title: Development and preliminary testing of a framework to evaluate patients' experiences of the fundamentals of care: a secondary analysis of three stroke survivor narratives.
abstract: Aim. To develop and test a framework describing the interrelationship of three key dimensions (physical, psychosocial, and relational) in the provision of the fundamentals of care to patients. Background. There are few conceptual frameworks to help healthcare staff, particularly nurses, know how to provide direct care around fundamental needs such as eating, drinking, and going to the toilet. Design. Deductive development of a conceptual framework and qualitative analysis of secondary interview data. Method. Framework development followed by a secondary in-depth analysis of primary narrative interview data from three stroke survivors. Results. Using the physical, psychosocial and relational dimensions to develop a conceptual framework, it was possible to identify a number of "archetypes" or scenarios that could explain stroke survivors' positive experiences of their care. Factors contributing to suboptimal care were also identified. Conclusions. This way of thinking about how the fundamentals of care are experienced by patients may help to elucidate the complex processes involved around providing high quality fundamentals of care. This analysis illustrates the multiple dimensions at play. However, more systematic investigation is required with further refining and testing with wider healthcare user groups. The framework has potential to be used as a predictive, evaluative, and explanatory tool.
authors.affiliation: School of Nursing, Faculty of Health Sciences, University of Adelaide, Level 3, Eleanor Harrald Building, Adelaide, SA 5005, Australia ; Centre for Evidence Based Practice South Australia, School of Nursing, Faculty of Health Sciences, The University of Adelaide, Adelaide, SA 5005, Australia ; Green Templeton College, University of Oxford, 43 Woodstock Road, Oxford OX2 6HG, UK.
authors.forename: Alison L
authors.initials: AL
authors.lastname: Kitson
authors.forename: Asa
authors.initials: A
authors.lastname: Muntlin Athlin