Translating change: the development of a person-centred triage training programme for emergency nurses.
Within health care, there has been a change in practice from an illness-orientated service to one that is more health-focused and person-centred. The concept of person-centredness is frequently espoused by practitioners as being not only a desirable, but a necessary element of health care provision. Indeed, nationally and internationally, person-centred care has underpinned many healthcare documents and policies. Person-centred practice focuses on providing care, utilising a variety of processes that operationalise person-centred nursing and include working with patients' beliefs and values, engagement, presence, sharing decision-making and providing for physical needs. In the field of emergency nursing, the incorporation of person-centred care and its holistic foundation may require a significant shift in practice. There is evidence to suggest that emergency nurses view their role as one, which is predominantly concerned with providing urgent physical care, rather than one, which espouses the theories of holistic healthcare. To this extent, being person-centred in the context of emergency care, requires the nurse to move beyond the traditional notions of his/her role and to embrace the more holistic aspects of patient care. The aim of this article is to critically analyse how a change in nurse-led triage training in one Irish Emergency Department facilitated an improved person-centred approach in practice.
McBrien
Barry
B
Centre for Nurse Education, Mater Misercordiae University Hospital, Nelson Street, Dublin 7, Ireland. bmcbrien@mater.ie
D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D016529:Emergency Nursing / Q000193:education / Q000458:organization & administration; D006694:Holistic Health; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D007494:Ireland; D016294:Models, Nursing; D017146:Models, Organizational; D024802:Nurse's Role; D015402:Nursing Education Research; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care; D018802:Patient-Centered Care / Q000458:organization & administration*; D010687:Philosophy, Nursing; D016730:Program Development; D015397:Program Evaluation; D017749:Total Quality Management / Q000458:organization & administration; D014218:Triage / Q000458:organization & administration*