Clinical trial NCT03791411: Nursing Narratives, Reflective Practice and Professional Development (NarratUN)
Official title: Narratives and Reflective Practice: A Programme for the Development of Professional Competences in Nursing
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Narrative Medicine
Keywords: Clinical Narratives
Respect
Intentional presence
knowing the person
Professional development
Lead sponsor: Clinica Universidad de Navarra, Universidad de Navarra
Sponsor class: OTHER
First posted: 2019-01-02
Enrollment: 69
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Nurses enrolled in a global training course of nursing specialization, for the 2016-17, 2017-18, and 2018-19 courses. All students in the specialized training programme will be included, regardless of age or previous experience.

Brief summary: 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.


Eligibility criteria: Inclusion Criteria:

* Being in a specialized training programme

Exclusion Criteria:

* Not being in a specialized training programme

Primary outcomes:
measure: Respect. Measurement tool: NarratUN Evaluation Tool (NET)
timeFrame: 9 month
measure: Intentional presence. Measurement tool: NarratUN Evaluation Tool (NET)
timeFrame: 9 month
measure: Knowing the person. Measurement tool: NarratUN Evaluation Tool (NET)
timeFrame: 9 month
Secondary outcomes:
measure: Handling the narrative. Measurement tool: NarratUN Evaluation Tool (NET)
timeFrame: 9 month
measure: Respect. Measurement tool: NarratUN Evaluation Tool (NET)
timeFrame: 2 month follow-up
measure: Intentional presence. Measurement tool: NarratUN Evaluation Tool (NET)
timeFrame: 2 month follow-up
measure: Knowing the person. Measurement tool: NarratUN Evaluation Tool (NET)
timeFrame: 2 month follow-up
measure: Handling the narrative. Measurement tool: NarratUN Evaluation Tool (NET)
timeFrame: 2 month follow-up
Other outcomes:
Locations:
city: Pamplona
country: Spain
facility: Ana Choperena Armendáriz
state: Navarra
Study officials:
References: