Nursing Narratives, Reflective Practice and Professional Development (NarratUN)

Study Overview
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Brief Summary
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Background: In addition to foster reflective practice, clinical narratives may be used as a means to improve nurses' critical thinking and their acquisition of clinical competencies. However, few studies have studied their potential value to promote nursing professional development and there is no evidence that shows their value as a tool to improve nurses' competencies to provide a person-centred nursing care. Purpose: To evaluate the preliminary efficacy of narratives for the development of three nursing professional competences -respect, intentional presence and knowing the person- paramount to provide person-centred care. Method: A pilot quasi-experimental study. A total of 34 nurses enrolled in a global training course of a nursing specialization were recruited in September 2016. All the nurses received a multi-component intervention based on the Critical Reflexive Inquiry Model. The strategies of this program consisted in the writing of 3 narratives; 3 masterclass of 3, 2 and 3 hours respectively; a discussion group; and a face-to-face interview. The NarratUN Evaluation tool was used to assess outcomes. The primary outcome was the difference in the mean of respect, intentional presence and knowing the person pre and post intervention. Changes within nurses were analyzed using Wilcoxon signed Rank test.

Official Title
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Narratives and Reflective Practice: A Programme for the Development of Professional Competences in Nursing

Conditions
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Narrative Medicine

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being in a specialized training programme Exclusion Criteria: Not being in a specialized training programme
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Respect. Measurement tool: NarratUN Evaluation Tool (NET) | The difference in the mean of respect value (pre-post) | 9 month | 
| Intentional presence. Measurement tool: NarratUN Evaluation Tool (NET) | The difference in the mean of intentional presence value (pre-post) | 9 month | 
| Knowing the person. Measurement tool: NarratUN Evaluation Tool (NET) | The difference in the mean of knowing the person value (pre-post) | 9 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Handling the narrative. Measurement tool: NarratUN Evaluation Tool (NET) | The difference in the mean of Handling the narrative value (pre-post) | 9 month | 
| Respect. Measurement tool: NarratUN Evaluation Tool (NET) | The difference in the mean of respect value along different times of the study | 2 month follow-up | 
| Intentional presence. Measurement tool: NarratUN Evaluation Tool (NET) | The difference in the mean of intentional presence value along different times of the study | 2 month follow-up | 
| Knowing the person. Measurement tool: NarratUN Evaluation Tool (NET) | The difference in the mean of knowing the person value along different times of the study | 2 month follow-up | 
| Handling the narrative. Measurement tool: NarratUN Evaluation Tool (NET) | The difference in the mean of Handling the narrative value along different times of the study | 2 month follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Clinical Narratives, Respect, Intentional presence, knowing the person, Professional development