculty are challenged by what should they expect from students, what type of preparation is essential, and what prepares them best to meet the complex needs of today’s medical-surgical patient.

Purpose: The purpose of this study is to explore students’ perceptions of reading qualitative research to enhance their delivery of patient-centered care, thus helping them learn to “listen” for the patient’s story.

Theoretical Framework: The Whole Person Nursing Framework which is unique to this College of Nursing guided the students’ interventions. Population: Junior medical-surgical nursing students at a small Midwest college.  Sample size: 35 experimental and 35 control participants.

Design: Quasi-experimental mixed methods study. Methods: Students in the experimental group were assigned to read qualitative research articles as a preclinical preparation activity and to complete reflective journaling.

Data Analysis: Hermeneutic centered interpretation was used to analyze the students’ journaling about their experiences of preclinical preparation and subsequent impact on patient care.

Results: The presentation will highlight the themes found in the experimental group who cared for respiratory patients with chronic obstructive pulmonary disease. Major themes were: Getting Ready to “Care”, and” Tailoring Care” for patients with respiratory disorders. A new set of interventions emerged to foster the delivery of patient-centered care for persons with respiratory conditions. The mnemonic ABCs has been rewritten to include Attending to Anxiety, attending to the state of Being, and Communicating (centering yourself, connecting with the patient, caring for the patient, calming the patient and showing concern for the patient).

Implications: These findings offer a novel way for students to prepare for delivery of patient centered care.

See more of: Evidence-Based Practice Posters Session 2
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