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Prevalence of assigned primary nurses in a neonatal intensive care unit during the period 1998-2007
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
Umeå University, Faculty of Medicine, Department of Nursing.
2013 (English)In: Neonatal, Paediatric & Child Health Nursing, ISSN 1441-6638, Vol. 16, no 1, 12- p.Article in journal (Refereed) Published
Abstract [en]

The implementation of primary nursing is expected to improve nurse-patient relationships and increase individuality in nursing care. However, it is apparent that not all families have had 'primary nurses' during hospital stays. To what extent primary nurses have been assigned to neonatal intensive care unit (NICU) families has not been described. The aim of this study is to report the prevalence of primary nursing care and elucidate whether the assignment of primary nurses increases the prevalence of admission interviews and written discharge summaries in an NICU setting in Sweden. Methods From 1998 to 2007, a total of 3,397 infants were admitted to a single NICU, of which 3,094 were included in this study. The following variables were collected: infant birth weight (BW) and gestational age at birth (GA), whether the family was assigned a primary nurse, whether the primary nurse performed an admission interview, and whether a discharge note was written. Results Primary nurses were assigned to 50% of families, according to the 3,094 charts examined. An admission interview with the primary nurse was documented in 41% of cases, and a written discharge note was recorded in 36%. Families with infants born ≤32 weeks GA were assigned primary nurses significantly more often than families whose infants were born ≥33 weeks GA. There were significant correlations between the prevalence of primary nurse assignments, admission interviews with families and the writing of discharge notes. Conclusion Assigning primary nurses to families increases the likelihood of both admission interviews being conducted at the start of NICU stays and discharge notes being written at the end of NICU stays, making visible that nursing care plans have been implemented and that follow-up plans have been forwarded to primary health care providers. More effort should be made to increase the prevalence of assigned primary nurses and to further study whether this is a determinant of nursing care quality.

Place, publisher, year, edition, pages
2013. Vol. 16, no 1, 12- p.
Keyword [en]
Primary nursing, support, relationship-based, neonatal intensive care, infants
National Category
URN: urn:nbn:se:umu:diva-81064OAI: diva2:652565
Available from: 2013-10-01 Created: 2013-10-01 Last updated: 2015-03-30Bibliographically approved

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van den Berg, JohannesLindh, Viveca
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