Person-centred care in nursing documentation

International Journal of Older People Nursing

Volumn 8, Issue 4, 2013, Pages 309-318

  Broderick, Margaret C ^a   Coffey, Alice ^b  

^a St Patricks Hospital   (Ireland)

^b UNIVERSITY COLLEGE CORK   (Ireland)

Author keywords

Documentation; Nursing; Older people; Person centred practice; Residential care

Indexed keywords

AGED; ARTICLE; DOCUMENTATION; GERIATRIC NURSING; HOLISTIC NURSING; HUMAN; LONG TERM CARE; MEDICAL RECORD; METHODOLOGY; MODEL; NURSE PATIENT RELATIONSHIP; NURSING; OLDER PEOPLE; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PATIENT PARTICIPATION; PERSON-CENTRED PRACTICE; QUALITATIVE RESEARCH; RESIDENTIAL CARE;

DOCUMENTATION; NURSING; OLDER PEOPLE; PERSON-CENTRED PRACTICE; RESIDENTIAL CARE;

AGED; DOCUMENTATION; GERIATRIC NURSING; HOLISTIC NURSING; HUMANS; LONG-TERM CARE; MODELS, NURSING; NURSE-PATIENT RELATIONS; NURSING RECORDS; PATIENT PARTICIPATION; PATIENT-CENTERED CARE; QUALITATIVE RESEARCH;

EID: 84887778414     PISSN: 17483735     EISSN: 17483743     Source Type: Journal    
DOI: 10.1111/opn.12012     Document Type: Article

References (52)

1. An Bord Altranais (2002) Recording Clinical Practice Guidance to Nurses and Midwives. An Bord Altranais, Dublin.
2. An Bord Altranais (2009) Professional Guidance for Nurses Working with Older People. An Bord Altranais, Dublin.
3. Attree M. (2001) patients' and relatives' experiences and perspectives of 'good' and 'not so good' quality care. Journal of Advanced Nursing 33, 456-466.
4. Austin S. (2010) Ladies and gentlemen of the jury, I present.. the nursing documentation. Plastic Surgical Nursing 30, 111-117.
5. Bastiens H., Van Royen P., Pavlic D., Raposo V. & Baker R. (2007) Older people's preferences for involvement in their own care: a qualitative study in primary health care in 11 European countries. Patient Education and Counselling 68, 33-42.
6. Bjorvell C., Wredling R. & Thorell-Ekstrand I. (2003) Improving documentation using a nursing model. Journal of Advanced Nursing 43, 402-410.
7. Brown Wilson C. & Clissett P. (2010) Involving older people in research: practical considerations when using the authenticity criteria in constructivist inquiry. Journal of Advanced Nursing. 67, 677-686.
8. Brown D., McWilliam C. & Ward-Griffin C. (2006) Client-centred empowering partnering in nursing. Journal of Advanced Nursing 53, 160-168.
9. Cheevakasemsook A., Chapman Y., Francis K. & Davies C. (2006) The study of nursing documentation complexities. International Journal of Nursing Practice 12, 336-374.
10. Clarke A. (2000) Using biography to enhance the nursing care of older people. British Journal of Nursing 9, 429-433.
11. Clarke A., Hanson E. & Ross H. (2003) Seeing the person behind the patient: enhancing the care of older people using a biographical approach. Journal of Clinical Nursing 12, 697-706.
12. College of Registered Nurses of Nova Scotia (2005) Documentation Guidelines for Registered Nurses. College of Registered Nurses of Nova Scotia, Halifax.
13. Daskein R., Moyle W. & Creedy D. (2009) Aged-care nurses' knowledge of nursing documentation: an Australian perspective. Journal of Clinical Nursing 18, 2087-2095.
14. De Marinis M., Piredda M., Pascarella M., Vincenzi B., Spiga F., Tartaglini D., Alvaro R. & Matarese M. (2010) "If it is not recorded, it has not been done!"? Consistency between nursing records and observed nursing care in an Italian hospital. Journal of Clinical Nursing 19, 1544-1552.
15. Duncan-Meyers A. & Huebner R. (2000) Relationship between choice and quality of life among residents in long-term-care facilities. American Journal of Occupational Therapy 54, 504-508.
16. Edvardsson D., Fetherstonhaugh D. & Nay R. (2010) Promoting a continuation of self and normality: person-centred care as described by people with dementia, their family members and aged care staff. Journal of Clinical Nursing 19, 2611-2618.
17. Elo S. & Kyngäs H. (2007) The qualitative content analysis process. Journal of Advanced Nursing 62, 107-115.
18. Ford P. & McCormack B. (2000) Keeping the person in the centre of nursing. Nursing Standard 2, 40-44.
19. Health Information and Quality Authority (2009) National Quality Standards for Residential Care Settings for Older People. Health Information and Quality Authority, Dublin.
20. Health Service Executive (2010) DML Integrated Minimum Data Set. DML Services for Older Persons and Nursing and Midwifery Planning and Development. Available at: http://www.lenus.ie/hse/bitstream/10147/116389/1/dmlmds.pdf (accessed 21 June 2011).
21. Hooks R. & Roberts J. (2007) Older peoples' personal care needs: an analysis of care provision: care provision and the roles of key healthcare personnel. International Journal of Older People Nursing 2, 263-269.
22. Hyde A., Treacy P., Scott A., Butler M., Drennan J., Irving K., Byrne A., MacNeela P. & Hanrahan M. (2005) Modes of rationality in nursing documentation: biology, biography and the 'voice of nursing'. Nursing Inquiry 12, 66-77.
23. Irving K., Treacy M., Scott A., Hyde A., Butler M. & MacNeela P. (2006) Discursive practices in the documentation of patient assessments. Journal of Advanced Nursing 53, 151-159.
24. Jefferies D., Johnson M., Griffiths R., Arthurs K., Beard D., Chen T., Edgetton-Winn M., Hecimovic T., Hughes M., Linten K., Maddox J., McCaul D., Robson K., Scott S. & Zarkos T. (2010) Engaging clinicians in evidence based policy development: the case of nursing documentation. Contemporary Nurse 35, 254-264.
25. Johnson M., Jefferies D. & Langdon R. (2010) The nursing and midwifery content audit tool (NMCAT): a short nursing documentation audit tool. Journal of Nursing Management 18, 832-845.
26. Kelly J. (2007) Barriers to achieving patient-centred care in Ireland. Dimensions of Critical Care Nursing 26, 29-34.
27. Kirpal S. (2004) Work identity of nurses: between caring and efficiency demands. Career Development International 9, 274-304.
28. Kitwood T. (1997) The concept of personhood and its relevance for a new culture of dementia care. In Caregiving in Dementia: Research and Applications, Vol. 2 (Miesen B. ed.). Routledge, London, pp. 3-14.
29. Kitwood T. (2003) Dementia Reconsidered: the Person Comes First. Open University Press, Berkshire.
30. Kontos P. & Naglie G. (2007) Bridging theory and practice: Imagination, the body and person-centred dementia care. Dementia 6, 549-569.
31. Laitinen H., Kaunonen M. & Astedt-Kurki P. (2010) Patient-focussed nursing documentation expressed by nurses. Journal of Clinical Nursing 19, 489-497.
32. McCance T. (2003) Caring in nursing practice: the development of a conceptual framework. Research and Theory for Nursing Practice 17, 101-116.
33. McCarthy B. (2006) Translating person-centred care: a case study of preceptor nurses and their teaching practices in acute care areas. Journal of Clinical Nursing 15, 629-638.
34. McCormack B. (2001a) Autonomy and the relationship between nurses and older people. Ageing and Society 21, 417-446.
35. McCormack B. (2001b) Negotiating Partnerships with Older People: A Person-Centred Approach. Ashgate, Aldershot.
36. McCormack B. (2003) A conceptual framework for person-centred practice with older people. International Journal of Nursing Practice 9, 202-209.
37. McCormack B. & McCance T. (2006) Development of a framework for person-centred nursing. Journal of Advanced Nursing 56, 472-479.
38. McCormack B. & McCance T. (2010) Person-Centred Nursing: Theory and Practice, Wiley-Blackwell, Oxford.
39. McCormack B., McCance T., Slater P., McCormick J., McArdle C. & Dewing J. (2008) Person-centred outcomes and cultural change. In International Practice Development in Nursing and Healthcare (Manley K., McCormack B. & Wilson B. eds). Blackwell, Chichester.
40. McCormack B., Dewing J., Breslin L., Tobin C., Manning M., Coyne-Nevin A. & Kennedy K. (2010a) The Implementation of a Model of Person-Centred Practice in Older Person Settings. Health Service Executive, Dublin.
41. McCormack B., Dewing J., Breslin L., Coyne-Nevin A., Kennedy K., Manning M., Peelo-Kilroe L., Tobin C. & Slater P. (2010b) Developing person-centred practice: nursing outcomes arising from changes to the care environment in residential settings for older people. International Journal of Older People Nursing 5, 93-107.
42. Murphy K. (2007) nurses' perceptions of quality and the factors that affect quality care for older people living in long-term care settings in Ireland. Journal of Clinical Nursing 16, 873-884.
43. Nursing and Midwifery Council (2010) Record Keeping: Guidance for Nurses and Midwives. Nursing and Midwifery Council, London.
44. Owen K. (2005) Documentation in nursing practice. Nursing Standard 19, 48-49.
45. Paans W., Sermeus W., Nieweg R. & van der Schans C. (2010) D-Catch Instrument: development and psychometric testing of a measurement instrument for nursing documentation in hospitals. Journal of Advanced Nursing 66, 1388-1400.
46. Parse R. (1999) Nursing Science: the transformation of practice. Journal of Advanced Nursing 30, 1383-1387.
47. Schoot T., Proot I., Ter Meulen R. & De Witte L. (2005) Actual interaction and client centeredness in home care. Clinical Nursing Research 14, 370-393.
48. Sloane P., Hoeffer B., Mitchell C., McKenzie D., Barrick A., Rader J., Stewart B., Talerico K., Rasin J., Zink R. & Koch G. (2004) Effect of person-centred showering and the towel bath on bathing-associated aggression, agitation and discomfort in nursing home residents with dementia: a randomised controlled trial. Journal of the American Geriatrics Society 52, 1795-1804.
49. Touhy T. (2004) Dementia, personhood and nursing: learning from a nursing situation. Nursing Science Quarterly 17, 43-49.
50. United Nations (1948) The Universal Declaration of Human Rights. United Nations, Geneva.
51. Voutilainen P., Isola A. & Muurinen S. (2004) Nursing documentation in nursing homes - state-of-the-art and implications for quality improvement. Scandinavian Journal of Caring Sciences 18, 72-81.
52. Watts G. (2011) Applying skills and knowledge: principle of nursing practice F. Nursing Standard 25, 35-37.