1. (*) Department of Nursing, University of Peloponnese (**) Department of Nursing, National and Kapodistrian University of Athens (***) General Hospital of Athens (****)Center for Health Services Management and Evaluation Dept. of Nursing University of Athens (*****) 3 rd Regional Health Authority INTRODUCING 12 NURSING CARE PLANS IN GREEK PRIMARY HEALTH CARE STRUCTURES (PHCS) Panagiotis Prezerakos (*) ) Athena Kalokairinou (**) Maria Chatzopoulou (***) Sofia Zyga (*) Daphne Kaitelidou (**) Styliani Tziaferi (*) Stylianos Katsaragakis (*) Olga Siskou (****) Angeliki Dreliozi (*****) Elisabeth Patiraki (**)

2. INTRODUCTION  Need for nursing care plans in clinical practice → bridge gap theory - practice.  Theoretical knowledge → daily practice  Users → better quality of care  Nurses → scientific and professional autonomy  Nursing care plans in Greek Primary Health Care Structures becomes urgent, due to economic crisis → efficient management of limited human and material resources.

3. PURPOSE The purpose of this project is the :  development,  application  standardization and,  dissemination of twelve (12) primary nursing care plans in order to improve quality and safety of nursing care.

4. METHODOLOGY Title: “Building Capacity of Primary Health Care (PHC) in Peloponnese region, by developing twelve (12) nursing care plans” (MIS: 374622) Implementation: University of Peloponnese Co- funded: Greek Government and European Union in terms of National Strategic Reference Framework (NSRF). Steering Team: Guidance, counseling support and feedback Implementation Team: Relevant scientific data review and nursing care plans development

5. co- funded by Greek Government and European Union in terms of National Strategic Reference Framework (NSRF). Project Overview Title: “Building Capacity of Primary Health Care (PHC) in Peloponnese region, by developing twelve (12) nursing care plans” Implementing Institution: Nursing Department, University of Peloponnese co- funded by Greek Government and European Union in terms of National Strategic Reference Framework (NSRF). Areas of practice prioritization- selection of 12 care plans 12 Draft care plans pilot application through clinical seminars in 2 PHCS 12 final care plans Steering Committee for guidance, counseling support and feedback Implementation team for relevant scientific data review and nursing care plans development

6. Risk for Infection Lifestyle Sedentary Risk for impaired Liver Function Readiness for enhanced immunizations Risk for Unstable Blood Glucose Ineffective Breathing Pattern Impaired Skin Integrity Deficient Fluid Volume (hypertonic or hypotonic) / (isotonic) Acute pain Decreased Cardiac Output Nursing Minimum Data Set Consumables Management TWELVE (12) NURSING CARE PLANS

7. RESULTS Nursing Care plans of this project: i)are related to specific nursing diagnoses as classified by NANDA (North American Nursing Diagnosis Association), ii)contain evidence based nursing interventions according to NIC - (Nursing Intervention Classification) system and, iii)Include nursing-sensitive patients’ outcomes according to NOC (Nursing Outcome Classification) system. After a pilot application of the draft care plans through two clinical seminars in Two Health Centers, the Implementation Team collected feedback from the participants and adjusted the draft care plans to the final ones.

8. THE TWO (2) PILOT APPLICATIONS (Clinical Seminars)  Number of participants: 34  Women: 97%  Mean age: 41 years  Mean years of experience: 18  Τechnological Educational Institution graduates: 92%  Postgraduates (MSc., Specialty): 22%

9. Participants’ views Almost all participants (97%) did not report previous training on nursing care plans Almost all participants (97%) did not report previous training on nursing care plans All participants reported that they were willing to expand Knowledge on nursing care plans All participants reported that they were willing to expand Knowledge on nursing care plans

10. Participants’ views

11. Conclusions The introduction of the 12 nursing care plans contributes a lot to the effort for: Rational management of sparse human and material resources. Promotion of quality of care Improvement of professional autonomy of nursing, by the use of a common language among nurses and the determination of nursing scientific body of knowledge.