The Good, Wise and Right Clinical Nursing Practice

1. The Good, Wise and RightClinical Nursing Practice Development Nurses’ Network, Aalborg Hospital, Aarhus University Hospital: Jette Andreasen, Hanne Axelsen, Birgitte Boll, Susanne Bünger, Karin Kaasby, Hanne Kristensen, Astrid LaubergAnette Højer Mikkelsen, Birgith Pedersen, Ulla Sloth, Susanne Winther Sørensen, Charlotte Thorup, Ida Østrup Charlotte Delmar,Director,Clinical nursing Research Unit, Aalborg Hospital, Aarhus University Hospital The Department of Ophthalmology, Aalborg Hospital, Aarhus University Hospital: Lene Berg, Senior Nursing Officer Birgitte Boll, Development Nurse Karen Marie Poulsen, Sister Solveig Kroer Jensen, RN

2. The Good, Wise and RightClinical Nursing Practice Nursing philosophy – fulfilling the possibilities of the situation by the development of care ethics in clinical practice A joint cross-departmental nursing professional research project Patients and relatives have a legitimate claim for ethical nursing care Clinical nursing should always be based on a strong and vocal care ethics approach Background: The Research Project Experience backs up the observation that nurses’ attention is often focused on other things than the sick persons’ life world. The loss of control over one’s body, the significance of being involved in important decisions, the essentiality of lifecourage, hope, anxiety and despair are all examples of phenomena that are insufficiently integrated in nursing as it is being practiced. 

3. The Department of Ophthalmology receives mainly patients for outpatient treatment. The consultations are short and efficient and take from minutes to few hours. The short consultation implies that the nurse has to use her practical wisdom and judgement to prioritize the patient´s needs and expectations in the first, short point of contact If caring is to be retained as the ”essence” of nursing, then the various perspectives of caring must be clarified. Caring as an interpersonal relationship and caring as a moral commitment An important implication for the study is to elucidate the factors that influence satisfaction with nursing care, in the first, short point of contact, as seen from the patient´s perspective The Specific Study

4. Aims: The joint nursing professional research project is intended to strengthen nursing care at Aalborg Hospitalby basing it in care ethics. The intension is to focus on the actual way that nursingis being practised in order thatpatients and relatives are always ensured ‘good, wise and right’ nursing care The specific projects launched in each section will be initiated and supervised by development nurses – in close collaboration with researchers from the Clinical Nursing Research Unit. The purpose of the present project is to study, what the patients experience as “ a caring first point of contact” with the nurse. Patient satisfaction is a significant indicator for quality of care The Focus of the Study:What makes sense to the patient in the first, short point of contact with the nurse and what does the patient experience as quality of care?

5. Methods and Design: The study will be based on qualitative data. The project is guided by the phenomenological and hermeneutically philosophy Data are collected by means of semi-structured, tape-recorded interviews with patients after the first, short meeting with the nurse These data will be followed up with a focus group interview with 6-10 patients based on the data collection from the semi-structured interviews Intensions: To improve the quality of nursing care in the first, short contact with the patient The study will be realized in recommendations The Good, Wise and RightClinical Nursing Practice

6. The Good, Wise and RightClinical Nursing Practice Timetable: For further information, please contact: birgitte.boll@rn.dk