Evidence map›Paper›PMID 41174734›Full record

ArticleBMC nursing2025

What enables and hinders nursing staff in delivering person-centred fundamental care? A qualitative study within the incharge programme.

Anna-Karin Gunnarsson, Therese Avallin, Anna Hauffman, Lena Nyholm, Katarina Edfeldt, Camilla Fröjd, Elin Björk, Eva Jangland

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Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Anna-Karin GunnarssonNursing Research, Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala, S-751 85, Sweden. anna-karin.gunnarsson@uu.se.
Therese AvallinNursing Research, Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala, S-751 85, Sweden.
Anna HauffmanNursing Research, Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala, S-751 85, Sweden.
Lena NyholmNursing Research, Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala, S-751 85, Sweden.
Katarina EdfeldtNursing Research, Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala, S-751 85, Sweden.
Camilla FröjdNursing Research, Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala, S-751 85, Sweden.
Elin BjörkNursing Research, Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala, S-751 85, Sweden.
Eva JanglandNursing Research, Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala, S-751 85, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeeting patients' fundamental care needs is a core aspect of nursing. However, there is compelling evidence of missed nursing care within surgical care. Person-centred care is known to increase patient involvement and prevent missed nursing care. The Fundamentals of Care framework aligns with person-centred care principles. It has the essential relationship-based care process at its core and serves as a guide for delivering person-centred fundamental care. This study aims to describe what enables and hinders the delivery of person-centred fundamental care as identified by registered nurses and nursing assistants in a surgical department.

methodsA qualitative descriptive study was performed. Registered nurses and nurse assistants (nursing staff) from three surgical wards at a university hospital participated in a workshop package about person-centred fundamental care. Data were collected from two workshops with 106 and 92 participants, respectively, individual written reflections on a situation in clinical practice related to person-centred fundamental care delivery (83 participants), and three focus group interviews with a total of 13 participants. The data were analysed using content analysis.

resultsThe results present the nursing staffs' descriptions of what enables and hinders the delivery of person-centred fundamental care in three categories: [1] a culture of daily mentorship to ensure adherence to person-centred routines; [2] a distinct nursing leadership-supportive in both routines of daily practice and high-pressure situations; and [3] enhancing comprehension of person-centred care routines to embed the approach in everyday thinking and actions.

conclusionsTo provide person-centred fundamental care, nursing staff need organizational support in both culture and routines. Nurse managers need to be clear on how care is to be delivered, challenge prevailing old habits, and act as role models in changing practices. Nursing staff need to take their responsibility by adhering to routines and contributing to driving changes. The results can be used to navigate the complex implementation of person-centred fundamental care and also demonstrate the need for a change toward person-centred fundamental care being valued and prioritized in organizations. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

CultureFundamental careLeadershipNursePerson-centred careQualitativeRoutines

Identifiers

PMID41174734
PMCPMC12577148

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.