PLAIN ENGLISH SUMMARY The aim of this project was to find out the priorities for research that could improve fundamental care. 'Fundamental care' covers all aspects of basic care in hospital wards, such as helping with core physical needs, building positive relationships and keeping patients safe.By setting the priorities with patients, carers, the public and health care professionals, research can look at the issues that really matter to people who are receiving or delivering care in hospital wards.Previously, prioritisation exercises have started with a menu of options and asked people to choose from that list. They have also been focused on specific health conditions. Traditionally, there has been little opportunity for patients, carers and the public to contribute to identifying the issues to be prioritised.To develop the priorities for research, we started by exploring what is meant by 'fundamental care', looking at patient and carer accounts and academic and policy reports. Patients, carers, staff, and members of the public were consulted via surveys, interviews and group discussions to share experiences and issues.A list of 15 topics was identified based on what was most commonly mentioned by patients, carers and healthcare professionals as well as what was practical for the CLAHRC Wessex team to research. A workshop with patients, carers and healthcare professionals was held, to decide the top 5 areas.The five priority areas identified were:Nurse staffingIndividualised patient careStaff communicationStaff attitudes and relationships with patientsInformation about care/communication. ABSTRACT Background The provision of high quality fundamental care in hospitals is a top priority for the NHS. Recent reports and investigations highlight that at times care has fallen below standard. It is unclear what research should be prioritised to improve care. The aim of this work is to involve patients/carers/public, clinicians and other stakeholders to identify issues that are priorities for research which could improve fundamental care in hospital. Methods Patient and public involvement was integral to this project, with a patient leader/service user being a member of the core team who designed and executed this research. After consideration of existing priority setting approaches, we developed an inclusive approach which consisted of six main phases: 1) Development of a conceptual framework of fundamental care, based on reports and literature 2) Consultation with a wide range of stakeholders through a survey, focus groups and interviews 3) Identifying themes from the responses to the consultation phase (76 themes identified) 4) Analysis to identify the 15 topics most frequently cited 5) Prioritisation of the top 15 themes through a half day workshop, which led to a shortlist of five themes 6) Development of the top 5 themes into research areas. Results Three hundred forty stakeholders (29 % of whom were patients/carers/public) completed the consultation survey. Analysis of the survey responses and of focus groups and interviews led us to identify 15 high scoring themes. We presented these at the prioritisation workshop, attended by 39 participants (23 of whom patients/carers/public). After a voting exercise, the 5 top research priorities which emerged were: nurse staffing; individualised patient care; staff communication; staff attitudes and relationships with patients; and information about care. Conclusions We involved a range of stakeholders in identifying topics for research to improve fundamental care and asked them to prioritise these. The process provided a means of reaching consensus as to the important issues for future research to focus on to improve fundamental care on hospital wards.

中文翻译：

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确定研究重点，以改善医院病房的基本护理。

简明英文摘要 该项目的目的是找出可以改善基础护理的研究重点。“基本护理”涵盖医院病房基本护理的所有方面，例如帮助满足核心身体需求、建立积极的关系和确保患者安全。通过与患者、护理人员、公众和医疗保健专业人员确定优先事项，研究可以着眼于对在医院病房接受或提供护理的人来说真正重要的问题。以前，优先级练习从一个选项菜单开始，并要求人们从该列表中进行选择。他们还专注于特定的健康状况。传统上，患者、护理人员和公众几乎没有机会为确定需要优先考虑的问题做出贡献。为了确定研究的优先事项，我们首先探索“基本护理”的含义，查看患者和护理人员的账户以及学术和政策报告。通过调查、访谈和小组讨论向患者、护理人员、工作人员和公众成员咨询，以分享经验和问题。根据患者、护理人员和医疗保健专业人员以及医疗保健专业人员最常提到的内容，确定了 15 个主题列表CLAHRC Wessex 团队研究什么是实用的。与患者、护理人员和医疗保健专业人员举行了一次研讨会，以确定前 5 个领域。确定的五个优先领域是：护士人员配备个性化患者护理员工沟通员工态度和与患者的关系有关护理/沟通的信息。摘要背景在医院提供高质量的基础护理是 NHS 的首要任务。最近的报告和调查强调，有时护理已低于标准。目前尚不清楚应该优先考虑哪些研究来改善护理。这项工作的目的是让患者/护理人员/公众、临床医生和其他利益相关者参与确定可以改善医院基础护理的研究重点问题。方法 患者和公众参与是该项目不可或缺的一部分，患者领导/服务用户是设计和执行这项研究的核心团队的成员。在考虑了现有的优先事项设置方法后，我们制定了一种包容性方法，包括六个主要阶段：1）制定基本护理的概念框架，基于报告和文献 2) 通过调查、焦点小组和访谈与广泛的利益相关者进行磋商 3) 从对咨询阶段的回应中确定主题（确定了 76 个主题） 4) 分析以确定最常被引用的 15 个主题 5 ) 通过为期半天的研讨会确定前 15 个主题的优先级，从而产生五个主题的候选名单 6) 将前 5 个主题发展为研究领域。结果 340 名利益相关者（其中 29% 是患者/护理人员/公众）完成了咨询调查。通过对调查回复、焦点小组和访谈的分析，我们确定了 15 个高分主题。我们在优先级研讨会上介绍了这些内容，有 39 名参与者（其中 23 名患者/护理人员/公众）参加。经过投票表决，出现的 5 个首要研究重点是：护士人员配备；个性化的患者护理；员工沟通；工作人员的态度和与患者的关系；和有关护理的信息。结论 我们让一系列利益相关者参与确定研究主题以改善基础护理，并要求他们优先考虑这些主题。该过程为就未来研究重点改善医院病房基础护理的重要问题达成共识提供了一种手段。