How the Roper Logan and Tierney model of nursing is reflected and perceived in an orthopaedic setting
This study evaluates the use of the Roper, Logan and Tierney model in an orthopaedic setting using a practitioner research approach. The aims of the study are to explore how the model influences the patients' needs, what staff are doing when giving care and how they plan and evaluate care. A qualitative phenomenological methodology was used, with inductive code development. Thirty-six patients participated in the study. The data was gathered by observing twelve patients, interviewing another twelve patients and analysing twelve care plans. Initial analysis was carried out by using the twelve activities of living as a framework to code the accumulated textual data. Comparison of this indicated where the model and practice differed. Exploratory diagramming was used in the analysis, resulting in the creation of frequency hierarchies. These were used to analyse the codes. They were presented in three areas, the data as a whole, the staff and patients' perspective and the long and short stay patients. The results support four themes emerging from the data, a hierarchical element exists in care, a common core of needs is found between the long and short stay patients, patients and staff perceive care differently and the identification of partnership as a key theme for effective care. The partnership theme has been explored by developing further themes from the data. The formation of partnerships between patients and staff are shown to be important in negotiating care. Frequency hierarchies in this study are found to be a powerful method of identifying themes, and an excellent tool for the exploration of qualitative data. The unique role of the research practitioner is also discussed and recognized as a valuable perspective for the critical evaluation of nursing models.