Introducing a systematic method for the practice and study of nursing in two clinical areas in Scotland: a retrospective analysis of the change process
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Farmer, Elizabeth S.
Abstract
A descriptive study of patients ' needs for nursing care
was carried out in two clinical areas within the Scottish
health service as part of a World Health Organization (Euro)
multinational research project. A change from traditional,
ritualistic, disease-oriented forms of nursing to a systematic,
person-centred method of nursing was a prerequisite for the
descriptive study of needs for nursing care. The Scottish
contribution to the multinational study was viewed as a
separate project which could be integrated in the overall
research programme. The theory of planned change developed by
Lippitt et al (1958) was used to introduce a systematic,
person-centred method for the practice and study of nursing in
the research settings. Action research was the vehicle for
change, and the Donabedian model gave added direction in
monitoring the change.
The purpose of the study presented in this thesis is to:
- describe the process of planned change to a
systematic, person-centred method of nursing with
the aim of identifying factors which may influence
nursing in meeting changing health needs of
individuals;
- describe the Scottish component of the
multinational study of needs for nursing care and
to report on the findings of a separate analysis
of the Scottish data.
The conclusions and recommendations focus on the areas of
nursing management, research, education and practice. Questions
are raised concerning the relationship between critical
thinking ability and nursing care planning. The usefulness of a
systematic method in forming a link between nursing practice,
research, management and. education is discussed with regard to
creating evolutionary change in nursing.
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