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Nursing Research and Practice
Volume 2013 (2013), Article ID 572437, 12 pages
Research Article

Development and Preliminary Testing of a Framework to Evaluate Patients' Experiences of the Fundamentals of Care: A Secondary Analysis of Three Stroke Survivor Narratives

1School of Nursing, Faculty of Health Sciences, University of Adelaide, Level 3, Eleanor Harrald Building, Adelaide, SA 5005, Australia
2Centre for Evidence Based Practice South Australia, School of Nursing, Faculty of Health Sciences, The University of Adelaide, Adelaide, SA 5005, Australia
3Green Templeton College, University of Oxford, 43 Woodstock Road, Oxford OX2 6HG, UK
4Department of Medical Sciences, Uppsala University, Uppsala University Hospital, 751 85 Uppsala, Sweden
5Department of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22 Uppsala, Sweden
6Department of Emergency Care, Uppsala University Hospital, 751 85 Uppsala, Sweden

Received 4 March 2013; Revised 20 May 2013; Accepted 22 May 2013

Academic Editor: Ivo Abraham

Copyright © 2013 Alison L. Kitson and Åsa Muntlin Athlin. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aim. To develop and test a framework describing the interrelationship of three key dimensions (physical, psychosocial, and relational) in the provision of the fundamentals of care to patients. Background. There are few conceptual frameworks to help healthcare staff, particularly nurses, know how to provide direct care around fundamental needs such as eating, drinking, and going to the toilet. Design. Deductive development of a conceptual framework and qualitative analysis of secondary interview data. Method. Framework development followed by a secondary in-depth analysis of primary narrative interview data from three stroke survivors. Results. Using the physical, psychosocial and relational dimensions to develop a conceptual framework, it was possible to identify a number of “archetypes” or scenarios that could explain stroke survivors’ positive experiences of their care. Factors contributing to suboptimal care were also identified. Conclusions. This way of thinking about how the fundamentals of care are experienced by patients may help to elucidate the complex processes involved around providing high quality fundamentals of care. This analysis illustrates the multiple dimensions at play. However, more systematic investigation is required with further refining and testing with wider healthcare user groups. The framework has potential to be used as a predictive, evaluative, and explanatory tool.