Journal Cholelithiasis
Journal Cholelithiasis
College of Nursing
nd
2 Semester Academic Year
2023-2024
NCM 118 RLE
Name of Student: Earllyn Viennah Mae P. Revelo Group No. B1 Date: May 2, 2024
Clinical Instructor: Harry Chris A. Taneo, MAN, RN
Since January 2022, the Heart and Diabetes Center NRW has been implementing
process-responsible nursing (PP), a development that involves planning, coordinating,
and evaluating nursing care on a pilot ICU. This pilot randomized controlled trial (RCT)
aims to test the feasibility of an RCT. For this purpose, the duration of delirium, among
other things, will be compared in the project ICU with the results of standard care in
another ICU at the university hospital. As secondary aims, the incidence of delirium,
anxiety, the satisfaction of relatives, and the effects of PP on nurses will be assessed.
They will be allocated to PP or standard care. Delirium will be assessed using the
Confusion Assessment Method for Intensive Care Units by specifically trained nurses
three times a day. Anxiety in patients, the satisfaction of relatives, and the effects of PP
on nurses will be evaluated using the numeric rating scale, a standardized
questionnaire, and a focus group interview, respectively. The primary hypothesis is that
compared to usual care PP reduces the duration of delirium by at least 8 h. Additional
hypotheses are that PP reduces anxiety in patients and increases the satisfaction of
relatives.
Reflection:
Reflecting on primary nursing it profound impact on patients. For me it is the best thing
to apply primary nursing in the special areas like intensive care unit which needed to
have the nurse more time to provide care to the client. This model enables the nurses to
have meaningful connections resulting enhanced satisfaction and potentially better
health outcomes. Primary nursing is a patient-centered care which elevate healthcare
experiences.
Reference: Krüger, L., Mannebach, T., Zittermann, A., Wefer, F., von Dossow, V., Rojas
Hernandez, S., ... & Langer, G. (2023). Patient-related effects of primary nursing:
Protocol of a pilot randomized controlled trial. Medizinische Klinik-Intensivmedizin und
Notfallmedizin, 118(4), 257-262. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160145/