Speaking Up for Fundamental Care: the ILC Aalborg Statement
Alison Kitson,1 Devin Carr,2 Tiffany Conroy,1 Rebecca Feo ,1 Mette Grønkjær,3,4 Getty Huisman-de Waal,5 Debra Jackson,6 Lianne Jeffs,7,8 Jane Merkley,8,9 Åsa Muntlin Athlin,10,11 Jennifer Parr,12 David A Richards ,13 Erik Elgaard Sørensen,3,4 Yvonne Wengström14,15
This position statement stems from the ILC’s annual conference held in Aalborg, Denmark in June 2019.
The statement draws on the discussions between participants and the authors’ subsequent reflections and synthesis of these discussions and ideas.
The International Learning Collaborative (ILC) is an organisation dedicated to understanding why fundamental care, the care required by all patients regardless of clinical condition, fails to be provided in healthcare systems globally. At its 11th annual meeting in 2019, nursing leaders from 11 countries, together with patient representatives, confirmed that patients’ fundamental care needs are still being ignored and nurses are still afraid to ‘speak up’ when these care failures occur. While the ILC’s efforts over the past decade have led to increased recognition of the importance of fundamental care, it is not enough. To generate practical, sustainable solutions, we need to substantially rethink fundamental care and its contribution to patient outcomes and experiences, staff well-being, safety and quality, and the economic viability of healthcare systems.
Key arguments We present five propositions for radically transforming fundamental care delivery:
Value: fundamental care must be foundational to all caring activities, systems and institutions
Talk: fundamental care must be explicitly articulated in all caring activities, systems and institutions.
Do: fundamental care must be explicitly actioned and evaluated in all caring activities, systems and institutions.
Own: fundamental care must be owned by each individual who delivers care, works in a system that is responsible for care or works in an institution whose mission is to deliver care.
Research: fundamental care must undergo systematic and high-quality investigations to generate the evidence needed to inform care practices and shape health systems and education curricula.
To cite: Kitson A, Carr D, Conroy T, et al. Speaking Up for Fundamental Care: the ILC Aalborg Statement. BMJ Open 2019;9:e033077. doi:10.1136/ bmjopen-2019-033077