Commitment and Human Tone: the Difference between Traditional Service and Nursing Care.
Maryory Guevara Lozano, Ligia Patricia Arroyo Marles, Beatriz Pérez Giraldo and 1 others
PMID 31083842WHAT IT FOUND
Patients and family caregivers met nurses at admission, assessment, basic needs, medication administration, shift change, and discharge, with education and communication running through them.
The authors proposed that commitment plus human tone can turn these encounters into nursing care.
Key findings
01The hospital route identified repeated moments when patients and family caregivers met nurses: admission, assessment, care of basic needs, medication administration, shift change, and discharge.
02Patients described care as being identified as persons, having timely care, receiving treatment, and receiving a response to their concerns; family caregivers generally did not see themselves as subjects of care.
03The authors proposed that commitment supported by evidence and human tone together turn a nurse-patient or family caregiver encounter into a moment of nursing care.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The paper does not report how many patients, family caregivers, or nurses were observed. It is based in a single institution, so the route and moments may not apply elsewhere. It proposes a model but does not test whether the model changes patient or family caregiver outcomes. The literature review was not described as a systematic review, and the authors selected studies from several designs. Family caregivers generally did not identify themselves as subjects of care, so their needs may be harder to capture from the described encounters.
Declared interests
The authors declared no conflicts of interest. The work was part of a teaching-care alliance between the Universidad de La Sabana Clinic and the Faculty of Nursing and Rehabilitation at the same institution.
The easy way to misread this
Do not read the proposed commitment and human tone model as evidence that it improves patient or family caregiver outcomes. The paper describes observations and a literature-based proposal at a single institution; it does not report a tested intervention or measured results.