NCT05528523: NarratUN

The Relationship Competences Guiding Tool

Completed NA Last updated 6 September 2022

What this trial tests

NA trial testing Writing a clinical narrative in Nurse-Patient Relations in 25 participants. Completed in 1 February 2022.

Timeline

1 September 2019

Primary endpoint
1 February 2020

1 February 2022

Quick facts

Lead sponsor	Clinica Universidad de Navarra, Universidad de Navarra
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	na
Design	single group
Masking	none
Primary purpose	other
Enrollment	25
Start date	1 September 2019
Primary completion	1 February 2020
Estimated completion	1 February 2022
Sites	1 location across Spain

Drugs / interventions tested

• Writing a clinical narrative

Conditions studied

• Nurse-Patient Relations — all drugs for Nurse-Patient Relations →
• Professional Role — all drugs for Professional Role →
• Narration — all drugs for Narration →

Sponsor

Clinica Universidad de Navarra, Universidad de Navarra

Who can join

Eligibility, any sex, with Nurse-Patient Relations or Professional Role. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Aim: The aims of this study are: (1) to present the development, content validation and implementation study of the Relationship Competences Guiding Tool (RCGT); (2) to show some examples of how each of the items of the guide may be reflected on clinical narratives written by nurses, and justify its corresponding scores after the evaluation; (3) to present how the language and content of the narratives are interpreted with this guide and to describe an exemplar; (4) to present barriers and facilitators of its application.

Background: From a person-centred care approach, the fostering of authentic relationships with patients is key for therapeutic benefits. Therefore, it is essential to help nurses to establish meaningful relationships with patients and help them to achieve these abilities. In this line, clinical narratives can be used as a way to promote reflective practice and professional competences development between nurses. A guide to evaluate the knowledge, skills, attitudes and values necessary for developing authentic encounters with patients reflected by nurses on clinical narratives was developed and implemented.

Design: Design and evaluation of the RCGT, and evaluation of its implementation Methods: This study was conducted in three major steps. Step one entailed the conceptualization. Step two included the generation of items and content validation. Then, in step three, the tool was used to independently evaluate 25 narratives by two researchers, in order to identify and exemplify the attributes of the nurse patient relationship defined on the guide and identify barriers and facilitators. One of the narratives was linguistically analysed in the light of the guide, in order to provide a comprehensive view of the interpretative strategies deployed by evaluators.

Results: The RCGT helped to identify nursing professional competences reflected in clinical narratives. The tool guided in the process of assigning scores to the corresponding items. The use of the tool helped to identify some barriers and facilitators before and during the narrative evaluation process.

Conclusions: A clear, relevant, conceptually and linguistically adequate guide for assessing clinical narratives was obtained. The RCGT can be applied to accurately interpret how nurses reflect professional competences in a clinical narrative as a preliminary step to design a measurement tool.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.