an evaluation study of a training program in assisted personal body care for respiratory patients
Aim: To document the efficacy of a training programme in patient-centred care in which the nursing staff was trained to involve chronic obstructive pulmonary patients in assisted personal body care (APBC). The objectives were to describe the programme and uncover the outcomes. Background: Chronic obstructive pulmonary patients suffer from breathlessness and may need comprehensive assistance with personal body care. The patients’ wellbeing may be improved and their integrity safeguarded if nurses are able to involve the patients in accordance with their illness conditions and personal preferences. In order to achieve such competences in nursing staff, we developed, implemented and evaluated a training programme. Design: A qualitative outcome analysis was conducted in order to explore the dynamics of the training programme process and the outcome. patients to be more active, as was common practice prior to the training. According to the staff, there was no actual change in the patients’ level of activity. The training was time-consuming. Methods: Seven nurses and six nursing assistants from three hospital units were divided into two groups in which training and evaluation took place. The content of the programme was documented. Audio-recorded pre- and postfocus group discussions and oral evaluation within the two groups were analysed using Interpretive Description. Data were collected in 2007–2008. Results: The competences of the nursing staff to act in a patient-centred manner improved following the training. Staff was able to integrate patient preferences and professional measures, especially the ability to abstain from putting pressure on the patients to be more active, as was common practice prior to the training. According to the staff, there was no actual change in the patients’ level of activity. The training was time-consuming. Conclusion: A comprehensive training programme can improve nursing competences to action patient-centred and involve severely ill respiratory patients in APBC. Further studies are needed to investigate the efficacy from the patients’ perspective. Relevance to clinical practice: This programme can be adopted in respiratory nursing care and may be adjusted to other groups of patient who suffer from unpleasant symptoms and who need comprehensive assistance.
Journal of Nursing and Healthcare of Chronic Illness, 2011, Vol 3, Issue 3, p. 265-274