Measuring fundamental care using complexity science: A descriptive case study of a methodological innovation.
complex adaptive systems
complexity science
fundamentals of care
network analysis
nursing
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
revised:
12
05
2021
received:
21
10
2020
accepted:
13
05
2021
medline:
12
5
2023
pubmed:
18
6
2021
entrez:
17
6
2021
Statut:
ppublish
Résumé
This paper presents an exploratory account of an innovative methodology to record and evaluate fundamental care. Fundamental care is defined as the care required by everyone for survival, health and welfare. Fundamental care has been informed by the development and testing of the Fundamentals of Care Framework, which describes how fundamental care is complex and multidimensional, and consists of three interrelated dimensions and 38 elements. This accords with a broader re-examination of care provision as part of a complex adaptive system in which existing linear models of cause and effect are inadequate to describe the totality of activity. Informed by graph theory and complexity science, this paper presents a novel methodological innovation. It uses the Fundamentals of Care Framework to create a Matrix to quantify the relationships between different elements within the Framework. We use a Matrix methodology to process care recipient narratives to generate three outputs: a heat map, a summary table and a network analysis. The three outputs serve to quantify and evaluate fundamental care in a multidimensional manner. They capture different perspectives (care recipients and their families, direct care providers and care managers) to improve care outcomes. The future aim is to advance this exploration into digitalising and operationalising the Matrix in a user-friendly manner for it to become a real-time mechanism to evaluate and potentially predict patterns of fundamental care.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
This paper presents an exploratory account of an innovative methodology to record and evaluate fundamental care. Fundamental care is defined as the care required by everyone for survival, health and welfare.
BACKGROUND
BACKGROUND
Fundamental care has been informed by the development and testing of the Fundamentals of Care Framework, which describes how fundamental care is complex and multidimensional, and consists of three interrelated dimensions and 38 elements. This accords with a broader re-examination of care provision as part of a complex adaptive system in which existing linear models of cause and effect are inadequate to describe the totality of activity.
DESIGN
METHODS
Informed by graph theory and complexity science, this paper presents a novel methodological innovation. It uses the Fundamentals of Care Framework to create a Matrix to quantify the relationships between different elements within the Framework.
METHODS
METHODS
We use a Matrix methodology to process care recipient narratives to generate three outputs: a heat map, a summary table and a network analysis.
CONCLUSIONS
CONCLUSIONS
The three outputs serve to quantify and evaluate fundamental care in a multidimensional manner. They capture different perspectives (care recipients and their families, direct care providers and care managers) to improve care outcomes. The future aim is to advance this exploration into digitalising and operationalising the Matrix in a user-friendly manner for it to become a real-time mechanism to evaluate and potentially predict patterns of fundamental care.
Types de publication
Journal Article
Langues
eng
Pagination
2903-2912Informations de copyright
© 2021 John Wiley & Sons Ltd.
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