Back to the fundamentals of care: Why now, why us!

Published:October 19, 2009DOI:
      Nightingale's reflection on nursing over 140 years ago clearly articulates some of the same care problems we face today. She said “nursing has been limited to signify little more than the administration of medicines and the application of poultices (dressings). It ought to signify the proper use of fresh air, light, warmth, cleanliness, quiet and the proper use and selection of diet and this should be at the least expense of vital power to the patient. The goal is to put the patient in the best condition for nature to act upon him”.
      • Nightingale F.
      Notes on nursing, what it is, and what it is not.
      The profession of nursing worldwide is refocusing on the implementation of fundamental nursing care practices using the latest evidence to positively impact the leading patient errors/injuries including medications, health care acquired infections, falls, pressure ulcers and failure to rescue or recognize when a patient is deteriorating.
      • Kohn K.T.
      • Corrigan J.M.
      • Donaldson M.S.
      To err is human: building a safer health system.
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        • Nightingale F.
        Notes on nursing, what it is, and what it is not.
        1st American edition. D. Appleton and Company, New York1860 (Available at: [accessed 12/2004].)
        • Kohn K.T.
        • Corrigan J.M.
        • Donaldson M.S.
        To err is human: building a safer health system.
        National Academy Press, Washington, DC1999
        • National Quality Forum
        National voluntary consensus standards for nursing-sensitive care: an initial performance measure set.
        National Quality Forum, Washington, DC2004
        • Skinner B.F.
        Modem learning theory and some new approaches to teaching.
        in: Gustad J.W. Faculty utilization and retention. New England Board of Higher Education, Winchester, MA1960: 64-72
        • Grol R.
        Personal paper: beliefs and evidence in changing practice.
        Br. Med J. 1997; 315: 418-421
        • Cochrane Effective Practice and Organization of Care Group
        Guidelines in professions allied to medicine: a systematic review of the literature.
        Cochrane Database. 2002;
        • Vollman K.M.
        Ventilator-associated pneumonia and pressure ulcer prevention as targets for quality improvement in the ICU.
        Crit Care Nurs Clin N Am. 2006; 18: 453-467
      1. Merriam-Webster Online Dictionary, [accessed July, 2009].

        • Vollman K.
        • Garcia R.
        • Miller L.
        Interventional patient hygiene: proactive (hygiene) strategies to improve patient's outcomes.
        AACN News. 2005; 22: 1-7
        • McGuckin M.
        • Shubin A.
        • Hujcs M.
        Interventional patient hygiene model: infection control and nursing share responsibility for patient safety.
        Am J Infect Control. 2008; 36: 59-62