4.6 Article

Can fundamental care be advanced using the science of care framework?

Journal

JOURNAL OF ADVANCED NURSING
Volume 79, Issue 3, Pages 991-1002

Publisher

WILEY
DOI: 10.1111/jan.15404

Keywords

caring; fundamental care; implementation; improvement; safety; science; symptom; team; innovation

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This manuscript introduces a practice-based research and innovation framework for evidence-informed Science of Care, emphasizing the provision of quality fundamental care and the acceleration of inquiry through transdisciplinary teams.
Aims This manuscript aims to provide a description of an evidence-informed Science of Care practice-based research and innovation framework that may serve as a guiding framework to generate new discoveries and knowledge around fundamental care in a more integrated manner. Background New ways of thinking about models of care and implementation strategies in transdisciplinary teams are required to accelerate inquiry and embed new knowledge and innovation into practice settings. A new way of thinking starts with an explicit articulation and commitment to the core business of the healthcare industry which is to provide quality fundamental care. Design This discursive paper delineates an iteratively derived Science of Care research and innovation framework (Science of Care Framework) that draws from a targeted literature review. Method The Science of Care Framework integrates caring science with safety and symptom sciences with implementation, improvement, innovation and team sciences. Each science dimension is described in terms of seminal and evolving evidence and theoretical explanations, focusing on how these disciplines can support fundamental care. Conclusions The Science of Care Framework can serve as a catalyst to guide future efforts to propel new knowledge and discoveries around fundamental care and how best to implement it into clinical practice through a transdisciplinary lens. Impact on nursing science, practice, or disciplinary knowledge The Science of Care Framework can accelerate nursing discipline-specific knowledge generation alongside inter and transdisciplinary insights. The novel articulation of the Science of Care Framework can be used to guide further inquiries that are co-designed, and led, by nurses into integrated models of care and innovations in clinical practice.

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