(*) Department of Nursing, University of Peloponnese

(**) Department of Nursing, National and Kapodistrian University of Athens

(***) General Hospital of Athens

(****)Center for Health Services Management and Evaluation Dept. of Nursing University of Athens

(*****) 3rd Regional Health Authority

INTRODUCING 12 NURSING CARE PLANS

IN GREEK PRIMARY HEALTH CARE STRUCTURES (PHCS)

Panagiotis Prezerakos (*) )Athena Kalokairinou (**)Maria Chatzopoulou (***)Sofia Zyga (*)Daphne Kaitelidou (**)Styliani Tziaferi (*)Stylianos Katsaragakis (*)Olga Siskou (****)Angeliki Dreliozi (*****)Elisabeth Patiraki (**)

INTRODUCTION Need for nursing care plans in clinical practice → bridge gap theory -

practice.

Theoretical knowledge → daily practice

Users → better quality of care

Nurses → scientific and professional autonomy

Nursing care plans in Greek Primary Health Care Structures becomes

urgent, due to economic crisis → efficient management of limited

human and material resources.

PURPOSE

The purpose of this project is the : development, application standardization and, dissemination

of twelve (12) primary nursing care plans in order to improve quality and safety of nursing care.

METHODOLOGYTitle: “Building Capacity of Primary Health Care (PHC) in Peloponnese region, by developing twelve (12) nursing care plans” (MIS: 374622) Implementation: University of Peloponnese Co- funded:Greek Government and European Union in terms of National Strategic Reference Framework (NSRF). Steering Team: Guidance, counseling support and feedbackImplementation Team: Relevant scientific data review and nursing care plans development

Project OverviewTitle: “Building Capacity of Primary Health Care (PHC) in Peloponnese region, by developing twelve (12) nursing care plans” Implementing Institution: Nursing Department, University of Peloponnese co- funded by Greek Government and European Union in terms of National Strategic Reference Framework

(NSRF).

Areas of practice prioritization-

selection of 12 care plans

12 Draft care plans

pilot application

through clinical

seminars in 2 PHCS

12 final care

plans

Steering Committee for guidance, counseling support and feedback

Implementation teamfor relevant scientific data review and nursing care plans development

Risk for InfectionLifestyle Sedentary

Risk for impaired Liver Function

Readiness for enhanced immunizationsRisk for Unstable Blood GlucoseIneffective Breathing PatternImpaired Skin IntegrityDeficient Fluid Volume (hypertonic or hypotonic) / (isotonic)Acute painDecreased Cardiac OutputNursing Minimum Data SetConsumables Management

TWELVE (12) NURSING CARE PLANS

RESULTSNursing Care plans of this project:

i) are related to specific nursing diagnoses as classified by NANDA (North American Nursing Diagnosis Association),

ii) contain evidence based nursing interventions according to NIC - (Nursing Intervention Classification) system and,

iii) Include nursing-sensitive patients’ outcomes according to NOC (Nursing Outcome Classification) system.

After a pilot application of the draft care plans through two clinical seminars in Two Health Centers, the Implementation Team collected feedback from the participants and adjusted the draft care plans to the final ones.

THE TWO (2) PILOT APPLICATIONS (Clinical Seminars)

Number of participants: 34 Women: 97% Mean age: 41 years Mean years of experience: 18 Τechnological Educational Institution

graduates: 92% Postgraduates (MSc., Specialty): 22%

Participants’ views

stress-

crisi

s management

patient teach

ing

new tech

nics

communica

tion skills

problem so

lving

57%37%

73%

37%27%

Educational needs

Almost all participants (97%) did not report previous training on nursing care plans

All participants reported that they were willing to expand Knowledge on nursing care plans

Participants’ views

41%

28%

31%

Nursing care plans‘ s im-plementation will improve

health care provided by nurses

strongly agree agree neutral

45%

52%

3%

This seminar adds value in continuing education

process

strongly agree agree neutral

Conclusions

The introduction of the 12 nursing care plans contributes a lot to the effort for:

• Rational management of sparse human and material resources.

• Promotion of quality of care• Improvement of professional autonomy of

nursing, by the use of a common language among nurses and the determination of nursing scientific body of knowledge.