Nursing Narratives, Reflective Practice and Professional Development (NarratUN) (NarratUN)

December 28, 2018 updated by: Clinica Universidad de Navarra, Universidad de Navarra

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

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.

Study Overview

Status

Completed

Conditions

Narrative Medicine

Study Type

Observational

Enrollment (Actual)

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Spain
- Navarra
  - Pamplona, Navarra, Spain, 31009
    - Ana Choperena Armendáriz

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

Child
Adult
Older Adult

Accepts Healthy Volunteers

Genders Eligible for Study

All

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.

Description

Inclusion Criteria:

Being in a specialized training programme

Exclusion Criteria:

Not being in a specialized training programme

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

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

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Clinica Universidad de Navarra, Universidad de Navarra

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 1, 2016

Primary Completion (Actual)

June 30, 2017

Study Completion (Actual)

June 30, 2017

Study Registration Dates

First Submitted

December 21, 2018

First Submitted That Met QC Criteria

December 28, 2018

First Posted (Actual)

January 2, 2019

Study Record Updates

Last Update Posted (Actual)