Patients’ and nurses’ experiences of fundamental nursing care: a systematic review and qualitative synthesis

Abstract

Aims and objectives To systematically identify, appraise and synthesise patients’, residents’, and nurses’ experiences of fundamental nursing care for nutrition, elimination, mobility, and hygiene. Background The evidence base for effective nursing behaviours to assist people with their fundamental care needs is sparse, hampering the development of effective interventions. Synthesising data on patients’ and nurses’ experiences of fundamentals of nursing care could contribute to the development of such an intervention. Methods Systematic review and synthesis of qualitative data from qualitative studies on patients’ and nurses’ experiences of fundamental nursing care behaviours addressing peoples’ nutrition, elimination, mobility, and hygiene needs. We appraised study quality and relevance and used a narrative approach to data synthesis, fulfilling PRISMA criteria (Supplementary file 1). Results We identified 22,374 papers, 47 met our inclusion criteria. Most papers were of low quality. Sixteen papers met our quality and relevance criteria and were included for synthesis. Papers were about nutrition (2) elimination (2), mobility (5), hygiene (5) and multiple care areas (2). We found nurses and patients report that fundamental nursing care practices involve strong leadership, collaborative 2 partnerships with patients and cohesive organisational practices aligned to nursing care objectives and actions. Conclusions. To improve fundamental care and interventions suitable for testing may require attention to leadership, patient-nurse relationships and organisational coherence plus the fundamentals of care nursing interventions themselves. Relevance to clinical practice. More rigorous mixed methods research about fundamental nursing care is needed to inform nursing practice and improve patient’s experience. Nursing interventions should include effective nurse leadership and nurse patient collaboration and a focus on fundamental care by the host organisation.