Fellowship as a Christian-Based Nursing Service In Primary Care System: A Concept Analysis

Frendy Fernando Pitoy; Elisa Anderson

doi:10.35974/isc.v11i1.3415

Authors

Frendy Fernando Pitoy Personal
Elisa Anderson Fakultas Keperawatan, Universitas Klabat.

https://doi.org/10.35974/isc.v11i1.3415

Keywords:

Fellowship, Nursing, Primary Nursing Care, Concept Analysis

Abstract

In addition to the fundamental concept of fellowship, the role of nurses in primary nursing care is becoming increasingly acknowledged for its crucial contribution to patient outcomes and healthcare delivery. Nurses are responsible for developing individualized care plans without the input of other healthcare professionals. Given the constraints of time and the necessity of providing patient-centered services, nurses tend to prioritize self-management, which can result in a lack of attention to their colleagues. In a demanding schedule that requires independent services, the fellowship in nursing probably still fits in the context. Purpose: This study aims to analyze the concept of fellowship nurses as a Christian-based nursing service in the primary care system setting Methods: Walker and Avant’s approach of concept analysis was used as the methodology. Findings: The main attributes of fellowship nurse in the primary care system are (1) nurse and patient collaboration, (2) nurse and expertise collaboration as preparation. These attributes are influenced by antecedent status like the educational background of nurse and patient, work environment, effective communication, emotional intelligence, resilience and adaptability, trust and confidentiality, and community engagement and advocacy. Additionally, the consequences based on this analysis found that when the collaboration between nurse and patient and nurse and expertise are met, there will be an improvement in patient and nurse satisfaction, better patient compliance and engagement, improved health outcomes, increased patient safety, enhanced emotional and psychological well-being, higher quality of care, and empowerment of patients.Value: The findings of this study can assist nurses in preparing themselves more thoroughly for the delivery of optimal patient-centered care. This can be achieved by improving the relationship between nurses and patients, particularly through the training of experts in the implementation of optimal service.

Article Metrics

Downloads

Download data is not yet available.

Author Biography

Elisa Anderson, Fakultas Keperawatan, Universitas Klabat.

Profesi Nerse Lecturer, School of nursing, Universitas Klabat

References

Aiken, L. H., Sloane, D. M., Ball, J., Bruyneel, L., Rafferty, A. M., & Griffiths, P. (2021). Patient satisfaction with hospital care and nurses in England: an observational study. BMJ Open, 8(1), e019189. https://doi.org/10.1136/bmjopen-2017-019189

Al-Abri, R., & Al-Balushi, A. (2014). Patient Satisfaction Survey as a Tool Towards Quality Improvement. Oman Medical Journal, 29(1), 3–7. https://doi.org/10.5001/omj.2014.02

Babapour, A.-R., Gahassab-Mozaffari, N., & Fathnezhad-Kazemi, A. (2022). Nurses’ job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC Nursing, 21(1), 75. https://doi.org/10.1186/s12912-022-00852-y

Bani Issa, W., Al Akour, I., Ibrahim, A., Almarzouqi, A., Abbas, S., Hisham, F., & Griffiths, J. (2020). Privacy, confidentiality, security and patient safety concerns about electronic health records. International Nursing Review, 67(2), 218–230. https://doi.org/10.1111/inr.12585

Barr, P. J., Scholl, I., Bravo, P., Faber, M. J., Elwyn, G., & McAllister, M. (2015). Assessment of Patient Empowerment - A Systematic Review of Measures. PLOS ONE, 10(5), e0126553. https://doi.org/10.1371/journal.pone.0126553

Birkhäuer, J., Gaab, J., Kossowsky, J., Hasler, S., Krummenacher, P., Werner, C., & Gerger, H. (2017). Trust in the health care professional and health outcome: A meta-analysis. PLOS ONE, 12(2), e0170988. https://doi.org/10.1371/journal.pone.0170988

Bitencourt, V. N., Crestani, F., Peuckert, M. Z., Andrades, G. R. H., Krauzer, J. R. M., Cintra, C. de C., Cunha, M. L. da R., Eckert, G. U., Girardi, L., Santos, I. S., & Garcia, P. C. R. (2023). Net Promoter Score (NPS) as a tool to assess parental satisfaction in pediatric intensive care units. Jornal de Pediatria, 99(3), 296–301. https://doi.org/10.1016/j.jped.2022.11.013

Brenner, M. J., Hickson, G. B., Rushton, C. H., Prince, M. E. P., Bradford, C. R., & Boothman, R. C. (2022). Honesty and Transparency, Indispensable to the Clinical Mission—Part II. Otolaryngologic Clinics of North America, 55(1), 63–82. https://doi.org/10.1016/j.otc.2021.07.018

Chambers, C., & Ryder, E. (2018). Compassion and Caring in Nursing. Reclif Publishing.

Chen, C.-M., & Lou, M.-F. (2014). The effectiveness and application of mentorship programmes for recently registered nurses: a systematic review. Journal of Nursing Management, 22(4), 433–442. https://doi.org/10.1111/jonm.12102

Christiansen, A., O’Brien, M. R., Kirton, J. A., Zubairu, K., & Bray, L. (2015). Delivering compassionate care: the enablers and barriers. British Journal of Nursing, 24(16), 833–837. https://doi.org/10.12968/bjon.2015.24.16.833

Cobb, Mark. Puchalski, Christina. Rumbold, B. (2016). Spirituality in Healthcare: In Becoming a Nurse. Routledge.

Dean, S., Halpern, J., McAllister, M., & Lazenby, M. (2020). Nursing education, virtual reality and empathy? Nursing Open, 7(6), 2056–2059. https://doi.org/10.1002/nop2.551

Donoso, L. M. B., Demerouti, E., Garrosa Hernández, E., Moreno-Jiménez, B., & Carmona Cobo, I. (2015). Positive benefits of caring on nurses’ motivation and well-being: A diary study about the role of emotional regulation abilities at work. International Journal of Nursing Studies, 52(4), 804–816. https://doi.org/10.1016/j.ijnurstu.2015.01.002

Edvardsson, D., Watt, E., & Pearce, F. (2017). Patient experiences of caring and person‐centredness are associated with perceived nursing care quality. Journal of Advanced Nursing, 73(1), 217–227. https://doi.org/10.1111/jan.13105

Feeney, A. (2023). RN Residency vs. RN Fellowship: What’s the Difference? Nurse Journal. https://nursejournal.org/resources/nursing-residency-vs-fellowship/

Felten, P., & Lembert, L. M. (2020). Relationship-Rich Education: How Human Connections Drive Success in College. Jhon Hopkins University Press.

Flaubert, L. J. (2021). The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. National Library of Medicine: National Center of Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK573910/#_ncbi_dlg_citbx_NBK573910

Guidi, C., & Traversa, C. (2021). Empathy in patient care: from ‘Clinical Empathy’ to ‘Empathic Concern.’ Medicine, Health Care and Philosophy, 24(4), 573–585. https://doi.org/10.1007/s11019-021-10033-4

Guttman, O. T., Lazzara, E. H., Keebler, J. R., Webster, K. L. W., Gisick, L. M., & Baker, A. L. (2021). Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resiliency, Reliability, and Patient Safety. Journal of Patient Safety, 17(8), e1465–e1471. https://doi.org/10.1097/PTS.0000000000000541

Hermann, R. M., Long, E., & Trotta, R. L. (2019). Improving Patients’ Experiences Communicating With Nurses and Providers in the Emergency Department. Journal of Emergency Nursing, 45(5), 523–530. https://doi.org/10.1016/j.jen.2018.12.001

Hibbard, J. H., Stockard, J., Mahoney, E. R., & Tusler, M. (2004). Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers. Health Services Research, 39(4p1), 1005–1026. https://doi.org/10.1111/j.1475-6773.2004.00269.x

Hojat, M. (2016). Empathy in Health Professions Education and Patient Care. Springer International Publishing. https://doi.org/10.1007/978-3-319-27625-0

Ignatavicius, D. D., & Workman, M. L. (2015). Medical-surgical nursing-e-book: patient-centered collaborative care. Elsevier Science.

Jimmy, B., & Jose, J. (2011). Patient Medication Adherence: Measures in Daily Practice. Oman Medical Journal, 26(3), 155–159. https://doi.org/10.5001/omj.2011.38

Karaca, A., & Durna, Z. (2019). Patient satisfaction with the quality of nursing care. Nursing Open, 6(2), 535–545. https://doi.org/10.1002/nop2.237

Kelley, J. M., Kraft-Todd, G., Schapira, L., Kossowsky, J., & Riess, H. (2014). The Influence of the Patient-Clinician Relationship on Healthcare Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. PLoS ONE, 9(4), e94207. https://doi.org/10.1371/journal.pone.0094207

Kieft, R. A., de Brouwer, B. B., Francke, A. L., & Delnoij, D. M. (2014). How nurses and their work environment affect patient experiences of the quality of care: a qualitative study. BMC Health Services Research, 14(1), 249. https://doi.org/10.1186/1472-6963-14-249

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nursing, 20(1), 158. https://doi.org/10.1186/s12912-021-00684-2

Mahon, M. A., Mee, L., Brett, D., & Dowling, M. (2017). Nurses’ perceived stress and compassion following a mindfulness meditation and self compassion training. Journal of Research in Nursing, 22(8), 572–583. https://doi.org/10.1177/1744987117721596

Maslach, C., Jackson, S. E., Leiter, M. P., Schaufeli, W. B., & Schwarb, R. L. (2024). Maslach Burnout InventoryTM (MBI). Mindgarden. https://www.mindgarden.com/117-maslach-burnout-inventory-mbi

Massey, D., Chaboyer, W., & Anderson, V. (2017). What factors influence ward nurses’ recognition of and response to patient deterioration? An integrative review of the literature. Nursing Open, 4(1), 6–23. https://doi.org/10.1002/nop2.53

McKinnon, J. (2018). In their shoes: An ontological perspective on empathy in nursing practice. Journal of Clinical Nursing, 27(21–22), 3882–3893. https://doi.org/10.1111/jocn.14610

Mohamad, R. W., Ritsky, F. P., & Tristiana, D. (2016). Relationship Between Nurse Caring Behavior With Patient Satisfaction In Isolation Room of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City. Researchgate.

Monette, M. (2012). Hospital readmission rates under the microscope. Canadian Medical Association Journal, 184(12), E651–E652. https://doi.org/10.1503/cmaj.109-4245

Morgan, S., Pullon, S., & McKinlay, E. (2015). Observation of interprofessional collaborative practice in primary care teams: An integrative literature review. International Journal of Nursing Studies, 52(7), 1217–1230. https://doi.org/10.1016/j.ijnurstu.2015.03.008

Murray, M., Sundin, D., & Cope, V. (2018). The nexus of nursing leadership and a culture of safer patient care. Journal of Clinical Nursing, 27(5–6), 1287–1293. https://doi.org/10.1111/jocn.13980

Náfrádi, L., Nakamoto, K., & Schulz, P. J. (2017). Is patient empowerment the key to promote adherence? A systematic review of the relationship between self-efficacy, health locus of control and medication adherence. PLOS ONE, 12(10), e0186458. https://doi.org/10.1371/journal.pone.0186458

Peters, V. J. T., Meijboom, B. R., Bunt, J. E. H., Bok, L. A., van Steenbergen, M. W., de Winter, J. P., & de Vries, E. (2020). Providing person-centered care for patients with complex healthcare needs: A qualitative study. PLOS ONE, 15(11), e0242418. https://doi.org/10.1371/journal.pone.0242418

Pratt, H., Moroney, T., & Middleton, R. (2021). The influence of engaging authentically on nurse–patient relationships: A scoping review. Nursing Inquiry, 28(2). https://doi.org/10.1111/nin.12388

Reed, P. G. (2018). Nursing Knowledge and Theory Innovation,. Springer.

Rørtveit, K., Sætre Hansen, B., Leiknes, I., Joa, I., Testad, I., & Severinsson, E. (2015). Patients’ Experiences of Trust in the Patient-Nurse Relationship—A Systematic Review of Qualitative Studies. Open Journal of Nursing, 05(03), 195–209. https://doi.org/10.4236/ojn.2015.53024

Sibiya, M. N. (2018). Effective Communication in Nursing. In Nursing. InTech. https://doi.org/10.5772/intechopen.74995

Sinclair, S., Beamer, K., Hack, T. F., McClement, S., Raffin Bouchal, S., Chochinov, H. M., & Hagen, N. A. (2017). Sympathy, empathy, and compassion: A grounded theory study of palliative care patients’ understandings, experiences, and preferences. Palliative Medicine, 31(5), 437–447. https://doi.org/10.1177/0269216316663499

Spector, P. (1997). Job Satisfaction Survey. Paul Spector. https://paulspector.com/assessments/pauls-no-cost-assessments/job-satisfaction-survey-jss/

Stange, K. C., Etz, R. S., Gullett, H., Sweeney, S. A., Miller, W. L., Jaén, C. R., Crabtree, B. F., Nutting, P. A., & Glasgow, R. E. (2014). Metrics for Assessing Improvements in Primary Health Care. Annual Review of Public Health, 35(1), 423–442. https://doi.org/10.1146/annurev-publhealth-032013-182438

Vainauskienė, V., & Vaitkienė, R. (2021). Enablers of Patient Knowledge Empowerment for Self-Management of Chronic Disease: An Integrative Review. International Journal of Environmental Research and Public Health, 18(5), 2247. https://doi.org/10.3390/ijerph18052247

Vana, P. K., Votero, B. A., & Altmiler, G. (2022). Nurses as leaders and managers for safe, high-quality patient care. Quality and Safety Education for Nurses: Core Competencies for Nursing Leadership and Care Management. Springer International Publishing.

Walker, L. O., & Avant, K. C. (2019). Strategy for Theory construction in nursing. In Pearson Education (6th ed.). Pearson Education.

Watkins, T. (2016). Tools for Self-Management. Tom Walkins Group. https://encouragementors.com/tools-for-self-management/

Yoo, W., Namkoong, K., Choi, M., Shah, D. V., Tsang, S., Hong, Y., Aguilar, M., & Gustafson, D. H. (2014). Giving and receiving emotional support online: Communication competence as a moderator of psychosocial benefits for women with breast cancer. Computers in Human Behavior, 30, 13–22. https://doi.org/10.1016/j.chb.2013.07.024

Zapatka, S. A., Conelius, J., Edwards, J., Meyer, E., & Brienza, R. (2014). Pioneering a Primary Care Adult Nurse Practitioner Interprofessional Fellowship. The Journal for Nurse Practitioners, 10(6), 378–386. https://doi.org/10.1016/j.nurpra.2014.03.018

Zha, P., Qureshi, R., Sickora, C., Porter, S., Chase, S., & Chao, Y.-Y. (2020). Development of A Patient-Nurse Trust Scale in Underserved Community Setting. Journal of Community Health Nursing, 37(1), 9–18. https://doi.org/10.1080/07370016.2020.1693093